St Francis Community Hospital: charges and Medicare payments

St Francis Community Hospital reported 1,019 Medicare inpatient stays across 36 DRGs in 2024. Across them it charged 5.64 times what it was paid — among the higher ratios in Washington, number 5 of 43 hospitals with at least 100 stays (state median 4.37×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 261 stays at an average charge of $102,899, 14% above the national average. It also billed 906 outpatient services, charging 12.11 times what Medicare paid.

1Medicare inpatient stays 1,019
2Charge ÷ paid, inpatient 5.64×
3Rank in WA (highest ratio = 1) 5 of 43
4CMS price-transparency actions 0

Average charge per stay at St Francis Community 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, St Francis Community Hospital charged more than the national average in 32 (89%). 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	261	$102,899	+14%	$18,519
291 Heart Failure and Shock with MCC	79	$56,352	0%	$12,118
280 Acute Myocardial Infarction, Discharged Alive with MCC	50	$84,491	+11%	$14,831
189 Pulmonary Edema and Respiratory Failure	43	$74,432	+29%	$12,198
378 Gastrointestinal Hemorrhage with CC	36	$52,861	+9%	$9,522
377 Gastrointestinal Hemorrhage with MCC	32	$113,106	+32%	$15,772
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	32	$49,816	+2%	$10,423
177 Respiratory Infections and Inflammations with MCC	30	$85,622	+21%	$16,404
853 Infectious and Parasitic Diseases with O.R. Procedures with...	27	$349,518	+53%	$57,693
193 Simple Pneumonia and Pleurisy with MCC	26	$58,707	-2%	$12,318
698 Other Kidney and Urinary Tract Diagnoses with MCC	26	$88,494	+21%	$14,506
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	25	$88,036	+46%	$12,763
682 Renal Failure with MCC	23	$80,516	+22%	$16,352
286 Circulatory Disorders except AMI, with Cardiac...	22	$133,431	+19%	$21,143
683 Renal Failure with CC	21	$57,035	+40%	$8,091
689 Kidney and Urinary Tract Infections with MCC	21	$61,809	+20%	$10,805
481 Hip and Femur Procedures except Major Joint with CC	20	$107,176	+6%	$18,008
322 Percutaneous Cardiovascular Procedures with Intraluminal...	18	$125,812	+10%	$18,865
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	16	$113,669	+14%	$22,808
312 Syncope and Collapse	16	$51,537	+13%	$8,172
309 Cardiac Arrhythmia and Conduction Disorders with CC	15	$36,695	+2%	$8,890
314 Other Circulatory System Diagnoses with MCC	14	$108,040	+14%	$18,662
281 Acute Myocardial Infarction, Discharged Alive with CC	13	$65,917	+31%	$9,395
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	13	$45,078	+22%	$7,499
690 Kidney and Urinary Tract Infections without MCC	13	$54,953	+45%	$7,686
951 Other Factors Influencing Health Status	13	$33,975	+33%	$5,860
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	12	$89,123	+37%	$13,808
270 Other Major Cardiovascular Procedures with MCC	12	$202,526	-22%	$55,426
321 Percutaneous Cardiovascular Procedures with Intraluminal...	12	$154,247	-6%	$27,919
637 Diabetes with MCC	12	$92,820	+40%	$15,170
287 Circulatory Disorders except AMI, with Cardiac...	11	$72,761	+14%	$12,370
308 Cardiac Arrhythmia and Conduction Disorders with MCC	11	$75,868	+34%	$10,911
621 O.R. Procedures for Obesity without CC/MCC	11	$101,946	+36%	$19,968
699 Other Kidney and Urinary Tract Diagnoses with CC	11	$89,316	+88%	$14,616
811 Red Blood Cell Disorders with MCC	11	$73,713	+8%	$15,172
854 Infectious and Parasitic Diseases with O.R. Procedures with...	11	$124,575	+27%	$19,874

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	212	$29,578	$2,744
Level 2 Upper GI Procedures	148	$14,896	$1,933
Level 1 Endovascular Procedures	56	$34,458	$3,290
Level 4 Musculoskeletal Procedures	53	$84,239	$7,306
Level 5 Musculoskeletal Procedures	53	$117,374	$13,419
Level 1 Laparoscopy and Related Services	53	$75,713	$5,716
Level 2 Excision/ Biopsy/ Incision and Drainage	47	$14,330	$1,628
Level 4 Urology and Related Services	38	$43,069	$3,561
Level 5 Urology and Related Services	38	$55,853	$5,063
Level 3 Vascular Procedures	30	$24,658	$3,089
Level 3 Lower GI Procedures	28	$20,118	$2,865
Level 6 Musculoskeletal Procedures	27	$146,525	$18,348
Level 2 Musculoskeletal Procedures	21	$17,292	$1,641
Level 3 Musculoskeletal Procedures	16	$48,979	$3,141
Level 2 Endovascular Procedures	15	$53,729	$5,527
Level 3 Endovascular Procedures	13	$98,463	$11,222
Level 3 Excision/ Biopsy/ Incision and Drainage	12	$32,821	$2,517
Level 1 Breast/Lymphatic Surgery and Related Procedures	12	$71,215	$3,893
Level 2 Laparoscopy and Related Services	12	$126,872	$10,503
Level 2 Pacemaker and Similar Procedures	11	$44,742	$8,674
Level 3 Urology and Related Services	11	$11,114	$2,080

Against the Washington average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Francis Community Hospital charged $102,899 on average, 31% more than the Washington average of $78,715, and was paid $18,519 against a state average of $18,304. For Heart Failure and Shock with MCC (DRG 291), St Francis Community Hospital charged $56,352 on average, 5% more than the Washington average of $53,424, and was paid $12,118 against a state average of $12,124. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), St Francis Community Hospital charged $84,491 on average, 26% more than the Washington average of $66,804, and was paid $14,831 against a state average of $14,507. For Pulmonary Edema and Respiratory Failure (DRG 189), St Francis Community Hospital charged $74,432 on average, 29% more than the Washington average of $57,551, and was paid $12,198 against a state average of $11,854. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $29,578 was 32% above the state average of $22,427. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $14,896 was 38% above the state average of $10,814. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $34,458 was 58% above the state average of $21,838. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $84,239 was 86% above the state average of $45,214.

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.