Bon Secours Southside Medical Center
Bon Secours Southside Medical Center in Petersburg, VA charges 12.7x the Medicare reimbursement rate across 65 analyzed procedures, with 35% showing significant price variations.
Petersburg, VA 23805 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
F
Very high
Avg markup vs Medicare
12.7x
Charge / Medicare rate
Max markup
19.65x
Worst procedure
Procedures analyzed
65
With pricing data
Outlier procedures
35.4%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $75,677 | $37,839 | — | 19.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $98,497 | $49,249 | — | 19.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $70,289 | $35,145 | — | 19.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $104,519 | $52,260 | — | 18.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $177,695 | $88,848 | — | 17.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $192,899 | $96,450 | — | 17x |
| SEIZURES WITHOUT MCC | 101 | $78,614 | $39,307 | — | 17x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $108,957 | $54,479 | — | 16.6x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $42,347 | $21,173 | — | 16.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $41,966 | $20,983 | — | 16.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $90,585 | $45,293 | — | 15.9x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $68,505 | $34,252 | — | 15.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $88,635 | $44,318 | — | 15.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $68,921 | $34,461 | — | 15.4x |
| SYNCOPE AND COLLAPSE | 312 | $75,043 | $37,521 | — | 15.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $228,188 | $114,094 | — | 14.4x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $185,987 | $92,993 | — | 14.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $84,087 | $42,044 | — | 14x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $61,467 | $30,733 | — | 13.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $63,213 | $31,607 | — | 13.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $105,501 | $52,750 | — | 13.7x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $164,758 | $82,379 | — | 13.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $56,503 | $28,251 | — | 13.2x |
| DIABETES WITH CC | 638 | $65,269 | $32,635 | — | 12.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $68,810 | $34,405 | — | 12.6x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $182,428 | $91,214 | — | 12.5x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $212,470 | $106,235 | — | 12.5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $67,186 | $33,593 | — | 12.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $242,106 | $121,053 | — | 12.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $155,256 | $77,628 | — | 12.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $221,996 | $110,998 | — | 12.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $51,864 | $25,932 | — | 12.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $413,598 | $206,799 | — | 12.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $158,258 | $79,129 | — | 12.2x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $174,518 | $87,259 | — | 12.1x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $137,817 | $68,909 | — | 12x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $92,399 | $46,200 | — | 12x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $130,685 | $65,342 | — | 11.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $122,132 | $61,066 | — | 11.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $144,136 | $72,068 | — | 11.7x |
| CELLULITIS WITHOUT MCC | 603 | $59,789 | $29,895 | — | 11.6x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $99,037 | $49,518 | — | 11.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $90,065 | $45,033 | — | 11.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $146,125 | $73,063 | — | 11.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $141,215 | $70,608 | — | 11.3x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 207 | $522,079 | $261,039 | — | 11.2x |
| RENAL FAILURE WITH CC | 683 | $58,585 | $29,293 | — | 11.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $143,274 | $71,637 | — | 11.2x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $122,026 | $61,013 | — | 11x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $70,563 | $35,282 | — | 10.7x |
Showing 50 of 65 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use