St Francis Hospital & Medical Center

ST FRANCIS HOSPITAL & MEDICAL CENTER in Hartford, CT charges 4.6x the Medicare reimbursement rate across 88 analyzed procedures, according to our nonprofit-religious hospital pricing analysis.

Hartford, CT 06105 · Acute Care Hospitals · CMS Rating: 2/5

By Elena Vasquez , Medical Billing Research Lead · Published March 15, 2026 · Updated April 3, 2026

Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.

About the analyst

Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.

88 procedures analyzed

CMS price transparency data

Updated 2026-04-03

4.6x

Medicare markup ratio

CT lowestSt Francis Hospital & ...CT highest

4.6x

Avg markup ratio

4.5x

Median markup

Procedures

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Billing patterns — nonprofit-religious

Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.

Pricing grade

Average

Avg markup vs Medicare

4.62x

Charge / Medicare rate

Max markup

11.07x

Worst procedure

Procedures analyzed

With pricing data

Outlier procedures

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
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC	066	$43,657	$21,828	—	11.1x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC	418	$90,856	$45,428	—	6.9x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	065	$50,620	$25,310	—	6.6x
AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC	617	$83,319	$41,660	—	6.4x
GASTROINTESTINAL HEMORRHAGE WITH MCC	377	$89,893	$44,946	—	6.1x
MAJOR CHEST PROCEDURES WITH CC	164	$128,374	$64,187	—	6.1x
DISORDERS OF THE BILIARY TRACT WITH CC	445	$57,853	$28,926	—	6x
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC	390	$21,998	$10,999	—	6x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	331	$69,660	$34,830	—	6x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC	315	$33,975	$16,988	—	5.8x
DIABETES WITH MCC	637	$63,818	$31,909	—	5.8x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	309	$32,909	$16,454	—	5.8x
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC	897	$37,501	$18,750	—	5.7x
SYNCOPE AND COLLAPSE	312	$39,924	$19,962	—	5.6x
RED BLOOD CELL DISORDERS WITHOUT MCC	812	$41,654	$20,827	—	5.6x
RESPIRATORY NEOPLASMS WITH MCC	180	$86,876	$43,438	—	5.6x
HYPERTENSION WITHOUT MCC	305	$30,841	$15,421	—	5.4x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	308	$60,139	$30,069	—	5.4x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	330	$104,115	$52,057	—	5.3x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	690	$31,893	$15,946	—	5.3x
MAJOR CHEST TRAUMA WITH CC	184	$44,311	$22,155	—	5.3x
MAJOR CHEST PROCEDURES WITH MCC	163	$194,736	$97,368	—	5.2x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	064	$84,674	$42,337	—	5.2x
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC	896	$69,783	$34,891	—	5.1x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	481	$89,172	$44,586	—	5x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC	235	$215,529	$107,764	—	5x
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC	166	$129,882	$64,941	—	4.9x
DIABETES WITH CC	638	$33,147	$16,574	—	4.9x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC	521	$131,390	$65,695	—	4.9x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	394	$37,660	$18,830	—	4.9x
GASTROINTESTINAL HEMORRHAGE WITH CC	378	$39,224	$19,612	—	4.8x
MEDICAL BACK PROBLEMS WITHOUT MCC	552	$36,650	$18,325	—	4.8x
RED BLOOD CELL DISORDERS WITH MCC	811	$67,170	$33,585	—	4.8x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	872	$36,947	$18,473	—	4.7x
OTHER VASCULAR PROCEDURES WITH CC	253	$90,947	$45,474	—	4.7x
POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC	917	$57,394	$28,697	—	4.7x
CHEST PAIN	313	$24,616	$12,308	—	4.7x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	689	$44,500	$22,250	—	4.7x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC	287	$39,702	$19,851	—	4.6x
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC	516	$73,202	$36,601	—	4.6x
PULMONARY EDEMA AND RESPIRATORY FAILURE	189	$46,748	$23,374	—	4.6x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC	281	$34,314	$17,157	—	4.6x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC	480	$107,270	$53,635	—	4.5x
RENAL FAILURE WITH MCC	682	$56,079	$28,039	—	4.5x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC	286	$73,427	$36,714	—	4.5x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	522	$80,958	$40,479	—	4.5x
HEART FAILURE AND SHOCK WITH MCC	291	$49,425	$24,713	—	4.5x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION	220	$193,262	$96,631	—	4.4x
SEIZURES WITHOUT MCC	101	$31,546	$15,773	—	4.4x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	190	$41,276	$20,638	—	4.4x

Showing 50 of 88 procedures

How ST FRANCIS HOSPITAL & MEDICAL CENTER compares to nearby hospitals

Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.

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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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — nonprofit-religious hospital billing

How do nonprofit religious hospital charges compare to Medicare rates?

Data shows that 203 nonprofit religious hospitals have an average markup of 5.4 times Medicare rates for similar services. These hospitals operate under religious organizational structures while maintaining nonprofit tax status, which provides context for their billing practices and pricing structures.

What does a 5.4x Medicare markup mean for my medical bills?

A 5.4x markup means these hospitals typically charge 5.4 times what Medicare would pay for the same service. For example, if Medicare pays $1,000 for a procedure, the hospital's standard charge would average $5,400, though your actual out-of-pocket costs depend on your insurance coverage and negotiated rates.

Are nonprofit religious hospitals required to offer financial assistance?

Yes, nonprofit hospitals including religious institutions must provide charity care and financial assistance programs as a condition of their tax-exempt status. These hospitals are required to have written financial assistance policies and must make them publicly available, though the specific terms and eligibility requirements vary by institution.

How can I find out the actual charges at a specific nonprofit religious hospital?

Nonprofit hospitals are required to publish their standard charges online, typically called a 'chargemaster' or price transparency list. You can also request a good faith estimate before receiving services, which may show potential differences between standard charges and what you might actually pay based on your insurance coverage.

Related pricing data

CT hospital rankingsCompare all hospitals in CT

Hartford, CT costsCity-level pricing data

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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