Bon Secours St Francis Medical Center: charges and Medicare payments

Bon Secours St Francis Medical Center reported 2,371 Medicare inpatient stays across 76 DRGs in 2024. Across them it charged 4.49 times what it was paid — among the higher ratios in Virginia, number 16 of 66 hospitals with at least 100 stays (state median 3.6×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 317 stays at an average charge of $67,703, 25% below the national average. It also billed 2,034 outpatient services, charging 10.02 times what Medicare paid.

1Medicare inpatient stays 2,371
2Charge ÷ paid, inpatient 4.49×
3Rank in VA (highest ratio = 1) 16 of 66
4CMS price-transparency actions 0

Average charge per stay at Bon Secours St Francis Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 76 DRGs that can be compared with the national average, Bon Secours St Francis Medical Center charged more than the national average in 6 (8%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	317	$67,703	-25%	$15,304
291 Heart Failure and Shock with MCC	162	$35,552	-37%	$9,942
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	97	$37,305	-24%	$8,345
177 Respiratory Infections and Inflammations with MCC	59	$38,703	-45%	$12,458
309 Cardiac Arrhythmia and Conduction Disorders with CC	56	$27,549	-24%	$6,048
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	56	$32,104	-20%	$6,582
690 Kidney and Urinary Tract Infections without MCC	49	$29,660	-22%	$6,638
698 Other Kidney and Urinary Tract Diagnoses with MCC	49	$59,099	-20%	$13,529
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	44	$39,122	-30%	$7,777
312 Syncope and Collapse	44	$29,631	-35%	$7,358
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	44	$27,217	-27%	$6,860
193 Simple Pneumonia and Pleurisy with MCC	42	$38,607	-35%	$10,433
683 Renal Failure with CC	41	$27,766	-32%	$7,718
190 Chronic Obstructive Pulmonary Disease with MCC	36	$33,776	-33%	$9,070
378 Gastrointestinal Hemorrhage with CC	36	$46,783	-4%	$8,963
689 Kidney and Urinary Tract Infections with MCC	36	$33,947	-34%	$9,741
853 Infectious and Parasitic Diseases with O.R. Procedures with...	36	$148,320	-35%	$37,228
308 Cardiac Arrhythmia and Conduction Disorders with MCC	35	$35,419	-37%	$9,947
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	34	$46,828	-22%	$10,543
481 Hip and Femur Procedures except Major Joint with CC	32	$103,151	+2%	$15,515
287 Circulatory Disorders except AMI, with Cardiac...	31	$49,053	-23%	$9,240
682 Renal Failure with MCC	31	$48,226	-27%	$11,743
194 Simple Pneumonia and Pleurisy with CC	29	$25,505	-34%	$7,019
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	29	$88,091	-14%	$16,069
322 Percutaneous Cardiovascular Procedures with Intraluminal...	28	$116,542	+2%	$22,882
603 Cellulitis without MCC	28	$35,073	-6%	$7,925
470 Major Hip and Knee Joint Replacement or Reattachment of...	27	$97,948	+5%	$13,995
884 Organic Disturbances and Intellectual Disability	27	$29,803	-52%	$11,676
069 Transient Ischemia without Thrombolytic	26	$37,550	-26%	$6,429
377 Gastrointestinal Hemorrhage with MCC	26	$61,882	-28%	$14,664
057 Degenerative Nervous System Disorders without MCC	25	$37,010	-35%	$10,339
280 Acute Myocardial Infarction, Discharged Alive with MCC	25	$63,472	-16%	$11,897
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	24	$59,057	-41%	$14,557
178 Respiratory Infections and Inflammations with CC	24	$30,029	-34%	$8,354
552 Medical Back Problems without MCC	24	$31,527	-35%	$6,986
638 Diabetes with CC	24	$27,367	-34%	$7,182
149 Dysequilibrium	23	$33,933	-24%	$6,095
189 Pulmonary Edema and Respiratory Failure	23	$49,014	-15%	$10,471
329 Major Small and Large Bowel Procedures with MCC	23	$176,083	-18%	$31,507
699 Other Kidney and Urinary Tract Diagnoses with CC	23	$29,598	-38%	$8,757
389 Gastrointestinal Obstruction with CC	21	$25,354	-35%	$6,443
305 Hypertension without MCC	19	$24,303	-39%	$6,157
321 Percutaneous Cardiovascular Procedures with Intraluminal...	19	$155,946	-5%	$28,064
812 Red Blood Cell Disorders without MCC	19	$34,919	-21%	$7,395
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	19	$34,970	-6%	$6,979
066 Intracranial Hemorrhage or Cerebral Infarction without...	18	$36,257	-14%	$5,688
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	18	$58,487	-10%	$11,871
101 Seizures without MCC	17	$34,813	-29%	$8,282
286 Circulatory Disorders except AMI, with Cardiac...	17	$65,848	-41%	$15,642
390 Gastrointestinal Obstruction without CC/MCC	17	$19,190	-31%	$4,848
393 Other Digestive System Diagnoses with MCC	17	$53,688	-30%	$13,729
394 Other Digestive System Diagnoses with CC	17	$26,940	-43%	$8,145
092 Other Disorders of Nervous System with CC	16	$39,320	-24%	$7,687
281 Acute Myocardial Infarction, Discharged Alive with CC	16	$48,673	-4%	$7,536
314 Other Circulatory System Diagnoses with MCC	16	$65,927	-30%	$14,286
439 Disorders of Pancreas except Malignancy with CC	16	$33,993	-22%	$6,812
543 Pathological Fractures and Musculoskeletal and Connective...	16	$25,243	-49%	$8,435
644 Endocrine Disorders with CC	16	$30,318	-37%	$8,877
854 Infectious and Parasitic Diseases with O.R. Procedures with...	16	$58,099	-41%	$16,537
176 Pulmonary Embolism without MCC	15	$37,505	-10%	$7,274

Showing the 60 most frequent of 76 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 5 Musculoskeletal Procedures	294	$86,788	$11,347
Comprehensive Observation Services	204	$25,648	$2,331
Level 2 Upper GI Procedures	199	$9,863	$1,655
Level 1 Endovascular Procedures	158	$35,779	$2,786
Level 2 Excision/ Biopsy/ Incision and Drainage	135	$9,303	$1,393
Level 4 Musculoskeletal Procedures	101	$62,240	$6,219
Level 3 Musculoskeletal Procedures	91	$25,299	$2,812
Level 1 Laparoscopy and Related Services	91	$37,347	$4,882
Level 2 Musculoskeletal Procedures	83	$11,405	$1,397
Level 3 Vascular Procedures	72	$15,798	$2,772
Level 1 Nerve Procedures	57	$17,102	$1,678
Level 3 Excision/ Biopsy/ Incision and Drainage	55	$20,323	$2,436
Level 6 Musculoskeletal Procedures	42	$125,407	$15,836
Level 2 Endovascular Procedures	42	$54,703	$4,972
Level 3 Pacemaker and Similar Procedures	39	$77,085	$9,079
Level 1 Breast/Lymphatic Surgery and Related Procedures	38	$17,428	$3,316
Level 3 Airway Endoscopy	37	$7,797	$1,444
Level 2 Breast/Lymphatic Surgery and Related Procedures	31	$26,837	$5,671
Level 3 Endovascular Procedures	31	$104,748	$9,400
Level 4 Gynecologic Procedures	29	$22,690	$2,716
Level 2 Vascular Procedures	25	$5,856	$1,393
Level 2 Pacemaker and Similar Procedures	25	$55,641	$7,389
Level 2 ICD and Similar Procedures	22	$285,860	$28,542
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	19	$32,655	$3,006
Level 3 Urology and Related Services	17	$15,676	$1,771

Against the Virginia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Bon Secours St Francis Medical Center charged $67,703 on average, 4% more than the Virginia average of $65,235, and was paid $15,304 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Bon Secours St Francis Medical Center charged $35,552 on average, 13% less than the Virginia average of $40,795, and was paid $9,942 against a state average of $11,030. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Bon Secours St Francis Medical Center charged $37,305 on average, 1% more than the Virginia average of $37,022, and was paid $8,345 against a state average of $8,962. For Respiratory Infections and Inflammations with MCC (DRG 177), Bon Secours St Francis Medical Center charged $38,703 on average, 22% less than the Virginia average of $49,485, and was paid $12,458 against a state average of $13,709. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $86,788 was 3% above the state average of $83,920. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,648 was 31% above the state average of $19,506. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $9,863 was 29% below the state average of $13,852. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $35,779 was 12% above the state average of $31,869.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.