Missouri / Saint Francis Medical Center

CMS certification 260183 · Cape Girardeau, MO · 2 entries in CMS's price-transparency list

Saint Francis Medical Center: charges and Medicare payments

Saint Francis Medical Center reported 1,873 Medicare inpatient stays across 54 DRGs in 2024. Across them it charged 6.3 times what it was paid — among the higher ratios in Missouri, number 9 of 59 hospitals with at least 100 stays (state median 3.85×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 383 stays at an average charge of $81,723, 9% below the national average. It also billed 3,681 outpatient services, charging 9.82 times what Medicare paid.

1Medicare inpatient stays 1,873
2Charge ÷ paid, inpatient 6.3×
3Rank in MO (highest ratio = 1) 9 of 59
4CMS price-transparency actions 2

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

Inpatient stays

For the 54 DRGs that can be compared with the national average, Saint Francis Medical Center charged more than the national average in 22 (41%). 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	383	$81,723	-9%	$14,536
291 Heart Failure and Shock with MCC	121	$51,826	-8%	$9,897
189 Pulmonary Edema and Respiratory Failure	106	$65,753	+14%	$9,744
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	86	$51,727	+5%	$8,271
274 Percutaneous and Other Intracardiac Procedures without MCC	65	$178,048	+14%	$24,274
177 Respiratory Infections and Inflammations with MCC	48	$63,599	-10%	$12,265
481 Hip and Femur Procedures except Major Joint with CC	48	$89,964	-11%	$15,256
853 Infectious and Parasitic Diseases with O.R. Procedures with...	47	$172,639	-25%	$32,730
378 Gastrointestinal Hemorrhage with CC	44	$44,179	-9%	$7,969
682 Renal Failure with MCC	43	$56,001	-15%	$10,693
193 Simple Pneumonia and Pleurisy with MCC	40	$71,563	+20%	$10,335
236 Coronary Bypass without Cardiac Catheterization without MCC	35	$230,762	+9%	$32,670
683 Renal Failure with CC	34	$39,898	-2%	$7,371
689 Kidney and Urinary Tract Infections with MCC	33	$50,053	-2%	$9,155
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	29	$51,284	-8%	$8,186
309 Cardiac Arrhythmia and Conduction Disorders with CC	29	$42,866	+19%	$6,458
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	29	$78,258	-24%	$15,434
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	28	$82,671	-17%	$14,316
377 Gastrointestinal Hemorrhage with MCC	27	$65,478	-23%	$13,383
460 Spinal Fusion except Cervical without MCC	27	$288,659	+69%	$33,291
690 Kidney and Urinary Tract Infections without MCC	26	$38,960	+3%	$6,693
280 Acute Myocardial Infarction, Discharged Alive with MCC	25	$86,298	+14%	$12,602
039 Extracranial Procedures without CC/MCC	24	$54,738	-14%	$9,098
267 Endovascular Cardiac Valve Replacement and Supplement...	23	$303,610	+37%	$34,252
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	23	$43,518	+8%	$6,621
854 Infectious and Parasitic Diseases with O.R. Procedures with...	22	$86,606	-12%	$16,039
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	21	$23,358	-19%	$5,314
330 Major Small and Large Bowel Procedures with CC	21	$138,548	+16%	$17,263
234 Coronary Bypass with Cardiac Catheterization or Open...	19	$298,257	+11%	$44,023
322 Percutaneous Cardiovascular Procedures with Intraluminal...	19	$138,724	+21%	$13,584
208 Respiratory System Diagnosis with Ventilator Support <=96...	18	$157,419	+16%	$19,668
321 Percutaneous Cardiovascular Procedures with Intraluminal...	18	$220,897	+35%	$22,434
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	18	$47,490	-21%	$9,704
308 Cardiac Arrhythmia and Conduction Disorders with MCC	17	$56,658	0%	$9,512
331 Major Small and Large Bowel Procedures without CC/MCC	17	$108,299	+26%	$12,761
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	17	$30,969	-16%	$6,660
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	17	$194,715	-10%	$33,406
066 Intracranial Hemorrhage or Cerebral Infarction without...	16	$35,518	-16%	$6,026
254 Other Vascular Procedures without CC/MCC	16	$120,328	+32%	$13,102
603 Cellulitis without MCC	16	$35,592	-5%	$7,303
698 Other Kidney and Urinary Tract Diagnoses with MCC	16	$49,868	-32%	$13,249
286 Circulatory Disorders except AMI, with Cardiac...	15	$78,823	-30%	$15,399
101 Seizures without MCC	14	$27,274	-44%	$7,423
388 Gastrointestinal Obstruction with MCC	14	$52,796	-23%	$11,077
243 Permanent Cardiac Pacemaker Implant with CC	13	$159,331	+43%	$16,800
329 Major Small and Large Bowel Procedures with MCC	13	$222,977	+4%	$30,180
390 Gastrointestinal Obstruction without CC/MCC	13	$20,027	-28%	$5,133
228 Other Cardiothoracic Procedures with MCC	12	$238,509	-5%	$36,001
480 Hip and Femur Procedures except Major Joint with MCC	12	$86,913	-37%	$19,783
551 Medical Back Problems with MCC	12	$55,837	-29%	$11,993
086 Traumatic Stupor and Coma <1 Hour with CC	11	$49,452	-28%	$9,736
184 Major Chest Trauma with CC	11	$33,693	-39%	$8,487
194 Simple Pneumonia and Pleurisy with CC	11	$49,536	+29%	$6,921
314 Other Circulatory System Diagnoses with MCC	11	$100,223	+6%	$15,615

