34/100
#1,758 nationally
Bon Secours St Marys Hospital
5801 Bremo Rd, Richmond, VA 23226 · (804) 285-2011
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Bon Secours St Marys Hospital billed $6.07 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
- 6.1x
- volume-weighted across all its priced work
- Procedures priced
- 158
- inpatient and outpatient combined
- Rank in VA
- #47
- lower markup ranks higher
- CMS quality stars
- 5/5
- 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 26% of U.S. hospitals.
Better than 31% of U.S. hospitals.
Better than 44% 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 |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
495 | $87,900 | $11,984 | +41% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
352 | $18,594 | $1,739 | +58% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
330 | $61,684 | $14,456 | -5% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
277 | $36,897 | $2,974 | +46% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
224 | $45,326 | $9,952 | +4% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
209 | $10,655 | $1,467 | +6% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
194 | $32,420 | $5,233 | -8% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
183 | $23,173 | $2,448 | +19% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
155 | $52,079 | $6,401 | +31% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
154 | $177,245 | $21,621 | +34% |
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 |
|---|---|---|---|
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$281,281 | $29,400 | +126% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$325,346 | $28,936 | +119% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
$119,712 | $15,146 | +79% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$326,487 | $35,511 | +72% |
|
Carotid Artery Stent Procedures without Complications/mcc
MS-DRG 036 · Inpatient stay |
$119,841 | $15,584 | +70% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$139,161 | $16,403 | +68% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$56,226 | $5,099 | +62% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$18,594 | $1,739 | +58% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Lymphoma and Non-acute Leukemia with Complications
MS-DRG 841 · Inpatient stay |
$45,431 | $13,835 | -50% |
|
Interstitial Lung Disease with Major Complications
MS-DRG 196 · Inpatient stay |
$44,123 | $13,745 | -45% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$27,967 | $11,237 | -44% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$27,826 | $9,516 | -42% |
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
$44,427 | $12,875 | -40% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$24,942 | $7,328 | -36% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$51,595 | $12,334 | -36% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$33,382 | $9,639 | -35% |
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.