South Carolina / Bon Secours-St Francis Xavier Hospital
CMS certification 420065 · Charleston, SC
Bon Secours-St Francis Xavier Hospital: charges and Medicare payments
Bon Secours-St Francis Xavier Hospital reported 1,384 Medicare inpatient stays across 52 DRGs in 2024. Across them it charged 3.96 times what it was paid — mid-range in South Carolina, number 30 of 45 hospitals with at least 100 stays (state median 4.13×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 141 stays at an average charge of $51,694, 43% below the national average. It also billed 2,053 outpatient services, charging 6.74 times what Medicare paid.
- 1Medicare inpatient stays 1,384
- 2Charge ÷ paid, inpatient 3.96×
- 3Rank in SC (highest ratio = 1) 30 of 45
- 4CMS price-transparency actions 0
Inpatient stays
For the 52 DRGs that can be compared with the national average, Bon Secours-St Francis Xavier Hospital charged more than the national average in 0 (0%). 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 | 141 | $51,694 | -43% | $14,452 |
| 291 Heart Failure and Shock with MCC | 98 | $38,156 | -32% | $9,650 |
| 177 Respiratory Infections and Inflammations with MCC | 57 | $55,139 | -22% | $13,034 |
| 378 Gastrointestinal Hemorrhage with CC | 52 | $33,744 | -30% | $7,776 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 45 | $122,080 | -40% | $35,388 |
| 473 Cervical Spinal Fusion without CC/MCC | 44 | $61,836 | -46% | $18,001 |
| 193 Simple Pneumonia and Pleurisy with MCC | 43 | $41,513 | -31% | $10,194 |
| 690 Kidney and Urinary Tract Infections without MCC | 42 | $24,752 | -35% | $6,879 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 39 | $34,512 | -38% | $7,948 |
| 689 Kidney and Urinary Tract Infections with MCC | 39 | $32,702 | -36% | $8,524 |
| 460 Spinal Fusion except Cervical without MCC | 37 | $85,800 | -50% | $23,804 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 34 | $30,994 | -16% | $7,208 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 32 | $27,341 | -32% | $6,470 |
| 603 Cellulitis without MCC | 30 | $21,626 | -42% | $7,036 |
| 683 Renal Failure with CC | 29 | $29,194 | -28% | $7,146 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 26 | $31,108 | -37% | $8,188 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 25 | $39,990 | -21% | $8,567 |
| 682 Renal Failure with MCC | 25 | $56,337 | -15% | $10,542 |
| 472 Cervical Spinal Fusion with CC | 24 | $79,844 | -44% | $22,381 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 22 | $56,966 | -43% | $13,328 |
| 552 Medical Back Problems without MCC | 22 | $28,992 | -41% | $7,659 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 21 | $26,803 | -63% | $10,200 |
| 329 Major Small and Large Bowel Procedures with MCC | 21 | $149,228 | -31% | $30,388 |
| 389 Gastrointestinal Obstruction with CC | 21 | $28,492 | -27% | $6,478 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $35,583 | -41% | $9,752 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 19 | $50,212 | -56% | $16,124 |
| 481 Hip and Femur Procedures except Major Joint with CC | 19 | $78,237 | -22% | $14,605 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 19 | $136,920 | -40% | $36,323 |
| 189 Pulmonary Edema and Respiratory Failure | 18 | $41,002 | -29% | $8,881 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 18 | $46,091 | -37% | $11,903 |
| 194 Simple Pneumonia and Pleurisy with CC | 17 | $29,269 | -24% | $6,844 |
| 377 Gastrointestinal Hemorrhage with MCC | 17 | $50,657 | -41% | $12,755 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 17 | $184,128 | -34% | $47,118 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 16 | $125,435 | -46% | $29,703 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 16 | $32,375 | -53% | $9,536 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 16 | $73,643 | -21% | $11,948 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 15 | $36,776 | -51% | $10,989 |
| 312 Syncope and Collapse | 15 | $41,901 | -8% | $7,503 |
| 069 Transient Ischemia without Thrombolytic | 14 | $27,894 | -45% | $6,569 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 14 | $54,513 | -16% | $11,394 |
| 176 Pulmonary Embolism without MCC | 14 | $29,423 | -29% | $7,514 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $28,016 | -22% | $6,160 |
| 811 Red Blood Cell Disorders with MCC | 14 | $34,747 | -49% | $10,749 |
| 330 Major Small and Large Bowel Procedures with CC | 13 | $112,457 | -6% | $16,393 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $41,218 | -27% | $8,901 |
| 057 Degenerative Nervous System Disorders without MCC | 11 | $25,744 | -55% | $9,717 |
| 101 Seizures without MCC | 11 | $26,862 | -45% | $7,165 |
| 390 Gastrointestinal Obstruction without CC/MCC | 11 | $20,124 | -28% | $5,019 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $48,933 | -20% | $10,950 |
| 394 Other Digestive System Diagnoses with CC | 11 | $27,237 | -42% | $7,467 |
| 451 Single Level Spinal Fusion except Cervical without MCC | 11 | $85,334 | -43% | $21,347 |
| 812 Red Blood Cell Disorders without MCC | 11 | $27,259 | -39% | $7,252 |
Outpatient services
Against the South Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Bon Secours-St Francis Xavier Hospital charged $51,694 on average, 32% less than the South Carolina average of $76,532, and was paid $14,452 against a state average of $16,014. For Heart Failure and Shock with MCC (DRG 291), Bon Secours-St Francis Xavier Hospital charged $38,156 on average, 16% less than the South Carolina average of $45,682, and was paid $9,650 against a state average of $10,696. For Respiratory Infections and Inflammations with MCC (DRG 177), Bon Secours-St Francis Xavier Hospital charged $55,139 on average, 11% less than the South Carolina average of $62,241, and was paid $13,034 against a state average of $13,455. For Gastrointestinal Hemorrhage with CC (DRG 378), Bon Secours-St Francis Xavier Hospital charged $33,744 on average, 19% less than the South Carolina average of $41,450, and was paid $7,776 against a state average of $8,590. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,039 was 40% below the state average of $11,718. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,163 was 22% below the state average of $20,764. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $9,407 was 33% below the state average of $14,055. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $37,352 was 27% below the state average of $51,243.
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.