▸ Hospital · · CCN 149807
St Francis Medical Center Transplant
Compliance grade
C
77/100
Procedures tracked
51
of 209 target codes
Payers
12
with negotiated rates
Rates published
1,053
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 12 | — | — | $57.1 | $16,858 | $31,645 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 12 | — | — | $57.1 | $24,271 | $45,559 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 12 | — | — | $57.1 | $12,193 | $22,888 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 12 | — | — | $57.1 | $8,260.02 | $15,505 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 12 | — | — | $57.1 | $18,860 | $35,403 |
| COPD w MCC | MS-DRG | 190 | 12 | — | — | $57.1 | $13,369 | $25,095 |
| COPD w CC | MS-DRG | 191 | 12 | — | — | $57.1 | $10,174 | $19,098 |
| COPD w/o CC/MCC | MS-DRG | 192 | 12 | — | — | $57.1 | $7,748.3 | $14,545 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 12 | — | — | $57.1 | $9,726.41 | $18,258 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 12 | — | — | $57.1 | $7,585.37 | $14,239 |
| AMI discharged alive w MCC | MS-DRG | 280 | 12 | — | — | $57.1 | $19,360 | $36,341 |
| AMI discharged alive w CC | MS-DRG | 281 | 12 | — | — | $57.1 | $11,093 | $20,822 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 12 | — | — | $57.1 | $8,727.09 | $16,382 |
| Heart failure & shock w MCC | MS-DRG | 291 | 12 | — | — | $57.1 | $15,494 | $29,084 |
| Heart failure & shock w CC | MS-DRG | 292 | 12 | — | — | $57.1 | $10,247 | $19,234 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 12 | — | — | $57.1 | $6,831.05 | $12,823 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 12 | — | — | $57.1 | $14,531 | $27,277 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 12 | — | — | $57.1 | $8,879.16 | $16,667 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 12 | — | — | $57.1 | $6,832.26 | $12,825 |
| GI hemorrhage w CC | MS-DRG | 378 | 12 | — | — | $57.1 | $11,836 | $22,218 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 12 | — | — | $57.1 | $7,608.3 | $14,282 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 12 | — | — | $57.1 | $9,408.99 | $17,662 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 12 | — | — | $57.1 | $18,921 | $35,516 |
| Kidney/UTI w MCC | MS-DRG | 689 | 12 | — | — | $57.1 | $14,004 | $26,287 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 12 | — | — | $57.1 | $9,769.86 | $18,339 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 12 | — | — | $57.1 | $23,444 | $44,007 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 12 | — | — | $57.1 | $12,350 | $23,183 |
| maternity | ||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 1 | — | — | $57.1 | $57.1 | $57.1 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 1 | — | — | $57.1 | $57.1 | $57.1 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 1 | — | — | $57.1 | $57.1 | $57.1 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 1 | — | — | $57.1 | $57.1 | $57.1 |
| surgery | ||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 8 | — | — | $57.1 | $41,064 | $67,861 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 8 | — | — | $57.1 | $26,177 | $43,260 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 12 | — | — | $57.1 | $55,475 | $104,134 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 12 | — | — | $57.1 | $28,932 | $54,309 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 12 | — | — | $57.1 | $20,311 | $38,126 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 12 | — | — | $57.1 | $20,416 | $38,323 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 12 | — | — | $57.1 | $16,484 | $30,942 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 12 | — | — | $57.1 | $41,120 | $77,188 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 8 | — | — | $57.1 | $90,922 | $150,255 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 8 | — | — | $57.1 | $50,146 | $82,870 |
| Major joint replacement w MCC | MS-DRG | 469 | 12 | — | — | $57.1 | $36,608 | $68,717 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 12 | — | — | $57.1 | $23,280 | $43,699 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 12 | — | — | $57.1 | $35,149 | $65,978 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 12 | — | — | $57.1 | $25,279 | $47,451 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 12 | — | — | $57.1 | $19,685 | $36,950 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 12 | — | — | $57.1 | $34,848 | $65,414 |
| OR procedure for obesity w CC | MS-DRG | 620 | 12 | — | — | $57.1 | $19,314 | $36,255 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 12 | — | — | $57.1 | $18,205 | $34,173 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 12 | — | — | $57.1 | $14,974 | $28,108 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 12 | — | — | $57.1 | $24,731 | $46,422 |
Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.
Payer mix (top 12)
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 51 | $13,812 |
| caterpillar | 47 | $19,149 |
| Cigna | 47 | $26,059 |
| Aetna | 47 | $14,860 |
| healthlink | 47 | $26,411 |
| Humana | 47 | $22,239 |
| osfdan | 47 | $18,563 |
| UnitedHealthcare | 47 | $17,099 |
| health alliance plan | 43 | $12,295 |
| Molina | 43 | $12,295 |
| WellCare | 43 | $12,418 |
| meridian | 43 | $12,295 |