Saint Francis Medical Center: charges and Medicare payments

Saint Francis Medical Center reported 7,052 Medicare inpatient stays across 193 DRGs in 2024. Across them it charged 4.91 times what it was paid — among the higher ratios in Illinois, number 23 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: 643 stays at an average charge of $100,767, 12% above the national average. It also billed 5,574 outpatient services, charging 9.35 times what Medicare paid.

1Medicare inpatient stays 7,052
2Charge ÷ paid, inpatient 4.91×
3Rank in IL (highest ratio = 1) 23 of 106
4CMS price-transparency actions 0

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

Inpatient stays

For the 193 DRGs that can be compared with the national average, Saint Francis Medical Center charged more than the national average in 97 (50%). 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	643	$100,767	+12%	$21,291
291 Heart Failure and Shock with MCC	323	$50,813	-10%	$12,085
853 Infectious and Parasitic Diseases with O.R. Procedures with...	125	$231,447	+1%	$44,662
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	125	$47,500	-3%	$11,801
177 Respiratory Infections and Inflammations with MCC	121	$72,150	+2%	$19,397
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	119	$57,542	+3%	$11,662
267 Endovascular Cardiac Valve Replacement and Supplement...	110	$255,109	+15%	$42,780
378 Gastrointestinal Hemorrhage with CC	103	$47,950	-1%	$10,871
552 Medical Back Problems without MCC	100	$47,521	-3%	$9,450
698 Other Kidney and Urinary Tract Diagnoses with MCC	97	$71,485	-3%	$16,824
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	96	$103,361	+4%	$19,780
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	95	$36,591	-9%	$9,447
312 Syncope and Collapse	86	$38,773	-15%	$8,289
481 Hip and Femur Procedures except Major Joint with CC	86	$115,161	+14%	$18,614
322 Percutaneous Cardiovascular Procedures with Intraluminal...	82	$113,045	-1%	$17,168
193 Simple Pneumonia and Pleurisy with MCC	81	$62,344	+4%	$13,358
689 Kidney and Urinary Tract Infections with MCC	80	$49,442	-4%	$11,080
280 Acute Myocardial Infarction, Discharged Alive with MCC	79	$86,232	+14%	$14,881
690 Kidney and Urinary Tract Infections without MCC	78	$34,693	-8%	$8,120
025 Craniotomy and Endovascular Intracranial Procedures with MCC	74	$212,786	-8%	$42,698
603 Cellulitis without MCC	74	$37,216	0%	$9,390
287 Circulatory Disorders except AMI, with Cardiac...	73	$56,827	-11%	$11,098
101 Seizures without MCC	71	$44,870	-8%	$10,605
683 Renal Failure with CC	71	$31,899	-22%	$10,096
189 Pulmonary Edema and Respiratory Failure	66	$63,458	+10%	$14,274
057 Degenerative Nervous System Disorders without MCC	64	$51,127	-10%	$13,124
377 Gastrointestinal Hemorrhage with MCC	61	$81,223	-5%	$22,486
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	61	$56,682	-6%	$12,449
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	61	$28,990	-22%	$7,495
286 Circulatory Disorders except AMI, with Cardiac...	57	$97,091	-14%	$20,273
190 Chronic Obstructive Pulmonary Disease with MCC	56	$51,066	+1%	$11,862
699 Other Kidney and Urinary Tract Diagnoses with CC	55	$60,158	+27%	$9,818
470 Major Hip and Knee Joint Replacement or Reattachment of...	54	$93,721	+1%	$18,174
682 Renal Failure with MCC	54	$67,347	+2%	$16,219
309 Cardiac Arrhythmia and Conduction Disorders with CC	51	$32,297	-11%	$7,354
330 Major Small and Large Bowel Procedures with CC	49	$147,661	+24%	$29,787
252 Other Vascular Procedures with MCC	46	$163,216	-4%	$32,377
208 Respiratory System Diagnosis with Ventilator Support <=96...	43	$156,817	+16%	$33,424
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	42	$38,306	-10%	$8,761
023 Craniotomy with Major Device Implant or Acute Complex Cns...	40	$298,266	+6%	$64,185
178 Respiratory Infections and Inflammations with CC	40	$39,333	-13%	$10,025
394 Other Digestive System Diagnoses with CC	40	$49,297	+5%	$9,130
870 Septicemia or Severe Sepsis with MV >96 Hours	39	$365,576	+13%	$91,066
194 Simple Pneumonia and Pleurisy with CC	38	$26,883	-30%	$8,313
314 Other Circulatory System Diagnoses with MCC	38	$71,472	-25%	$21,022
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	38	$234,843	+9%	$46,101
092 Other Disorders of Nervous System with CC	37	$45,355	-12%	$15,452
191 Chronic Obstructive Pulmonary Disease with CC	37	$30,992	-22%	$9,964
308 Cardiac Arrhythmia and Conduction Disorders with MCC	37	$55,003	-3%	$12,611
305 Hypertension without MCC	36	$37,293	-7%	$7,353
480 Hip and Femur Procedures except Major Joint with MCC	36	$165,137	+19%	$26,641
100 Seizures with MCC	35	$149,900	+59%	$20,868
270 Other Major Cardiovascular Procedures with MCC	35	$290,112	+12%	$43,785
271 Other Major Cardiovascular Procedures with CC	35	$209,445	+20%	$31,177
321 Percutaneous Cardiovascular Procedures with Intraluminal...	35	$166,951	+2%	$25,650
445 Disorders of The Biliary Tract with CC	35	$73,073	+26%	$11,671
472 Cervical Spinal Fusion with CC	35	$183,256	+28%	$30,526
281 Acute Myocardial Infarction, Discharged Alive with CC	34	$50,511	0%	$8,660
253 Other Vascular Procedures with CC	33	$166,706	+26%	$30,260
329 Major Small and Large Bowel Procedures with MCC	33	$286,413	+33%	$55,546

