D

Ssm Health St Joseph Hospital-Lake Saint Louis

100 Medical Plaza · Lake Saint Louis, MO 63367

🤖AI Overview

⚠️ This hospital charges 4.1x what Medicare pays — significantly above the national average of 5.5x.

Total Charges
$90.9M
Medicare Payments
$22.1M
Discharges
2,520
Avg Length of Stay
4.3 days
Markup Ratio
4.1x
Risk Score
2.14

Fairness Grade: D

Poor — charges 4–5x what Medicare pays

Ssm Health St Joseph Hospital-Lake Saint Louis charges an average of $36,065 per discharge, but Medicare only pays $8,783 — a markup of 4.1x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio
This Hospital
4.1x
State Avg
5.3x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$36,065
State Avg
$70,874
National Avg
$69,838
Avg Length of Stay
This Hospital
4.3 days
State Avg
5.3 days
National Avg
4.8 days

Patient Demographics

Age Distribution

Under 65
10.8%
65–74
29.9%
75–84
35.2%
85+
24.1%

Gender

56.4%
Female
43.6%
Male

Dual Eligibility

15.6%
Dual Eligible
84.4%
Non-Dual

Race & Ethnicity

White
95.2%
Black
2.0%
Hispanic
1.0%
Other
1.5%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
75.0%
Arthritis
53.9%
Chronic Kidney Disease
51.0%
Ischemic Heart Disease
48.5%
Heart Failure
47.6%
Mood Disorders
43.5%
Diabetes
42.1%
Anxiety
41.3%
Depression
40.7%
Atrial Fibrillation
40.3%
COPD
34.8%
Alzheimer's/Dementia
25.4%
Tobacco Use
21.3%
Cancer
21.3%
Stroke/TIA
19.0%
Bipolar Disorder
16.5%
Osteoporosis
15.2%
Substance Use
11.8%
Asthma
11.6%
Parkinson's
6.5%
Schizophrenia/Psychosis
5.3%
PTSD
2.5%
Personality Disorders
1.9%
ADHD/Conduct Disorders
1.7%
Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.