Reviewing literature revealed that the studies on the bearing characteristics of pile foundations mainly focuses on clay, ordinary sand, loess, saline soil, and other areas. However, few studies on the bearing characteristics of the pile foundation in calcareous sand were conducted. Besides, existing traditional studies ignored the variation of soil compression modulus with depth, and the effect of void ratio on the transverse bearing characteristics of the pile foundation in a calcareous sand area were not well understood. In response of these problems, this study conducted a theoretical investigation on the transverse bearing characteristics of the pile foundation in a calcareous sand area. The transverse bearing characteristics of the pile foundation were derived based on the Pasternak foundation model and the Winkler foundation model, incorporating the heterogeneous distribution of compressive modulus with buried depth. The calculation results of the Pasternak foundation model are closer to the observed results than the Winkler foundation model. Therefore, the following research on the transverse bearing characteristics of the pile foundation in the calcareous sand area adopts the Pasternak foundation model. Then, the effects of the pile length, pile diameter, pile elastic modulus, horizontal load, bending moment, and void ratio on the transverse bearing characteristics of the pile foundation in a calcareous sand area were thoroughly analyzed. Furthermore, the difference between the transverse bearing characteristics of the pile foundation in a calcareous sand area and a quartz sand area was discussed. Results show that the horizontal displacement of the pile top in a calcareous sand area is greater than the quartz sand area under the same conditions.