How many shoppable procedure prices are published for Providence St Elias Specialty Hospital?

Providence St Elias Specialty Hospital in Anchorage, AK currently has 135 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Providence St Elias Specialty Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Providence St Elias Specialty Hospital's median negotiated commercial rate is 1.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile General Acute Care Hospital Updated: 2026-04-01

Providence St Elias Specialty Hospital

4800 Cordova St, Anchorage, AK 99503 · 135 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.85×vs. Fair Market Price

Typical commercial prices here are +85% above the fair benchmark (1.85×) even after accounting for local nurse/doctor wages and patient complexity.

78/100 · Corroborated

78/100Self-Pay Cash Beats Insurance 20% of the Time

File Completeness66

Price Logic71

Peer Alignment74

Clean Billing85

Real Cash Discount100

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintUpper-Quartile Spread · +34% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Providence St Elias Specialty Hospital prices routine shoppable procedures at 2.0× Medicare (median 1.72× Fair BaseRate) while upper-quartile commercial rates jump +34% to 2.31× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#7 of 9 in AK · 66th State Percentile#2,980 of 3,385 in U.S. · 88th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.33× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 20% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.5× markup over Medicare rates
Commercial insurance median sits at 1.72× Fair BaseRate (2.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.31×) jump +34% above the median procedure ratio (Q50 1.72×)
Unnegotiated chargemaster list prices average 12.8× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.0× Medicare

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

Back-Door Captive & ER0.60× Divergence

1.2× Medicare

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

Quantile Tail Spread+34% Upper Tail

Q25 1.33× · Q50 1.72× · Q75 2.31×

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

2.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.5× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.4× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.9× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.6× MedicareFair

