Presence Saint Francis Hospital: charges and Medicare payments

Presence Saint Francis Hospital reported 1,085 Medicare inpatient stays across 36 DRGs in 2024. Across them it charged 4.42 times what it was paid — mid-range in Illinois, number 41 of 106 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 269 stays at an average charge of $92,078, 2% above the national average. It also billed 551 outpatient services, charging 10.55 times what Medicare paid.

1Medicare inpatient stays 1,085
2Charge ÷ paid, inpatient 4.42×
3Rank in IL (highest ratio = 1) 41 of 106
4CMS price-transparency actions 0

Average charge per stay at Presence Saint Francis Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 36 DRGs that can be compared with the national average, Presence Saint Francis Hospital charged more than the national average in 23 (64%). 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	269	$92,078	+2%	$21,089
291 Heart Failure and Shock with MCC	58	$63,183	+12%	$14,712
177 Respiratory Infections and Inflammations with MCC	51	$73,271	+4%	$18,170
193 Simple Pneumonia and Pleurisy with MCC	49	$73,862	+24%	$15,601
853 Infectious and Parasitic Diseases with O.R. Procedures with...	43	$214,116	-6%	$49,493
682 Renal Failure with MCC	39	$53,544	-19%	$15,750
683 Renal Failure with CC	38	$43,341	+6%	$10,480
689 Kidney and Urinary Tract Infections with MCC	38	$64,947	+27%	$13,678
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	33	$54,897	-9%	$14,072
870 Septicemia or Severe Sepsis with MV >96 Hours	32	$243,372	-25%	$55,274
698 Other Kidney and Urinary Tract Diagnoses with MCC	29	$76,294	+4%	$17,300
470 Major Hip and Knee Joint Replacement or Reattachment of...	24	$120,105	+29%	$19,112
280 Acute Myocardial Infarction, Discharged Alive with MCC	22	$113,274	+49%	$18,526
314 Other Circulatory System Diagnoses with MCC	22	$139,356	+47%	$27,970
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	21	$52,070	+6%	$11,929
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	20	$37,040	0%	$8,995
189 Pulmonary Edema and Respiratory Failure	19	$65,667	+14%	$21,644
377 Gastrointestinal Hemorrhage with MCC	18	$74,494	-13%	$18,686
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	18	$43,363	+8%	$8,812
481 Hip and Femur Procedures except Major Joint with CC	18	$125,486	+25%	$22,762
690 Kidney and Urinary Tract Infections without MCC	18	$50,136	+33%	$9,707
101 Seizures without MCC	17	$41,998	-14%	$10,278
603 Cellulitis without MCC	17	$40,122	+8%	$10,432
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	16	$124,085	+24%	$27,562
552 Medical Back Problems without MCC	15	$47,868	-2%	$11,058
312 Syncope and Collapse	14	$40,116	-12%	$9,783
393 Other Digestive System Diagnoses with MCC	14	$66,165	-14%	$18,311
811 Red Blood Cell Disorders with MCC	14	$71,956	+6%	$14,879
300 Peripheral Vascular Disorders with CC	13	$41,867	-15%	$12,109
309 Cardiac Arrhythmia and Conduction Disorders with CC	13	$50,250	+39%	$12,147
480 Hip and Femur Procedures except Major Joint with MCC	13	$115,783	-17%	$27,293
699 Other Kidney and Urinary Tract Diagnoses with CC	13	$55,515	+17%	$12,062
389 Gastrointestinal Obstruction with CC	12	$58,074	+49%	$10,351
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	12	$63,539	+49%	$10,925
637 Diabetes with MCC	12	$57,980	-13%	$16,042
394 Other Digestive System Diagnoses with CC	11	$59,204	+26%	$11,820

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	158	$30,942	$2,662
Level 2 Excision/ Biopsy/ Incision and Drainage	59	$11,448	$1,577
Level 2 Upper GI Procedures	39	$13,958	$1,851
Level 3 Musculoskeletal Procedures	35	$27,111	$3,148
Level 3 Vascular Procedures	34	$19,848	$3,100
Level 3 Urology and Related Services	32	$15,474	$1,932
Level 1 Laparoscopy and Related Services	19	$52,610	$5,612
Level 4 Urology and Related Services	18	$22,043	$3,391
Level 5 Musculoskeletal Procedures	15	$97,315	$12,781
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	15	$32,538	$3,365
Level 3 Excision/ Biopsy/ Incision and Drainage	14	$23,464	$2,606
Level 4 Musculoskeletal Procedures	14	$64,987	$6,958
Level 1 Endovascular Procedures	14	$28,361	$3,174
Level 2 Musculoskeletal Procedures	13	$13,253	$1,372
Level 2 Vascular Procedures	13	$10,349	$1,558
Level 2 Pacemaker and Similar Procedures	13	$47,861	$8,262
Level 3 Pacemaker and Similar Procedures	12	$48,162	$10,376
Level 5 Gynecologic Procedures	12	$35,810	$4,838
Level 5 Urology and Related Services	11	$39,912	$5,033
Level 4 Gynecologic Procedures	11	$25,256	$3,041

Against the Illinois average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Presence Saint Francis Hospital charged $92,078 on average, 24% more than the Illinois average of $73,987, and was paid $21,089 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Presence Saint Francis Hospital charged $63,183 on average, 36% more than the Illinois average of $46,293, and was paid $14,712 against a state average of $11,813. For Respiratory Infections and Inflammations with MCC (DRG 177), Presence Saint Francis Hospital charged $73,271 on average, 23% more than the Illinois average of $59,769, and was paid $18,170 against a state average of $14,404. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Presence Saint Francis Hospital charged $73,862 on average, 50% more than the Illinois average of $49,081, and was paid $15,601 against a state average of $11,857. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $30,942 was 44% above the state average of $21,498. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,448 was 3% below the state average of $11,818. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $13,958 was 2% above the state average of $13,666. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $27,111 was 15% above the state average of $23,572.

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.