How many shoppable procedure prices are published for St Francis Hospital?

St Francis Hospital in Wilmington, DE currently has 109 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do St Francis Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, St Francis Hospital's median negotiated commercial rate is 1.6× the regionally adjusted fair BaseRate benchmark.

What is St Francis Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns St Francis Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 146 Beds · urban Updated: 2026-03-31

St Francis Hospital

7Th and Clayton Sts, Wilmington, DE 19805 · 109 Priced Procedures · 65% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.65×vs. Fair Market Price

Typical commercial prices here are +65% above the fair benchmark (1.65×) even after accounting for local nurse/doctor wages and patient complexity.

62/100 · Caution

62/100Self-Pay Cash Beats Insurance 23% of the Time

File Completeness51

Price Logic43

Peer Alignment75

Clean Billing70

Real Cash Discount85

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.65× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +44% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

St Francis Hospital prices routine shoppable procedures at 2.5× Medicare (median 1.71× Fair BaseRate) while upper-quartile commercial rates jump +44% to 2.47× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#7 of 9 in DE · 66th State Percentile#2,819 of 3,385 in U.S. · 83rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.87× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 23% of shoppable procedures (85/100 Cash Honesty)
CMS clinical safety score (59/100 safety score) with 65% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (40.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.65× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.71× Fair BaseRate (2.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.47×) jump +44% above the median procedure ratio (Q50 1.71×)
Unnegotiated chargemaster list prices average 12.9× Medicare (17¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.5× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.76× Divergence

1.9× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+44% Upper Tail

Q25 0.87× · Q50 1.71× · Q75 2.47×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.5× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.7× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

7.1× MedicareWatchout

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.0× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

23% Cash Edge · 85/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 59/100Elevated

