South Carolina / St Francis-Downtown
CMS certification 420023 · Greenville, SC · 6 entries in CMS's price-transparency list
St Francis-Downtown: charges and Medicare payments
St Francis-Downtown reported 3,680 Medicare inpatient stays across 97 DRGs in 2024. Across them it charged 6.18 times what it was paid — among the higher ratios in South Carolina, number 9 of 45 hospitals with at least 100 stays (state median 4.13×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 536 stays at an average charge of $68,213, 24% below the national average. It also billed 5,791 outpatient services, charging 11.46 times what Medicare paid.
- 1Medicare inpatient stays 3,680
- 2Charge ÷ paid, inpatient 6.18×
- 3Rank in SC (highest ratio = 1) 9 of 45
- 4CMS price-transparency actions 6
Inpatient stays
For the 97 DRGs that can be compared with the national average, St Francis-Downtown charged more than the national average in 21 (22%). 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 | 536 | $68,213 | -24% | $13,602 |
| 291 Heart Failure and Shock with MCC | 179 | $46,469 | -18% | $9,505 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 164 | $38,071 | -22% | $7,465 |
| 683 Renal Failure with CC | 98 | $34,350 | -16% | $6,646 |
| 193 Simple Pneumonia and Pleurisy with MCC | 91 | $52,474 | -12% | $9,234 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 83 | $29,706 | -20% | $5,963 |
| 177 Respiratory Infections and Inflammations with MCC | 79 | $52,983 | -25% | $10,997 |
| 481 Hip and Femur Procedures except Major Joint with CC | 75 | $100,698 | 0% | $14,887 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 73 | $265,130 | +69% | $22,499 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 72 | $153,749 | -33% | $30,274 |
| 189 Pulmonary Edema and Respiratory Failure | 70 | $63,679 | +11% | $10,001 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 70 | $37,414 | -7% | $6,265 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 70 | $51,955 | -14% | $9,355 |
| 690 Kidney and Urinary Tract Infections without MCC | 69 | $32,630 | -14% | $6,179 |
| 378 Gastrointestinal Hemorrhage with CC | 68 | $44,469 | -8% | $7,477 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 65 | $36,074 | 0% | $5,756 |
| 689 Kidney and Urinary Tract Infections with MCC | 55 | $38,227 | -26% | $8,189 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 52 | $40,270 | -28% | $7,244 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 49 | $105,355 | +13% | $13,074 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 49 | $53,570 | -27% | $11,203 |
| 389 Gastrointestinal Obstruction with CC | 48 | $31,788 | -18% | $6,025 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 45 | $47,392 | -16% | $9,081 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 44 | $47,139 | -7% | $7,999 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 43 | $114,359 | 0% | $15,590 |
| 682 Renal Failure with MCC | 40 | $44,295 | -33% | $10,479 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 37 | $147,387 | +17% | $16,965 |
| 194 Simple Pneumonia and Pleurisy with CC | 36 | $28,928 | -25% | $6,229 |
| 638 Diabetes with CC | 35 | $41,397 | -1% | $6,629 |
| 812 Red Blood Cell Disorders without MCC | 34 | $42,692 | -4% | $6,652 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 33 | $73,049 | -26% | $14,829 |
| 377 Gastrointestinal Hemorrhage with MCC | 32 | $79,500 | -7% | $12,276 |
| 713 Transurethral Prostatectomy with CC/MCC | 31 | $42,358 | -45% | $10,093 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 30 | $38,449 | -3% | $6,466 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 30 | $88,694 | -13% | $14,126 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 29 | $52,485 | -47% | $12,372 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 29 | $155,452 | -26% | $28,400 |
| 057 Degenerative Nervous System Disorders without MCC | 28 | $50,561 | -11% | $14,084 |
| 178 Respiratory Infections and Inflammations with CC | 28 | $30,830 | -32% | $7,037 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 27 | $398,967 | +80% | $34,791 |
| 312 Syncope and Collapse | 25 | $29,332 | -36% | $6,367 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 25 | $198,643 | +60% | $19,090 |
| 394 Other Digestive System Diagnoses with CC | 24 | $46,038 | -2% | $7,332 |
| 603 Cellulitis without MCC | 24 | $29,056 | -22% | $6,470 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 23 | $226,655 | -16% | $33,426 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 23 | $48,161 | -25% | $8,221 |
| 330 Major Small and Large Bowel Procedures with CC | 23 | $121,736 | +2% | $21,798 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 23 | $30,580 | -36% | $7,523 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 21 | $153,679 | +38% | $16,618 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 21 | $478,710 | +68% | $52,935 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 21 | $79,906 | -29% | $14,733 |
| 637 Diabetes with MCC | 21 | $52,786 | -21% | $9,749 |
| 884 Organic Disturbances and Intellectual Disability | 21 | $31,431 | -50% | $11,017 |
| 305 Hypertension without MCC | 20 | $27,732 | -31% | $5,659 |
| 536 Fractures of Hip and Pelvis without MCC | 20 | $21,622 | -43% | $5,801 |
| 292 Heart Failure and Shock with CC | 19 | $33,956 | -13% | $7,089 |
| 329 Major Small and Large Bowel Procedures with MCC | 19 | $260,719 | +21% | $30,758 |
| 393 Other Digestive System Diagnoses with MCC | 19 | $56,935 | -26% | $11,281 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 19 | $110,658 | -20% | $18,647 |
| 811 Red Blood Cell Disorders with MCC | 19 | $60,358 | -11% | $9,791 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 18 | $62,634 | -7% | $9,892 |
Showing the 60 most frequent of 97 DRGs.
Outpatient services
Against the South Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Francis-Downtown charged $68,213 on average, 11% less than the South Carolina average of $76,532, and was paid $13,602 against a state average of $16,014. For Heart Failure and Shock with MCC (DRG 291), St Francis-Downtown charged $46,469 on average, 2% more than the South Carolina average of $45,682, and was paid $9,505 against a state average of $10,696. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), St Francis-Downtown charged $38,071 on average, 14% less than the South Carolina average of $44,459, and was paid $7,465 against a state average of $9,001. For Renal Failure with CC (DRG 683), St Francis-Downtown charged $34,350 on average, 4% less than the South Carolina average of $35,766, and was paid $6,646 against a state average of $8,014. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $95,249 was 18% above the state average of $80,461. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $26,677 was 16% below the state average of $31,661. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $55,905 was 9% above the state average of $51,243. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,793 was 9% below the state average of $20,764.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Francis-Downtown in Greenville, SC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-08-25 (CMS case 458)
- CAP Request — 2022-03-09 (CMS case 458)
- Closure Notice — 2022-06-15 (CMS case 458)
- Met Requirements — 2023-12-06 (CMS case 2059)
- Met Requirements — 2025-04-23 (CMS case 4036)
- Warning Notice — 2026-07-23 (CMS case 8325)
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.