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	433	$25,308	$2,480
Level 1 Endovascular Procedures	274	$32,697	$2,978
Level 5 Musculoskeletal Procedures	257	$70,879	$11,984
Level 2 Excision/ Biopsy/ Incision and Drainage	238	$11,812	$1,473
Level 4 Musculoskeletal Procedures	180	$50,435	$6,516
Level 4 Urology and Related Services	179	$23,135	$3,161
Level 5 Urology and Related Services	165	$35,057	$4,734
Level 3 Urology and Related Services	134	$20,437	$1,841
Level 3 Vascular Procedures	131	$23,774	$2,887
Level 1 Laparoscopy and Related Services	126	$41,680	$5,245
Level 1 Nerve Procedures	114	$13,600	$1,755
Level 3 Pacemaker and Similar Procedures	102	$99,531	$9,762
Level 2 Neurostimulator and Related Procedures	90	$31,552	$3,580
Level 2 Endovascular Procedures	81	$48,161	$5,229
Level 5 Neurostimulator and Related Procedures	80	$214,769	$27,992
Level 3 Endovascular Procedures	79	$99,232	$10,056
Level 2 Intraocular Procedures	78	$33,752	$3,682
Level 3 Musculoskeletal Procedures	67	$21,111	$2,929
Level 3 Excision/ Biopsy/ Incision and Drainage	63	$21,975	$2,600
Level 2 Pacemaker and Similar Procedures	61	$63,624	$7,773
Level 3 Electrophysiologic Procedures	57	$158,022	$21,673
Level 2 Musculoskeletal Procedures	53	$14,206	$1,434
Level 2 Upper GI Procedures	52	$17,171	$1,741
Level 3 Airway Endoscopy	51	$9,529	$1,535
Level 2 Laparoscopy and Related Services	50	$76,739	$8,945

Against the Missouri average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Saint Francis Medical Center charged $81,723 on average, 12% more than the Missouri average of $72,886, and was paid $14,536 against a state average of $15,808. For Heart Failure and Shock with MCC (DRG 291), Saint Francis Medical Center charged $51,826 on average, 12% more than the Missouri average of $46,468, and was paid $9,897 against a state average of $10,539. For Pulmonary Edema and Respiratory Failure (DRG 189), Saint Francis Medical Center charged $65,753 on average, 22% more than the Missouri average of $53,702, and was paid $9,744 against a state average of $10,787. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Saint Francis Medical Center charged $51,727 on average, 32% more than the Missouri average of $39,285, and was paid $8,271 against a state average of $8,750. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,308 was 23% above the state average of $20,571. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $32,697 was 37% above the state average of $23,828. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $70,879 was 36% above the state average of $52,262. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,812 was 20% above the state average of $9,865.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Saint Francis Medical Center in Cape Girardeau, MO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

CAP Request — 2023-09-14 (CMS case 1576)
Closure Notice — 2024-03-11 (CMS case 1576)

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.