St Francis Hospital
ST FRANCIS HOSPITAL in Memphis, Tennessee charges 12.4x the Medicare reimbursement rate across 49 analyzed procedures, with 20% showing significantly higher markups than typical industry standards.
Memphis, TN 38119 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
No credit card required. Results in 60 seconds.
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
12.43x
Charge / Medicare rate
Max markup
19.27x
Worst procedure
Procedures analyzed
49
With pricing data
Outlier procedures
20.4%
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 |
|---|---|---|---|---|---|
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $68,313 | $34,157 | — | 19.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $115,288 | $57,644 | — | 17.9x |
| CELLULITIS WITHOUT MCC | 603 | $57,934 | $28,967 | — | 17.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $90,490 | $45,245 | — | 17x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $101,632 | $50,816 | — | 16.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $72,656 | $36,328 | — | 16x |
| CHEST PAIN | 313 | $63,067 | $31,534 | — | 15.2x |
| SYNCOPE AND COLLAPSE | 312 | $60,560 | $30,280 | — | 15.2x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $358,442 | $179,221 | — | 15x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $58,830 | $29,415 | — | 14.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $105,962 | $52,981 | — | 14.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $77,359 | $38,680 | — | 14.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $94,888 | $47,444 | — | 13.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $146,179 | $73,090 | — | 13.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $223,752 | $111,876 | — | 13.3x |
| DIABETES WITH MCC | 637 | $98,680 | $49,340 | — | 13.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $66,874 | $33,437 | — | 13.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $144,773 | $72,387 | — | 12.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $146,411 | $73,206 | — | 12.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $115,349 | $57,674 | — | 12.5x |
| MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | 707 | $145,221 | $72,611 | — | 12.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $162,449 | $81,224 | — | 12.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $146,793 | $73,397 | — | 12.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $113,483 | $56,742 | — | 11.8x |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | 657 | $121,214 | $60,607 | — | 11.6x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $467,367 | $233,684 | — | 11.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $76,319 | $38,159 | — | 11.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $123,012 | $61,506 | — | 11.3x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $414,956 | $207,478 | — | 11.2x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $102,158 | $51,079 | — | 11.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $127,915 | $63,958 | — | 11x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $473,056 | $236,528 | — | 10.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $123,752 | $61,876 | — | 10.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $77,408 | $38,704 | — | 10.8x |
| RENAL FAILURE WITH MCC | 682 | $97,405 | $48,702 | — | 10.8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $62,581 | $31,290 | — | 10.8x |
| RENAL FAILURE WITH CC | 683 | $57,458 | $28,729 | — | 10.7x |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $85,062 | $42,531 | — | 10.6x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $92,574 | $46,287 | — | 10.6x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $396,000 | $198,000 | — | 10.5x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $158,869 | $79,435 | — | 10.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $310,704 | $155,352 | — | 9.9x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $223,133 | $111,566 | — | 9.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $85,794 | $42,897 | — | 9.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $73,133 | $36,566 | — | 9.8x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $175,956 | $87,978 | — | 9.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $332,196 | $166,098 | — | 9x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $149,100 | $74,550 | — | 8.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $97,491 | $48,746 | — | 8.5x |
How ST FRANCIS HOSPITAL 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.
Got a bill from ST FRANCIS HOSPITAL?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
FAQ — for-profit hospital billing
How much do for-profit hospitals typically charge compared to Medicare rates?
Why do for-profit hospitals charge more than Medicare rates?
Does insurance typically pay the full hospital charge amount?
What should I know about billing differences between hospital types?
Related pricing data
Got a bill from St Francis Hospital?
Free guides to help you take action
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