Trinity Health · Wilmington, DE
30
In-network payers
193
Disclosed rate categories
395
Beds
2
Care quality
St. Francis Hospital Wilmington is a 395-bed voluntary non-profit - private hospital in Wilmington, DE, affiliated with Trinity Health. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 193 disclosed rate categories.
CCN (Medicare provider number)
080003
NPI
1295738896
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
395
Care Quality
2
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services St. Francis Hospital Wilmington 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.
Childbirth · Inpatient
MS-DRG 807
$7,507 - $15,036
from 2 insurers · median $11,271
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
Childbirth · Inpatient
MS-DRG 788
$11,382 - $20,519
from 2 insurers · median $15,950
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58558
$4,450 - $8,622
from 2 insurers · median $6,536
27 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$7,507 - $15,036
from 2 insurers · median $11,271
CMS lists this service as CPT 59610, 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
Medicine & Surgery
CPT 47562
$3,904 - $7,184
from 2 insurers · median $5,544
159 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$586 - $4,780
from 4 insurers · median $2,275
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$2,727 - $5,983
from 2 insurers · median $4,355
159 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 47563
$4,249 - $6,588
from 2 insurers · median $5,419
159 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$2,579 - $5,646
from 2 insurers · median $4,112
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,457 - $5,646
from 2 insurers · median $4,051
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$28,729 - $45,013
from 2 insurers · median $36,871
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 49505
$3,431 - $6,049
from 2 insurers · median $4,740
28 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
CT imaging
CPT 70450
$259 - $1,303
from 4 insurers · median $598
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$453 - $3,055
from 4 insurers · median $1,324
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$79,681
negotiated rate
Hospital reports orthopedic surgery services to CMS
Cardiology and vascular testing
CPT 93306
$530 - $3,552
from 4 insurers · median $1,552
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$3,510 - $6,087
from 2 insurers · median $4,798
159 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 743
$18,479 - $28,284
from 2 insurers · median $23,382
Hospital reports inpatient surgical services to CMS
MRI imaging
CPT 70553
$1,421 - $3,688
from 4 insurers · median $1,977
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$275 - $469
from 4 insurers · median $356
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$932 - $6,734
from 4 insurers · median $3,320
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$3,312 - $9,293
from 4 insurers · median $4,308
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$503 - $2,330
from 4 insurers · median $1,079
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$788 - $2,268
from 4 insurers · median $1,519
Common here, based on CMS Medicare volume
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 10 | 983% | 9 | 0 |
| Insurer B* | 10 | 634% | 5 | 2 |
| Insurer C* | 24 | 236% | 9 | 12 |
| Insurer D* | 23 | 176% | 3 | 17 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 6 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 St. Francis Hospital Wilmington.
701 North Clayton Street, Wilmington, DE 19805
(302) 421-4100
The nearest hospitals of similar type and size. Their rates are compared with St. Francis Hospital Wilmington for the same insurers and services above.
Crozer Chester Medical Center
▼ Rates typically 22% lower than St. Francis Hospital Wilmington (20 services)
Riddle Hospital
Rates about the same as St. Francis Hospital Wilmington (20 services)
Penn Medicine Chester County Hospital
▼ Rates typically 10% lower than St. Francis Hospital Wilmington (21 services)
Paoli Hospital
Rates about the same as St. Francis Hospital Wilmington (21 services)
Bryn Mawr Hospital
Rates about the same as St. Francis Hospital Wilmington (21 services)
Inspira Medical Center Woodbury
▲ Rates typically 38% higher than St. Francis Hospital Wilmington (21 services)
Christianacare Wilmington Hospital
Bayhealth Hospital Kent Campus
Beebe Healthcare
Nanticoke Memorial Hospital
About St. Francis Hospital Wilmington's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St. Francis Hospital Wilmington range from $1,421 to $3,688 across 4 insurers. Cigna's rate is $2,378. The median at nearby comparable hospitals is $1,723. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St. Francis Hospital Wilmington range from $586 to $4,780 across 4 insurers. Aetna's rate is $586. The median at nearby comparable hospitals is $910. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at St. Francis Hospital Wilmington range from $2,579 to $5,646 across 2 insurers. Aetna's rate is $5,646. The median at nearby comparable hospitals is $4,209. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at St. Francis Hospital Wilmington range from $7,507 to $15,036 across 2 insurers. Blue Cross Blue Shield's rate is $15,036. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Francis Hospital Wilmington range from $275 to $469 across 4 insurers. UnitedHealthcare's rate is $427. The median at nearby comparable hospitals is $296. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at St. Francis Hospital Wilmington range from $28,729 to $45,013 across 2 insurers. Blue Cross Blue Shield's rate is $45,013. The median at nearby comparable hospitals is $41,188. What a patient pays depends on their plan's deductible, coinsurance and network status.
St. Francis Hospital Wilmington has 395 beds. Facility type: Short Term Acute Care Hospital.
St. Francis Hospital Wilmington is located at 701 North Clayton Street, Wilmington, DE 19805. Its main phone number is (302) 421-4100.
St. Francis Hospital Wilmington's CMS Certification Number (CCN), also called its Medicare provider number, is 080003.
The National Provider Identifier (NPI) on file for St. Francis Hospital Wilmington is 1295738896.
St. Francis Hospital Wilmington is affiliated with Trinity Health.
St. Francis Hospital Wilmington lists 30 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
193 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"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
}
]
}]
}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