St Francis Hospital: charges and Medicare payments

St Francis Hospital reported 1,492 Medicare inpatient stays across 65 DRGs in 2024. Across them it charged 10.03 times what it was paid — among the higher ratios in Tennessee, number 2 of 65 hospitals with at least 100 stays (state median 4.42×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 206 stays at an average charge of $146,453, 62% above the national average. It also billed 1,311 outpatient services, charging 17.23 times what Medicare paid.

1Medicare inpatient stays 1,492
2Charge ÷ paid, inpatient 10.03×
3Rank in TN (highest ratio = 1) 2 of 65
4CMS price-transparency actions 0

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

Inpatient stays

For the 65 DRGs that can be compared with the national average, St Francis Hospital charged more than the national average in 59 (91%). 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	206	$146,453	+62%	$13,978
291 Heart Failure and Shock with MCC	85	$92,416	+64%	$9,354
470 Major Hip and Knee Joint Replacement or Reattachment of...	58	$163,407	+75%	$13,845
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	48	$140,148	+40%	$14,537
280 Acute Myocardial Infarction, Discharged Alive with MCC	47	$116,840	+54%	$11,755
378 Gastrointestinal Hemorrhage with CC	35	$76,973	+59%	$7,336
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	34	$94,392	+57%	$9,015
193 Simple Pneumonia and Pleurisy with MCC	33	$116,073	+94%	$10,095
377 Gastrointestinal Hemorrhage with MCC	33	$120,283	+41%	$12,384
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	32	$92,395	+66%	$8,326
853 Infectious and Parasitic Diseases with O.R. Procedures with...	31	$482,525	+111%	$37,993
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	31	$74,617	+52%	$6,720
682 Renal Failure with MCC	30	$108,950	+65%	$10,011
454 Combined Anterior and Posterior Spinal Fusion with CC	29	$405,221	+45%	$45,673
689 Kidney and Urinary Tract Infections with MCC	27	$88,272	+72%	$8,527
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...	24	$35,195	-48%	$9,827
189 Pulmonary Edema and Respiratory Failure	22	$115,000	+100%	$9,652
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	22	$372,565	+84%	$34,409
683 Renal Failure with CC	21	$82,049	+102%	$7,105
281 Acute Myocardial Infarction, Discharged Alive with CC	18	$96,909	+92%	$7,369
330 Major Small and Large Bowel Procedures with CC	18	$187,002	+57%	$15,474
394 Other Digestive System Diagnoses with CC	18	$78,550	+67%	$7,365
811 Red Blood Cell Disorders with MCC	18	$86,997	+28%	$9,240
070 Other Cerebrovascular Disorders with MCC	17	$108,052	+42%	$13,075
208 Respiratory System Diagnosis with Ventilator Support <=96...	17	$129,589	-5%	$17,328
312 Syncope and Collapse	17	$56,095	+23%	$6,820
314 Other Circulatory System Diagnoses with MCC	17	$151,865	+60%	$15,179
481 Hip and Femur Procedures except Major Joint with CC	17	$133,978	+33%	$13,733
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	17	$58,207	+57%	$6,256
177 Respiratory Infections and Inflammations with MCC	16	$96,124	+36%	$12,853
270 Other Major Cardiovascular Procedures with MCC	16	$387,231	+49%	$37,371
389 Gastrointestinal Obstruction with CC	16	$63,343	+63%	$7,234
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	16	$56,190	+40%	$6,307
884 Organic Disturbances and Intellectual Disability	16	$105,867	+70%	$11,451
321 Percutaneous Cardiovascular Procedures with Intraluminal...	15	$231,609	+42%	$19,408
329 Major Small and Large Bowel Procedures with MCC	15	$288,309	+34%	$33,571
698 Other Kidney and Urinary Tract Diagnoses with MCC	15	$164,516	+124%	$12,111
870 Septicemia or Severe Sepsis with MV >96 Hours	15	$339,843	+5%	$47,111
101 Seizures without MCC	14	$68,554	+41%	$8,221
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	14	$105,460	+62%	$10,876
235 Coronary Bypass without Cardiac Catheterization with MCC	14	$529,424	+81%	$48,714
313 Chest Pain	14	$59,142	+48%	$6,605
467 Revision of Hip or Knee Replacement with CC	14	$174,825	+11%	$24,497
071 Other Cerebrovascular Disorders with CC	13	$87,936	+74%	$7,142
194 Simple Pneumonia and Pleurisy with CC	13	$88,700	+131%	$5,779
233 Coronary Bypass with Cardiac Catheterization or Open...	13	$571,645	+48%	$43,146
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	13	$157,477	+54%	$13,961
603 Cellulitis without MCC	13	$52,795	+42%	$6,578
637 Diabetes with MCC	13	$78,756	+18%	$9,885
025 Craniotomy and Endovascular Intracranial Procedures with MCC	12	$301,734	+30%	$34,698
283 Acute Myocardial Infarction, Expired with MCC	12	$128,581	+25%	$12,486
393 Other Digestive System Diagnoses with MCC	12	$84,659	+10%	$13,432
444 Disorders of The Biliary Tract with MCC	12	$98,127	+18%	$11,748
638 Diabetes with CC	12	$84,559	+103%	$7,133
812 Red Blood Cell Disorders without MCC	12	$64,936	+46%	$7,408
069 Transient Ischemia without Thrombolytic	11	$92,764	+84%	$6,593
308 Cardiac Arrhythmia and Conduction Disorders with MCC	11	$112,679	+99%	$9,730
309 Cardiac Arrhythmia and Conduction Disorders with CC	11	$49,960	+38%	$6,653
322 Percutaneous Cardiovascular Procedures with Intraluminal...	11	$200,023	+75%	$13,888
473 Cervical Spinal Fusion without CC/MCC	11	$189,256	+65%	$16,464

