Saint Francis Hospital & Medical Center: charges and Medicare payments

Saint Francis Hospital & Medical Center reported 2,477 Medicare inpatient stays across 77 DRGs in 2024. Across them it charged 3.42 times what it was paid — mid-range in Connecticut, number 14 of 25 hospitals with at least 100 stays (state median 3.43×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 340 stays at an average charge of $67,591, 25% below the national average. It also billed 2,614 outpatient services, charging 5.17 times what Medicare paid.

1Medicare inpatient stays 2,477
2Charge ÷ paid, inpatient 3.42×
3Rank in CT (highest ratio = 1) 14 of 25
4CMS price-transparency actions 0

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

Inpatient stays

For the 77 DRGs that can be compared with the national average, Saint Francis Hospital & Medical Center charged more than the national average in 7 (9%). 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	340	$67,591	-25%	$21,248
291 Heart Failure and Shock with MCC	248	$50,858	-10%	$13,882
309 Cardiac Arrhythmia and Conduction Disorders with CC	79	$31,198	-14%	$8,592
280 Acute Myocardial Infarction, Discharged Alive with MCC	73	$57,162	-25%	$17,301
177 Respiratory Infections and Inflammations with MCC	63	$57,871	-18%	$17,921
683 Renal Failure with CC	50	$34,091	-16%	$9,597
853 Infectious and Parasitic Diseases with O.R. Procedures with...	49	$224,055	-2%	$61,430
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	48	$49,899	-10%	$11,385
266 Endovascular Cardiac Valve Replacement and Supplement...	47	$162,178	-43%	$65,912
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	45	$89,032	-11%	$22,781
193 Simple Pneumonia and Pleurisy with MCC	44	$39,856	-33%	$13,613
377 Gastrointestinal Hemorrhage with MCC	43	$72,781	-15%	$19,109
378 Gastrointestinal Hemorrhage with CC	43	$47,367	-2%	$10,423
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	41	$36,298	-26%	$10,757
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	40	$29,727	-26%	$9,218
682 Renal Failure with MCC	40	$78,591	+19%	$19,287
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	38	$43,657	-28%	$13,459
470 Major Hip and Knee Joint Replacement or Reattachment of...	37	$64,145	-31%	$19,552
190 Chronic Obstructive Pulmonary Disease with MCC	36	$41,752	-17%	$11,471
481 Hip and Femur Procedures except Major Joint with CC	35	$83,013	-18%	$21,416
689 Kidney and Urinary Tract Infections with MCC	35	$44,547	-13%	$12,092
274 Percutaneous and Other Intracardiac Procedures without MCC	34	$57,212	-64%	$34,348
286 Circulatory Disorders except AMI, with Cardiac...	33	$94,385	-16%	$24,238
189 Pulmonary Edema and Respiratory Failure	31	$42,986	-25%	$13,357
330 Major Small and Large Bowel Procedures with CC	30	$105,134	-12%	$25,956
698 Other Kidney and Urinary Tract Diagnoses with MCC	28	$55,535	-24%	$18,619
281 Acute Myocardial Infarction, Discharged Alive with CC	25	$38,081	-25%	$10,501
308 Cardiac Arrhythmia and Conduction Disorders with MCC	25	$56,786	0%	$12,866
312 Syncope and Collapse	25	$42,536	-7%	$9,996
389 Gastrointestinal Obstruction with CC	24	$27,802	-29%	$8,992
467 Revision of Hip or Knee Replacement with CC	24	$105,700	-33%	$36,146
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	24	$90,537	-12%	$21,370
552 Medical Back Problems without MCC	24	$38,671	-21%	$10,459
100 Seizures with MCC	23	$87,593	-7%	$23,217
101 Seizures without MCC	23	$29,281	-40%	$11,105
690 Kidney and Urinary Tract Infections without MCC	23	$27,793	-27%	$8,499
812 Red Blood Cell Disorders without MCC	23	$27,057	-39%	$11,772
811 Red Blood Cell Disorders with MCC	22	$53,997	-21%	$15,270
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	20	$252,479	-37%	$81,388
322 Percutaneous Cardiovascular Procedures with Intraluminal...	20	$75,109	-34%	$20,648
235 Coronary Bypass without Cardiac Catheterization with MCC	19	$227,731	-22%	$60,314
331 Major Small and Large Bowel Procedures without CC/MCC	19	$74,064	-14%	$19,224
480 Hip and Femur Procedures except Major Joint with MCC	18	$107,904	-22%	$29,004
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	18	$27,745	-25%	$9,131
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	17	$63,051	-3%	$14,509
287 Circulatory Disorders except AMI, with Cardiac...	17	$44,357	-31%	$11,596
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	17	$90,566	-24%	$25,897
638 Diabetes with CC	17	$30,079	-28%	$9,772
314 Other Circulatory System Diagnoses with MCC	16	$77,940	-18%	$23,447
394 Other Digestive System Diagnoses with CC	16	$48,850	+4%	$10,462
813 Coagulation Disorders	16	$55,551	-31%	$16,597
917 Poisoning and Toxic Effects of Drugs with MCC	16	$44,656	-40%	$17,983
178 Respiratory Infections and Inflammations with CC	15	$38,618	-15%	$10,219
472 Cervical Spinal Fusion with CC	15	$81,287	-43%	$32,285
603 Cellulitis without MCC	15	$44,144	+18%	$10,949
083 Traumatic Stupor and Coma >1 Hour with CC	14	$55,732	-24%	$14,643
092 Other Disorders of Nervous System with CC	14	$55,094	+7%	$11,920
243 Permanent Cardiac Pacemaker Implant with CC	14	$69,251	-38%	$25,603
329 Major Small and Large Bowel Procedures with MCC	14	$182,278	-15%	$50,208
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	14	$183,840	-15%	$45,272

