Virginia / Bon Secours St Marys Hospital
CMS certification 490059 · Richmond, VA · 2 entries in CMS's price-transparency list
Bon Secours St Marys Hospital: charges and Medicare payments
Bon Secours St Marys Hospital reported 4,103 Medicare inpatient stays across 120 DRGs in 2024. Across them it charged 5.4 times what it was paid — among the higher ratios in Virginia, number 10 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: 330 stays at an average charge of $61,684, 32% below the national average. It also billed 3,539 outpatient services, charging 9.35 times what Medicare paid.
- 1Medicare inpatient stays 4,103
- 2Charge ÷ paid, inpatient 5.4×
- 3Rank in VA (highest ratio = 1) 10 of 66
- 4CMS price-transparency actions 2
Inpatient stays
For the 120 DRGs that can be compared with the national average, Bon Secours St Marys Hospital charged more than the national average in 16 (13%). 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 | 330 | $61,684 | -32% | $14,456 |
| 291 Heart Failure and Shock with MCC | 224 | $45,326 | -20% | $9,952 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 112 | $281,281 | +79% | $29,400 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 105 | $45,697 | -18% | $7,834 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 99 | $71,253 | -29% | $14,954 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 88 | $28,060 | -22% | $5,873 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 88 | $36,514 | -26% | $8,090 |
| 177 Respiratory Infections and Inflammations with MCC | 74 | $45,084 | -36% | $12,127 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 72 | $104,299 | +12% | $14,111 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 70 | $30,864 | -23% | $6,175 |
| 193 Simple Pneumonia and Pleurisy with MCC | 67 | $41,159 | -31% | $10,223 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 67 | $26,751 | -28% | $6,503 |
| 378 Gastrointestinal Hemorrhage with CC | 59 | $45,181 | -7% | $8,119 |
| 312 Syncope and Collapse | 56 | $29,498 | -35% | $6,898 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 55 | $75,777 | -33% | $17,126 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 54 | $45,189 | -38% | $12,403 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 53 | $38,327 | -36% | $9,883 |
| 689 Kidney and Urinary Tract Infections with MCC | 52 | $33,141 | -35% | $9,095 |
| 690 Kidney and Urinary Tract Infections without MCC | 49 | $25,794 | -32% | $6,254 |
| 683 Renal Failure with CC | 48 | $50,831 | +25% | $10,426 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 46 | $91,503 | -20% | $19,391 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 45 | $170,211 | -26% | $34,577 |
| 682 Renal Failure with MCC | 45 | $55,054 | -17% | $11,071 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 43 | $206,233 | -10% | $44,102 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 41 | $50,689 | -10% | $9,206 |
| 885 Psychoses | 40 | $37,015 | -16% | $10,846 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 39 | $326,487 | +48% | $35,511 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 39 | $61,941 | -18% | $13,204 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 35 | $137,475 | -16% | $20,361 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 35 | $98,357 | -4% | $15,534 |
| 552 Medical Back Problems without MCC | 35 | $24,942 | -49% | $7,328 |
| 812 Red Blood Cell Disorders without MCC | 35 | $36,897 | -17% | $7,029 |
| 194 Simple Pneumonia and Pleurisy with CC | 34 | $28,335 | -26% | $6,322 |
| 069 Transient Ischemia without Thrombolytic | 33 | $34,064 | -32% | $6,677 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 33 | $34,899 | -31% | $8,376 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 33 | $357,449 | +25% | $58,502 |
| 377 Gastrointestinal Hemorrhage with MCC | 33 | $78,697 | -8% | $14,080 |
| 481 Hip and Femur Procedures except Major Joint with CC | 33 | $82,841 | -18% | $15,155 |
| 638 Diabetes with CC | 33 | $32,658 | -22% | $7,041 |
| 314 Other Circulatory System Diagnoses with MCC | 32 | $86,146 | -9% | $19,244 |
| 603 Cellulitis without MCC | 32 | $30,097 | -19% | $7,221 |
| 305 Hypertension without MCC | 31 | $27,522 | -31% | $6,930 |
| 389 Gastrointestinal Obstruction with CC | 31 | $33,283 | -14% | $6,838 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 31 | $28,243 | -41% | $7,644 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 30 | $221,719 | -21% | $41,214 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 30 | $40,590 | -4% | $5,906 |
| 189 Pulmonary Edema and Respiratory Failure | 30 | $55,248 | -4% | $10,321 |
| 811 Red Blood Cell Disorders with MCC | 30 | $46,358 | -32% | $10,550 |
| 178 Respiratory Infections and Inflammations with CC | 29 | $33,330 | -26% | $7,564 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 29 | $182,113 | -38% | $44,919 |
| 330 Major Small and Large Bowel Procedures with CC | 29 | $114,198 | -4% | $17,381 |
| 460 Spinal Fusion except Cervical without MCC | 28 | $204,416 | +20% | $33,813 |
| 180 Respiratory Neoplasms with MCC | 26 | $44,427 | -49% | $12,875 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 26 | $137,525 | -35% | $34,211 |
| 884 Organic Disturbances and Intellectual Disability | 26 | $27,967 | -55% | $11,237 |
| 024 Craniotomy with Major Device Implant or Acute Complex Cns... | 25 | $188,989 | -2% | $26,990 |
| 057 Degenerative Nervous System Disorders without MCC | 25 | $27,826 | -51% | $9,516 |
| 101 Seizures without MCC | 25 | $36,669 | -25% | $6,965 |
| 329 Major Small and Large Bowel Procedures with MCC | 25 | $199,357 | -7% | $35,354 |
| 394 Other Digestive System Diagnoses with CC | 25 | $28,821 | -39% | $7,611 |
Showing the 60 most frequent of 120 DRGs.
Outpatient services
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Bon Secours St Marys Hospital charged $61,684 on average, 5% less than the Virginia average of $65,235, and was paid $14,456 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Bon Secours St Marys Hospital charged $45,326 on average, 11% more than the Virginia average of $40,795, and was paid $9,952 against a state average of $11,030. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Bon Secours St Marys Hospital charged $281,281 on average, 55% more than the Virginia average of $181,540, and was paid $29,400 against a state average of $26,262. For Intracranial Hemorrhage or Cerebral Infarction with CC or Tpa in 24 Hours (DRG 065), Bon Secours St Marys Hospital charged $45,697 on average, 2% more than the Virginia average of $44,609, and was paid $7,834 against a state average of $8,867. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $87,900 was 5% above the state average of $83,920. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $18,594 was 34% above the state average of $13,852. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $36,897 was 16% above the state average of $31,869. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,654 was 5% below the state average of $11,217.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Bon Secours St Marys Hospital in Richmond, VA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-04-23 (CMS case 4029)
- Closure Notice — 2025-05-19 (CMS case 4029)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.