Bon Secours-St Francis Xavier Hospital
2095 Henry Tecklenburg Drive, Charleston, SC 29414 · 106 Priced Procedures · 79% Patient Recommendation
Typical commercial prices here are 4% below the fair benchmark (0.96×) after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 0.96× fair market pricing.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Bon Secours-St Francis Xavier Hospital prices routine shoppable procedures near 1.0× Medicare (p50 0.93×) while skewing captive emergency, lab, and upper-quartile codes to 1.9× Medicare (p75 0.96×, +3% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 4% below peer Fair BaseRate (0.96×)
- Self-pay cash beats commercial insurance on 3% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (76/100 safety score) with 79% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (10.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
- Captive ER (1.4×) & laboratory (1.3×) services average 1.90× higher multiples than routine shoppable care (1.0×)
- Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
- Consolidated metro market (HHI 2,503) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Bon Secours-St Francis Xavier Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 106 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $60,709 | 2.0× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $26,077 | 129.7× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $21,258 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $19,975 | 5.9× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $8,312 | 1.0× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $5,857 | 1.0× |
| Breast lump removal CPT Code: 19120 | $3,821 | 1.0× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,658 | 3.6× |
| Inguinal hernia repair CPT Code: 49505 | $3,469 | 1.0× |
| MRI, brain (no contrast) CPT Code: 70551 | $3,288 | 9.6× |
| MRI, lower back (no contrast) CPT Code: 72148 | $3,234 | 9.6× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $3,186 | 10.5× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $3,186 | 7.1× |
| Bunion correction surgery CPT Code: 28296 | $3,170 | 0.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $2,447 | 6.6× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,266 | 4.4× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,187 | 3.8× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,795 | 11.2× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,796 | 1.8× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,710 | 7.1× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,503 | 5.5× |
| CT scan, pelvis CPT Code: 72192 | $1,282 | 7.9× |
| CT scan, sinuses CPT Code: 70486 | $1,282 | 7.7× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,282 | 7.7× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,282 | 7.6× |
Audit a Bill or Quote at Bon Secours-St Francis Xavier Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $14,643
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (10.1% of gross = $14,643).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Bon Secours-St Francis Xavier Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($145,702) is $114,927 above the denoised Fair BaseRate ($30,775) and 6.2× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (10.1% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (1,487 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Bon Secours-St Francis Xavier Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.