Showing the 60 most frequent of 65 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 4 Urology and Related Services	130	$34,922	$2,841
Level 5 Musculoskeletal Procedures	124	$130,310	$10,495
Level 1 Endovascular Procedures	123	$42,576	$2,583
Level 2 Laparoscopy and Related Services	100	$98,798	$8,401
Level 4 Vascular Procedures	76	$59,550	$4,500
Level 2 Intraocular Procedures	65	$44,109	$3,331
Level 3 Urology and Related Services	64	$31,475	$1,657
Level 4 Musculoskeletal Procedures	62	$88,739	$5,656
Comprehensive Observation Services	62	$37,300	$2,223
Level 1 Laparoscopy and Related Services	54	$81,688	$4,438
Level 2 Excision/ Biopsy/ Incision and Drainage	48	$16,983	$1,145
Level 3 Vascular Procedures	47	$46,016	$2,560
Level 3 Endovascular Procedures	43	$101,927	$8,361
Level 5 Urology and Related Services	33	$50,357	$4,161
Level 3 Musculoskeletal Procedures	29	$42,269	$2,509
Level 3 Excision/ Biopsy/ Incision and Drainage	28	$39,659	$2,127
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	27	$59,179	$2,578
Level 3 Lower GI Procedures	24	$55,212	$2,057
Level 6 Urology and Related Services	24	$186,348	$5,974
Level 6 Musculoskeletal Procedures	19	$177,096	$15,713
Level 4 Airway Endoscopy	19	$36,200	$2,943
Level 3 Intraocular Procedures	18	$52,083	$4,220
Level 2 Urology and Related Services	17	$9,193	$524
Level 4 Gynecologic Procedures	16	$42,018	$2,510
Level 3 Electrophysiologic Procedures	13	$170,088	$17,207

Against the Tennessee average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Francis Hospital charged $146,453 on average, 108% more than the Tennessee average of $70,379, and was paid $13,978 against a state average of $15,065. For Heart Failure and Shock with MCC (DRG 291), St Francis Hospital charged $92,416 on average, 100% more than the Tennessee average of $46,128, and was paid $9,354 against a state average of $10,346. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), St Francis Hospital charged $163,407 on average, 97% more than the Tennessee average of $82,835, and was paid $13,845 against a state average of $14,500. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), St Francis Hospital charged $140,148 on average, 78% more than the Tennessee average of $78,944, and was paid $14,537 against a state average of $15,483. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $34,922 was 67% above the state average of $20,897. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $130,310 was 98% above the state average of $65,840. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $42,576 was 53% above the state average of $27,751. For Level 2 Laparoscopy and Related Services (outpatient APC 5362), its average charge of $98,798 was 73% above the state average of $56,989.

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.