Showing the 60 most frequent of 77 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	632	$19,311	$3,019
Level 5 Musculoskeletal Procedures	303	$47,195	$14,484
Level 1 Endovascular Procedures	223	$16,920	$3,571
Level 2 Excision/ Biopsy/ Incision and Drainage	149	$11,458	$1,803
Level 1 Laparoscopy and Related Services	85	$33,777	$6,268
Level 3 Vascular Procedures	80	$16,111	$3,485
Level 5 Urology and Related Services	76	$31,792	$5,593
Level 6 Musculoskeletal Procedures	65	$66,801	$20,737
Level 4 Airway Endoscopy	63	$32,320	$4,177
Level 4 Musculoskeletal Procedures	61	$38,538	$7,789
Level 5 Airway Endoscopy	61	$40,166	$7,436
Level 2 Upper GI Procedures	59	$13,808	$2,122
Level 4 Urology and Related Services	58	$22,289	$3,889
Level 4 ENT Procedures	54	$26,615	$3,592
Level 2 Laparoscopy and Related Services	54	$58,153	$11,469
Level 3 Excision/ Biopsy/ Incision and Drainage	52	$20,934	$3,026
Level 3 Electrophysiologic Procedures	42	$61,450	$25,860
Level 3 Musculoskeletal Procedures	39	$23,306	$3,611
Level 2 Endovascular Procedures	39	$22,993	$6,248
Level 2 Vascular Procedures	36	$6,758	$1,747
Level 3 Endovascular Procedures	36	$48,541	$11,960
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	36	$13,560	$3,859
Level 3 Urology and Related Services	34	$17,582	$2,272
Level 5 Gynecologic Procedures	32	$36,786	$5,549
Level 4 Gynecologic Procedures	31	$24,030	$3,488

Against the Connecticut average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Saint Francis Hospital & Medical Center charged $67,591 on average, 3% less than the Connecticut average of $69,366, and was paid $21,248 against a state average of $20,799. For Heart Failure and Shock with MCC (DRG 291), Saint Francis Hospital & Medical Center charged $50,858 on average, 1% less than the Connecticut average of $51,456, and was paid $13,882 against a state average of $13,920. For Cardiac Arrhythmia and Conduction Disorders with CC (DRG 309), Saint Francis Hospital & Medical Center charged $31,198 on average, 4% less than the Connecticut average of $32,623, and was paid $8,592 against a state average of $8,527. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Saint Francis Hospital & Medical Center charged $57,162 on average, 14% less than the Connecticut average of $66,617, and was paid $17,301 against a state average of $18,009. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,311 was 18% below the state average of $23,465. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $47,195 was 5% below the state average of $49,698. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $16,920 was 21% below the state average of $21,352. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,458 was 12% above the state average of $10,228.

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.