Procedure Prices at St Francis Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 109 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$25,023	$28,932	$19,087	1.5×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$60,990	$28,729	$19,432	1.5×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$66,353	$26,258	$17,936	1.5×
Total knee replacement CPT Code: `27447`	—	—	$13,523	—
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$19,650	$11,611	$8,223	1.4×
Bunion correction surgery CPT Code: `28296`	$28,340	$5,694	$3,446	unverified
Trauma team activation HCPCS Code: `G0390`	$4,924	$4,924	$1,453	3.4×
Inguinal hernia repair CPT Code: `49505`	$35,288	$3,829	$3,629	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$26,905	$3,551	$3,372	1.1×
Breast lump removal CPT Code: `19120`	$14,284	$3,382	$3,875	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,999	$3,103	$1,021	unverified
Colonoscopy with biopsy CPT Code: `45380`	$8,231	$2,809	$1,256	2.2×
Upper endoscopy with biopsy CPT Code: `43239`	$5,871	$2,432	$987	2.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$4,531	$2,201	$981	2.2×
Total hip replacement CPT Code: `27130`	$1,732	$1,732	$13,413	0.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,236	$1,467	$448	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$2,497	$1,421	$511	unverified
C-section delivery (full package) CPT Code: `59510`	$5,430	$1,190	$2,975	0.4×
Vaginal delivery (full package) CPT Code: `59400`	$5,101	$1,115	$2,680	0.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,100	$987	$272	unverified
MRI, knee or other leg joint CPT Code: `73721`	$2,259	$928	$369	2.5×
MRI, brain (no contrast) CPT Code: `70551`	$1,535	$848	$343	2.5×
MRI, lower back (no contrast) CPT Code: `72148`	$1,613	$816	$338	2.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$801	$801	$6,109	0.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,601	$761	$258	2.9×
Rabies immune globulin HCPCS Code: `90375`	$1,928	$729	$322	2.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,068	$679	$303	2.2×
CT scan, head (with contrast) CPT Code: `70460`	$1,245	$632	$242	2.6×
CT scan, sinuses CPT Code: `70486`	$1,213	$586	$166	3.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$389	$542	$148	3.7×
CT scan, pelvis CPT Code: `72192`	$1,710	$548	$163	3.4×
CT scan, chest (no contrast) CPT Code: `71250`	$1,105	$550	$167	3.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$479	$537	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$930	$501	$134	unverified
CT scan, head (no contrast) CPT Code: `70450`	$882	$442	$160	2.8×
Screening mammogram (both breasts) CPT Code: `77067`	$289	$412	$123	3.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,932	$414	$169	2.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,932	$411	$168	2.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$881	$383	$126	3.0×
Ultrasound, pelvis CPT Code: `76856`	$825	$341	$130	2.6×
Blood transfusion CPT Code: `36430`	—	$354	$498	0.7×
X-ray, lower back CPT Code: `72110`	$477	$247	$112	2.2×
X-ray, hip CPT Code: `73502`	$158	$220	$93	2.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$236	$236	$583	0.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$172	$172	$40	4.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$323	$184	$93	2.0×
X-ray, hand CPT Code: `73130`	$287	$182	$93	2.0×
X-ray, ankle CPT Code: `73610`	$416	$182	$93	2.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,148	$180	$151	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$204	$204	$86	unverified
X-ray, foot CPT Code: `73630`	$390	$167	$92	1.8×
X-ray, shoulder CPT Code: `73030`	$429	$163	$92	1.8×
X-ray, chest (two views) CPT Code: `71046`	$254	$148	$93	1.6×
Occupational therapy (self-care training) CPT Code: `97535`	$116	$116	$38	3.1×
X-ray, chest (single view) CPT Code: `71045`	—	$110	$92	1.2×
X-ray, pelvis CPT Code: `72170`	$281	$125	$110	1.1×
Physical therapy (gait training) CPT Code: `97116`	$93	$93	$33	2.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$96	$96	$35	2.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$96	$96	$38	2.5×
Physical therapy (manual therapy) CPT Code: `97140`	$85	$85	$34	2.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$70	$99	$86	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$204	$92	$123	0.7×
Orthotic fitting and training CPT Code: `97760`	$85	$85	$51	unverified
Drug screening test HCPCS Code: `G0480`	$829	$829	$116	7.1×
Typhoid vaccine HCPCS Code: `90675`	$693	$469	$347	1.4×
Blood test, vitamin D CPT Code: `82306`	$344	$344	$31	unverified
Blood test, liver function panel CPT Code: `80076`	$293	$293	$9	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$254	$254	$14	unverified
Hepatitis C antibody test CPT Code: `86803`	$276	$276	$15	unverified
Culture, bacterial CPT Code: `87070`	$215	$215	$9	23.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$235	$235	$14	unverified
Blood test, vitamin B12 CPT Code: `82607`	$198	$198	$16	12.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$182	$182	$19	9.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$160	$160	$20	8.0×
Blood test, amylase CPT Code: `82150`	$159	$159	$7	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$175	$175	$10	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$167	$167	$18	unverified
Blood test, calcium CPT Code: `82310`	$124	$124	$5	24.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$108	$108	$5	21.6×
Pneumococcal vaccine HCPCS Code: `90732`	$193	$133	$140	0.9×
Blood test, potassium CPT Code: `84132`	$84	$84	$5	16.8×
Blood test, magnesium CPT Code: `83735`	$79	$79	$7	11.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$104	$104	$4	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$111	$111	$4	unverified
Blood test, sodium CPT Code: `84295`	$70	$70	$5	14.0×
Blood antibody screen CPT Code: `86850`	$70	$65	$46	1.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$138	$63	$87	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$193	$78	$110	0.7×
Blood test, lipase CPT Code: `83690`	$84	$84	$7	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$60	$60	$35	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$88	$33	$39	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$107	$39	$56	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$81	$33	$49	0.7×
Colorectal cancer screening HCPCS Code: `G0010`	$46	$33	$49	0.7×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$40	$64	0.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$156	$50	$111	0.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$409	$64	$203	0.3×
Hepatitis B vaccine HCPCS Code: `90744`	$46	$32	$37	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$81	$33	$48	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$57	$201	0.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$46	$46	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$51	$51	$6	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$71	$23	$25	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	—	—	$9	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	—	$11	—
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	—	$3	unverified
Blood test, hemoglobin CPT Code: `85018`	—	—	$3	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	—	—	$8	unverified
Culture, blood CPT Code: `87040`	—	—	$11	—

Showing top 25 high-impact procedures of 109 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 40.6%

Audit a Bill or Quote at St Francis Hospital (Zero PHI Required)

CMS CCN: 080003

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $25,023

Insurer Median $28,932

1. Amount on Your Bill or Quote ($) Pre-filled with St Francis Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $28,219 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $28,219

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (40.6% of gross = $28,219).

Step 2 · Cash vs. Insurance Arbitrage Save $44,414 Paying Cash

Self-Pay Cash Rate ($25,023) Beats Your Bill

St Francis Hospital's published 45 CFR § 180 self-pay cash rate is $25,023 (vs. $28,932 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$50,350 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($69,437) is $50,350 above the denoised Fair BaseRate ($19,087) and 4.9× the $14,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 510064326

Filing Period: 194603

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (40.6% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite59/100

Would Recommend65%

Rated 9 or 10 (HCAHPS)66%

Median ER Wait194 min

Left ER Before Seen8%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at St Francis Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-11·administrative_or_closure
Met Requirements
Recorded
2025-04-02·administrative_or_closure
Met Requirements
Recorded
2023-06-26·administrative_or_closure
Closure Notice
Recorded
2023-03-16·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (322 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St Francis Hospital.

Price Index: 1.15× regional baseline

Quality: 41/100 CMS composite

Median Household Income$89,901U.S. Census ACS

Local Uninsured Share5.7%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 62/100 · Caution CMS CCN 080003 EIN 510064326

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 080003) ↗ Verify IRS Form 990 (EIN 510064326) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-31

Validated Rate Rows10,318 (CMS v3.0.0)

File Integrity DigestVerified · CCN 080003

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy