Delaware / St Francis Hospital
CMS certification 080003 · Wilmington, DE · 4 entries in CMS's price-transparency list
St Francis Hospital: charges and Medicare payments
St Francis Hospital reported 283 Medicare inpatient stays across 14 DRGs in 2024. Across them it charged 3.1 times what it was paid — among the lower ratios in Delaware, number 5 of 6 hospitals with at least 100 stays (state median 3.5×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 66 stays at an average charge of $48,431, 46% below the national average. It also billed 612 outpatient services, charging 8.62 times what Medicare paid.
- 1Medicare inpatient stays 283
- 2Charge ÷ paid, inpatient 3.1×
- 3Rank in DE (highest ratio = 1) 5 of 6
- 4CMS price-transparency actions 4
Inpatient stays
For the 14 DRGs that can be compared with the national average, St Francis Hospital charged more than the national average in 1 (7%). 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 | 66 | $48,431 | -46% | $17,699 |
| 291 Heart Failure and Shock with MCC | 36 | $36,040 | -36% | $11,781 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 24 | $28,843 | -41% | $10,718 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $37,931 | -37% | $12,381 |
| 189 Pulmonary Edema and Respiratory Failure | 16 | $60,087 | +4% | $11,010 |
| 683 Renal Failure with CC | 16 | $29,663 | -27% | $8,908 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 15 | $32,319 | -36% | $10,584 |
| 193 Simple Pneumonia and Pleurisy with MCC | 15 | $30,738 | -49% | $11,872 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $35,035 | -38% | $11,616 |
| 603 Cellulitis without MCC | 13 | $24,373 | -35% | $8,860 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $30,415 | -18% | $7,506 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $51,550 | -30% | $14,099 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $30,578 | -45% | $9,728 |
| 690 Kidney and Urinary Tract Infections without MCC | 11 | $30,992 | -18% | $7,992 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 164 | $14,840 | $2,693 |
| Level 1 Laparoscopy and Related Services | 159 | $50,675 | $5,589 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 56 | $7,036 | $1,595 |
| Level 3 Musculoskeletal Procedures | 36 | $21,190 | $3,185 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 28 | $26,044 | $3,348 |
| Level 4 Gynecologic Procedures | 27 | $23,807 | $3,076 |
| Level 3 Pacemaker and Similar Procedures | 26 | $59,133 | $10,496 |
| Level 1 Endovascular Procedures | 24 | $22,452 | $3,211 |
| Level 5 Musculoskeletal Procedures | 19 | $87,921 | $12,928 |
| Level 5 ENT Procedures | 17 | $37,752 | $5,762 |
| Level 3 Vascular Procedures | 12 | $15,856 | $2,928 |
| Level 4 Musculoskeletal Procedures | 11 | $62,159 | $7,038 |
| Level 3 Endovascular Procedures | 11 | $79,223 | $10,812 |
| Level 4 Endovascular Procedures | 11 | $167,187 | $17,214 |
| Level 3 Electrophysiologic Procedures | 11 | $78,171 | $23,304 |
Against the Delaware average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Francis Hospital charged $48,431 on average, 17% less than the Delaware average of $58,234, and was paid $17,699 against a state average of $17,988. For Heart Failure and Shock with MCC (DRG 291), St Francis Hospital charged $36,040 on average, 4% less than the Delaware average of $37,607, and was paid $11,781 against a state average of $11,734. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), St Francis Hospital charged $28,843 on average, 15% less than the Delaware average of $34,093, and was paid $10,718 against a state average of $9,700. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), St Francis Hospital charged $37,931 on average, 14% less than the Delaware average of $44,263, and was paid $12,381 against a state average of $12,373. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,840 was 8% below the state average of $16,076. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $50,675 was 75% above the state average of $28,991. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,036 was 12% below the state average of $7,975. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $21,190 was 36% above the state average of $15,629.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Francis Hospital in Wilmington, DE, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-03-16 (CMS case 815)
- Closure Notice — 2023-06-26 (CMS case 815)
- Met Requirements — 2025-04-02 (CMS case 3521)
- Met Requirements — 2025-07-11 (CMS case 5679)
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.