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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Saint Francis Medical Center

Saint Francis Healthcare System · Cape Girardeau, MO

211 St Francis Drive, Cape Girardeau, MO 63703(573) 331-3000

3 of 5

CMS star rating

306

Beds

9,012

Inpatient discharges a year

$634.8M

Net patient revenue a year

36

In-network payers

About this hospital

Saint Francis Medical Center is a 306-bed voluntary non-profit - private hospital in Cape Girardeau, MO, affiliated with Saint Francis Healthcare System. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 227 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
260183
NPI
1467412726
Website
sfmc.net
Health system
Saint Francis Healthcare System
Teaching
No Medicare-funded residents
County
Cape Girardeau County
Metro area
Cape Girardeau, MO-IL MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
1976
Last CMS survey
2020

Prices for common services

The 24 services Saint Francis Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$1,674 - $3,126

from 4 insurers · median $2,859

Blue Cross$3,019
Insurer A*$1,674
Insurer B*$2,699
Insurer C*$3,126
Medicare $338Nearby hospitals $700308% above nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$5,865 - $7,011

from 4 insurers · median $6,164

Aetna$7,011
Insurer A*$5,865
Insurer B*$6,147
Insurer C*$6,181

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$7,367 - $9,432

from 4 insurers · median $8,128

Cigna$8,029
Insurer A*$7,367
Insurer B*$8,227
Insurer C*$9,432
Medicare $3,139Nearby hospitals $4,32188% above nearby hospitals

41 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$71,515 - $74,006

from 2 insurers · median $72,761

UnitedHealthcare$74,006
Insurer A*$71,515
Medicare $29,344Nearby hospitals $40,46080% above nearby hospitals

43 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Saint Francis Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
483%
220
Insurer B*24
481%
160
Insurer C*23
445%
170
Insurer D*22
397%
153

How we chose these services: 9 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Saint Francis Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthBaylor Scott & White Health PlanCentene

More about this hospital

  • Quality

    3 of 5 stars

    • 247 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.09%)
    See quality ratings

  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 45 services, including trauma care
    • 673 affiliated clinicians
    See doctors and services

  • Finances

    $634.8M net patient revenue

    • Operating margin on patient care 2.1%
    • $21.3M unreimbursed and uncompensated care
    • $132.9M net income
    See finances

  • Ownership and leadership

    Owned by Saint Francis Medical Center

    • Private (not for profit)
    • Justin Davison, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Saint Francis Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
23-7246265(multi-state) Saint Francis Medical Center57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more1689096919 Saint Francis Medical Center1598186157 Saint Francis Medical Center1467412726 Saint Francis Medical Centerand 57 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

211 St Francis Drive, Cape Girardeau, MO 63703

(573) 331-3000

Get directions

Frequently asked questions

About Saint Francis Medical Center's rates and hospital price transparency.

How much does an MRI cost at Saint Francis Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Saint Francis Medical Center range from $2,699 to $3,854 across 4 insurers. UnitedHealthcare's rate is $2,699. The median at nearby comparable hospitals is $1,155. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Saint Francis Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Saint Francis Medical Center range from $1,674 to $3,126 across 4 insurers. Blue Cross Blue Shield's rate is $3,019. The median at nearby comparable hospitals is $700. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Saint Francis Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Saint Francis Medical Center range from $5,444 to $6,359 across 4 insurers. Aetna's rate is $6,359. The median at nearby comparable hospitals is $2,203. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Saint Francis Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Saint Francis Medical Center range from $5,865 to $7,011 across 4 insurers. Aetna's rate is $7,011. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Saint Francis Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Saint Francis Medical Center range from $363 to $405 across 4 insurers. Aetna's rate is $405. The median at nearby comparable hospitals is $188. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Saint Francis Medical Center's CMS star rating?

Saint Francis Medical Center has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Saint Francis Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Saint Francis Medical Center for fiscal year 2027.

Does Medicare penalize Saint Francis Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Saint Francis Medical Center's base inpatient payments by an estimated 0.09% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Saint Francis Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (383 discharges), heart failure and shock with mcc (121 discharges), pulmonary edema and respiratory failure (106 discharges).

What is Saint Francis Medical Center's case mix index?

Saint Francis Medical Center's Medicare case mix index is 1.93 for fiscal year 2027, higher than 73% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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