Hospital · CCN 100361
Ascension St Vincent's St Johns County
205 Trinity Way, St Johns, FL 32259 · St. Johns County
Part of Ascension Health
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
12 admission types 28 outpatient services price file: ok
Billed per dollar paid, all admissions
5.58×
$19.7M billed against $3.5M paid across 280 Medicare discharges; the national figure is 5.03×.
3.3%
of adults in St. Johns County have medical debt in collections
8.0%
uninsured in the county · state 13.9%
$106K
median household income
5.0×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
29.2%
obesity in the countyⓘ
10.6%
diagnosed diabetes (PLACES)
6.5%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
72
$59,959
$13,188
4.5× st 7.2×
177
Respiratory infections and inflammations with mcc
37
$49,896
$11,010
4.5× st 6.5×
291
Heart failure and shock with mcc
26
$39,910
$8,562
4.7× st 6.3×
193
Simple pneumonia and pleurisy with mcc
25
$50,224
$9,230
5.4× st 7.2×
280
Acute myocardial infarction, discharged alive with mcc
22
$47,916
$10,423
4.6× st 7.3×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
18
$128,597
$13,077
9.8× st 9.1×
468
Revision of hip or knee replacement without cc/mcc
15
$184,036
$19,441
9.5× st 7.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
15
$200,822
$36,131
5.6× st 7.5×
698
Other kidney and urinary tract diagnoses with mcc
14
$54,152
$10,964
4.9× st 6.7×
689
Kidney and urinary tract infections with mcc
13
$32,255
$7,563
4.3× st 6.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
12
$48,909
$8,231
5.9× st 7.0×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
11
$26,703
$5,685
4.7× st 7.5×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
5115
Level 5 Musculoskeletal Procedures
140
$109,195
$11,906
9.2×
8011
Comprehensive Observation Services
131
$20,585
$2,427
8.5×
5375
Level 5 Urology and Related Services
59
$46,506
$4,560
10.2×
5114
Level 4 Musculoskeletal Procedures
59
$87,101
$6,393
13.6×
5113
Level 3 Musculoskeletal Procedures
53
$41,697
$2,888
14.4×
5112
Level 2 Musculoskeletal Procedures
45
$27,236
$1,430
19.0×
5374
Level 4 Urology and Related Services
28
$36,742
$2,978
12.3×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
23
$11,201
$1,469
7.6×
5116
Level 6 Musculoskeletal Procedures
23
$134,792
$16,845
8.0×
5378
Level 8 Urology and Related Services
21
$120,608
$17,006
7.1×
5191
Level 1 Endovascular Procedures
21
$36,778
$2,956
12.4×
5302
Level 2 Upper GI Procedures
16
$19,654
$1,723
11.4×
5373
Level 3 Urology and Related Services
15
$32,657
$1,783
18.3×
5361
Level 1 Laparoscopy and Related Services
11
$74,121
$5,227
14.2×
5415
Level 5 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
03 · Its own price file
What the hospital's price-transparency file says
Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 01/01/2026, template 3.0.0, 1,358,164 rows scanned, 15,136 distinct code–setting items kept. No rule fires against it.
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- Ascension St Vincent's St Johns County — standard charges file · FL · updated 01/01/2026· csv-tall · 353.1M bytes · fetched 2026-08-23 · sha256 d5ea5b15f380…
Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.
Source rows for this hospital as JSON: inpatient · outpatient · price file. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.