38/100
#1,638 nationally
Bon Secours St Francis Medical Center
13710 St Francis Boulevard, Midlothian, VA 23114 · (804) 594-7400
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Bon Secours St Francis Medical Center billed $5.57 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.6x
- volume-weighted across all its priced work
- Procedures priced
- 108
- inpatient and outpatient combined
- Rank in VA
- #45
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 40% of U.S. hospitals.
Better than 27% of U.S. hospitals.
Better than 46% of U.S. hospitals.
Better than 38% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
317 | $67,703 | $15,304 | +4% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
294 | $86,788 | $11,347 | +39% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
204 | $25,648 | $2,331 | +32% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
199 | $9,863 | $1,655 | -16% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
162 | $35,552 | $9,942 | -18% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
158 | $35,779 | $2,786 | +42% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
135 | $9,303 | $1,393 | -8% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
101 | $62,240 | $6,219 | +56% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
97 | $37,305 | $8,345 | -5% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
91 | $25,299 | $2,812 | +24% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$257,595 | $26,873 | +128% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$285,860 | $28,542 | +92% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
$268,656 | $36,940 | +85% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$54,703 | $4,972 | +58% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$62,240 | $6,219 | +56% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$104,748 | $9,400 | +55% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$125,407 | $15,836 | +51% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$17,102 | $1,678 | +51% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Digestive Malignancy with Major Complications
MS-DRG 374 · Inpatient stay |
$42,750 | $13,372 | -50% |
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
$40,297 | $13,113 | -46% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$29,803 | $11,676 | -40% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
$25,243 | $8,435 | -39% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$26,837 | $5,671 | -32% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$5,856 | $1,393 | -32% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$7,797 | $1,444 | -32% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
$26,940 | $8,145 | -31% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.