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

2.3× MedicareFair

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

20% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Providence St Elias Specialty Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 135 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$23,807	$30,775	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$17,621	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,069	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,245	$17,936	0.9×
Total hip replacement CPT Code: `27130`	—	$12,897	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$12,897	$13,523	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$7,095	$6,109	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,007	$8,223	0.9×
Inguinal hernia repair CPT Code: `49505`	—	$5,319	$3,629	unverified
Bunion correction surgery CPT Code: `28296`	—	$4,845	$3,446	1.4×
Breast lump removal CPT Code: `19120`	—	$4,635	$3,875	1.2×
C-section delivery (full package) CPT Code: `59510`	—	$4,521	$2,975	1.5×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,277	$3,372	1.3×
Vaginal delivery (full package) CPT Code: `59400`	—	$4,086	$2,680	1.5×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,761	$2,540	1.5×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$3,577	$269	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	$2,039	$1,256	unverified
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$1,934	$257	unverified
Behavioral health residential care HCPCS Code: `H0011`	—	$1,937	$364	unverified
Trauma team activation HCPCS Code: `G0390`	—	$1,572	$1,453	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,595	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,570	$981	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,358	$1,021	1.3×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,188	$855	1.4×
Behavioral health day treatment HCPCS Code: `H0010`	—	$922	$343	2.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,078	$932	$448	2.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$690	$935	$511	1.8×
Residential mental health treatment HCPCS Code: `H2036`	—	$597	$406	1.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,639	$569	$303	1.9×
MRI, lower back (no contrast) CPT Code: `72148`	$360	$569	$338	1.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,547	$569	$343	1.7×
MRI, knee or other leg joint CPT Code: `73721`	$360	$569	$369	1.5×
Behavioral health assessment HCPCS Code: `H0001`	—	$536	$157	3.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,445	$549	$583	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,131	$522	$258	2.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,895	$466	$242	1.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,256	$443	$272	1.6×
Care planning with family CPT Code: `90887`	—	$416	$107	3.9×
Blood transfusion CPT Code: `36430`	$756	$437	$498	0.9×
Ultrasound, pelvis CPT Code: `76856`	$511	$391	$130	3.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$642	$391	$134	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$598	$391	$126	unverified
Residential substance abuse treatment HCPCS Code: `H2035`	—	$342	$88	3.9×
Review of medical records for care CPT Code: `90889`	—	$310	$114	2.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$830	$327	$132	2.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$537	$341	$148	2.3×
New patient office visit (30-44 min) CPT Code: `99203`	—	$286	$110	2.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$295	$123	2.4×
Screening mammogram (both breasts) CPT Code: `77067`	$163	$282	$123	2.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$396	$291	$201	1.4×
Psychological testing by technician CPT Code: `96138`	—	$278	$395	0.7×
X-ray, lower back CPT Code: `72110`	$352	$303	$112	unverified
CT scan, head (no contrast) CPT Code: `70450`	$1,408	$273	$160	1.7×
CT scan, pelvis CPT Code: `72192`	$1,325	$273	$163	1.7×
CT scan, sinuses CPT Code: `70486`	$1,687	$273	$166	1.6×
CT scan, chest (no contrast) CPT Code: `71250`	$883	$273	$167	1.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,034	$273	$168	1.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,485	$273	$169	1.6×
X-ray, chest (two views) CPT Code: `71046`	$438	$226	$93	2.4×
Neurobehavioral status check CPT Code: `96116`	—	$228	$231	1.0×
X-ray, chest (single view) CPT Code: `71045`	$378	$226	$92	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$192	$87	2.2×
Speech therapy (language evaluation) CPT Code: `92507`	$577	$185	$86	2.2×
X-ray, shoulder CPT Code: `73030`	$421	$181	$92	2.0×
X-ray, foot CPT Code: `73630`	$421	$181	$92	2.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$383	$181	$93	1.9×
X-ray, hand CPT Code: `73130`	$397	$181	$93	1.9×
X-ray, ankle CPT Code: `73610`	$401	$181	$93	1.9×
X-ray, hip CPT Code: `73502`	$275	$159	$93	1.7×
X-ray, pelvis CPT Code: `72170`	$403	$181	$110	1.6×
Behavioral health day program HCPCS Code: `H2012`	—	$157	$100	1.6×
Mental health services (assessment) HCPCS Code: `H0031`	—	$179	$140	1.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$187	$166	1.1×
Family therapy session CPT Code: `90847`	—	$187	$173	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$187	$181	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$187	$185	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$303	$126	$64	2.0×
Psychological testing evaluation CPT Code: `96136`	—	$125	$128	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$84	$25	3.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$139	$89	$35	2.5×
Occupational therapy (self-care training) CPT Code: `97535`	$142	$81	$38	2.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$174	$81	$40	2.0×
Orthotic fitting and training CPT Code: `97760`	$174	$89	$51	1.7×
Group therapy session CPT Code: `90853`	—	$107	$100	1.1×
Mental health services (therapy) HCPCS Code: `H0032`	—	$80	$65	1.2×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$624	$203	3.1×
Pneumococcal vaccine HCPCS Code: `90732`	$596	$596	$140	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$501	$286	$111	2.6×
Blood test, vitamin D CPT Code: `82306`	$253	$253	$31	8.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$159	$159	$18	8.8×
Culture, bacterial CPT Code: `87070`	$114	$114	$9	12.7×
Culture, blood CPT Code: `87040`	$128	$128	$11	11.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$128	$128	$14	9.1×
Hepatitis C antibody test CPT Code: `86803`	$134	$134	$15	8.9×
Blood test, vitamin B12 CPT Code: `82607`	$139	$139	$16	8.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$163	$163	$19	8.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$230	$148	$56	2.6×
Blood test, basic metabolic panel CPT Code: `80048`	$88	$88	$9	9.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$106	$106	$11	9.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$112	$39	2.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$84	$84	$10	8.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$109	$109	$14	7.8×
Hepatitis B vaccine HCPCS Code: `90744`	—	$105	$37	2.8×
Blood test, lipase CPT Code: `83690`	$78	$78	$7	11.1×
Blood test, liver function panel CPT Code: `80076`	$73	$73	$9	8.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$169	$75	$35	2.1×
Physical therapy (manual therapy) CPT Code: `97140`	$150	$70	$34	2.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$267	$78	$38	2.1×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$77	$38	2.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$44	$44	$3	14.7×
Blood test, magnesium CPT Code: `83735`	$65	$65	$7	9.3×
Blood test, calcium CPT Code: `82310`	$42	$42	$5	8.4×
Physical therapy (gait training) CPT Code: `97116`	$199	$66	$33	2.0×
Colorectal cancer screening HCPCS Code: `G0010`	—	$91	$49	1.9×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$64	$25	2.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$84	$49	1.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$33	$33	$4	8.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$37	$37	$5	7.4×
Blood test, amylase CPT Code: `82150`	$46	$46	$7	6.6×
Blood test, potassium CPT Code: `84132`	$32	$32	$5	6.4×
Speech therapy (group session) CPT Code: `92508`	$129	$55	$27	2.0×
Prosthetic fitting and training CPT Code: `97761`	$243	$77	$45	1.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	$66	$66	$8	unverified
Blood test, hemoglobin CPT Code: `85018`	$27	$27	$3	9.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$46	$46	$6	7.7×
Blood antibody screen CPT Code: `86850`	$69	$61	$46	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$27	$27	$4	6.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$33	$33	$5	6.6×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$46	$16	2.9×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$32	$14	2.3×
Behavioral health living support HCPCS Code: `H2019`	—	$54	$34	1.6×
Flu vaccine injection HCPCS Code: `G0008`	—	$52	$48	1.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$53	$53	$86	0.6×
Blood test, sodium CPT Code: `84295`	$21	$21	$5	4.2×
Community mental health services HCPCS Code: `H0038`	—	$5	$16	0.3×

Showing top 25 high-impact procedures of 135 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Providence St Elias Specialty Hospital (Zero PHI Required)

CMS CCN: 022001

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $23,807

1. Amount on Your Bill or Quote ($) Pre-filled with Providence St Elias Specialty 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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Providence St Elias Specialty Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$26,362 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($57,137) is $26,362 above the denoised Fair BaseRate ($30,775) and 2.4× the $23,504 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify Providence St Elias Specialty Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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

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 Providence St Elias Specialty Hospital.

Price Index: 1.17× regional baseline

Quality: 54/100 CMS composite

Median Household Income$76,888U.S. Census ACS

Local Uninsured Share12.8%Regional ACS estimate

200% FPL (1 Person)$39,900Common free-care ceiling

400% FPL (Family of 4)$160,760Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 78/100 · Corroborated CMS CCN 022001

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 022001) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows1,130 (CMS v3.0.0)

File Integrity DigestVerified · CCN 022001

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