Showing the 60 most frequent of 193 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	684	$20,787	$2,472
Level 2 Excision/ Biopsy/ Incision and Drainage	569	$12,171	$1,484
Level 1 Endovascular Procedures	476	$25,749	$2,975
Level 2 Upper GI Procedures	307	$12,390	$1,740
Level 5 Musculoskeletal Procedures	244	$73,302	$12,061
Level 4 Urology and Related Services	232	$32,835	$3,211
Level 3 Urology and Related Services	231	$19,142	$1,861
Level 3 Vascular Procedures	196	$25,029	$2,923
Level 5 Urology and Related Services	193	$53,136	$4,782
Level 4 Musculoskeletal Procedures	161	$58,306	$6,333
Level 4 Airway Endoscopy	156	$34,668	$3,443
Level 1 Laparoscopy and Related Services	150	$45,647	$5,192
Level 3 Endovascular Procedures	142	$87,443	$10,038
Level 3 Electrophysiologic Procedures	142	$145,713	$21,467
Level 2 Pacemaker and Similar Procedures	127	$49,321	$7,802
Complex GI Procedures	127	$36,671	$4,479
Level 3 Pacemaker and Similar Procedures	113	$78,349	$9,788
Level 3 Upper GI Procedures	98	$32,376	$3,438
Level 2 Laparoscopy and Related Services	96	$68,872	$9,426
Level 4 Vascular Procedures	94	$64,064	$5,036
Level 3 Lower GI Procedures	76	$18,778	$2,536
Level 2 ICD and Similar Procedures	68	$167,661	$30,313
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	68	$37,694	$3,197
Level 6 Musculoskeletal Procedures	65	$99,224	$17,185
Level 3 Musculoskeletal Procedures	64	$30,244	$2,907

Against the Illinois average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Saint Francis Medical Center charged $100,767 on average, 36% more than the Illinois average of $73,987, and was paid $21,291 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Saint Francis Medical Center charged $50,813 on average, 10% more than the Illinois average of $46,293, and was paid $12,085 against a state average of $11,813. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Saint Francis Medical Center charged $231,447 on average, 26% more than the Illinois average of $183,276, and was paid $44,662 against a state average of $45,582. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Saint Francis Medical Center charged $47,500 on average, 16% more than the Illinois average of $41,000, and was paid $11,801 against a state average of $9,886. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,787 was 3% below the state average of $21,498. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,171 was 3% above the state average of $11,818. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $25,749 was 3% above the state average of $25,004. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $12,390 was 9% below the state average of $13,666.

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.