How many shoppable procedure prices are published for St. Mary's Hospital?

St. Mary's Hospital in Tucson, AZ currently has 123 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do St. Mary's Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, St. Mary's Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is St. Mary's Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns St. Mary's Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 357 Beds · rural Updated: 2026-04-06

St. Mary's Hospital

1601 West St Mary's Road, Tucson, AZ 85745 · 123 Priced Procedures · 54% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Good Deal · Below Fair Market

0.86×vs. Fair Market Price

Typical commercial prices here are 14% below the fair benchmark (0.86×) after accounting for local nurse/doctor wages and patient complexity.

72/100 · Corroborated

72/100Self-Pay Cash Beats Insurance 1% of the Time

File Completeness61

Price Logic69

Peer Alignment56

Clean Billing79

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 0.86× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

St. Mary's Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.87× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 1.10× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#9 of 56 in AZ · 14th State Percentile#452 of 3,385 in U.S. · 13th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 14% below peer Fair BaseRate (0.86×)
Self-pay cash beats commercial insurance on 1% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 54% patient recommendation (57/100 safety score)
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 1.2× markup over Medicare rates
Commercial insurance median sits at 0.87× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.10×) jump +26% above the median procedure ratio (Q50 0.87×)
Unnegotiated chargemaster list prices average 16.0× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

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

Quantile Tail Spread+26% Upper Tail

Q25 0.74× · Q50 0.87× · Q75 1.10×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

4.4× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

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

0.6× MedicareGood

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

1% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 57/100Elevated

Procedure Prices at St. Mary's Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 123 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`	—	$38,707	$30,775	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$24,517	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$21,779	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$20,957	$17,936	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,938	$8,223	1.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$4,813	$4,813	$151	unverified
C-section delivery (full package) CPT Code: `59510`	—	$3,288	$2,975	1.1×
Vaginal delivery (full package) CPT Code: `59400`	—	$3,164	$2,680	1.2×
Blood transfusion CPT Code: `36430`	$2,669	$2,107	$498	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$1,999	$3,372	0.6×
Cataract surgery with lens implant CPT Code: `66984`	—	$1,969	$2,540	0.8×
Inguinal hernia repair CPT Code: `49505`	—	$1,910	$3,629	0.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$1,606	$6,109	0.3×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,486	$855	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$1,029	$1,029	$123	8.4×
Psychiatric evaluation (first visit) CPT Code: `90791`	$1,037	$1,037	$185	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$920	$920	$64	unverified
Rabies immune globulin HCPCS Code: `90375`	$876	$876	$322	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$614	$614	$110	5.6×
Sleep study (overnight, in lab) CPT Code: `95810`	$10,339	$618	$1,021	0.6×
Colonoscopy with biopsy CPT Code: `45380`	—	$519	$1,256	0.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$508	$508	$201	unverified
Upper endoscopy with biopsy CPT Code: `43239`	—	$446	$987	0.5×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$410	$981	0.4×
Mental health services (assessment) HCPCS Code: `H0031`	—	$353	$140	2.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$12,636	$368	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$11,055	$368	$511	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$318	$318	$166	unverified
Mental health services (therapy) HCPCS Code: `H0032`	—	$243	$65	3.7×
Review of medical records for care CPT Code: `90889`	—	$250	$114	2.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$12,032	$230	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$6,595	$230	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$7,826	$230	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$10,290	$230	$369	0.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$246	$246	$86	unverified
Behavioral health day program HCPCS Code: `H2012`	—	$159	$100	1.6×
CT scan, head (with contrast) CPT Code: `70460`	$4,297	$179	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$5,051	$179	$258	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$3,964	$184	$272	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$7,127	$153	$583	0.3×
Speech therapy (language evaluation) CPT Code: `92507`	$702	$95	$86	1.1×
X-ray, lower back CPT Code: `72110`	$1,529	$109	$112	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,706	$109	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$2,627	$109	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$2,018	$109	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$3,067	$109	$134	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,175	$117	$148	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$1,020	$97	$123	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$4,496	$109	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$5,872	$109	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$4,814	$109	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$5,633	$109	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$7,448	$109	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$9,592	$109	$169	0.6×
X-ray, chest (single view) CPT Code: `71045`	$951	$81	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$2,284	$81	$92	0.9×
X-ray, foot CPT Code: `73630`	$1,932	$81	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$1,004	$81	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,058	$81	$93	0.9×
X-ray, hand CPT Code: `73130`	$1,929	$81	$93	0.9×
X-ray, hip CPT Code: `73502`	$1,186	$81	$93	0.9×
X-ray, ankle CPT Code: `73610`	$1,929	$81	$93	0.9×
Typhoid vaccine HCPCS Code: `90675`	$3,105	$3,105	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$691	$203	3.4×
Pneumococcal vaccine HCPCS Code: `90732`	$521	$521	$140	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$544	$376	$111	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$210	$145	$56	2.6×
Hepatitis B vaccine HCPCS Code: `90744`	$137	$117	$37	3.2×
Drug screening test HCPCS Code: `G0480`	—	$103	$116	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$115	$39	unverified
Flu vaccine injection HCPCS Code: `G0008`	$125	$121	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$125	$121	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$125	$125	$49	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$92	$75	$25	3.0×
Behavioral health living support HCPCS Code: `H2019`	—	$61	$34	1.8×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$39	$33	1.2×
Orthotic fitting and training CPT Code: `97760`	$535	$58	$51	1.1×
Prosthetic fitting and training CPT Code: `97761`	$236	$51	$45	1.1×
X-ray, pelvis CPT Code: `72170`	$987	$76	$110	0.7×
Speech therapy (group session) CPT Code: `92508`	—	$30	$27	1.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$344	$42	$38	1.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$319	$44	$40	1.1×
Physical therapy (gait training) CPT Code: `97116`	$269	$36	$33	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$376	$15	$14	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$319	$40	$38	1.1×
Occupational therapy (self-care training) CPT Code: `97535`	$319	$40	$38	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$302	$36	$35	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$371	$34	$34	1.0×
Psychological testing evaluation CPT Code: `96136`	—	$51	$128	0.4×
Psychological testing by technician CPT Code: `96138`	—	$42	$395	0.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$16	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$46	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$27	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$35	$4	$4	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$81	$4	$4	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$55	$10	$11	0.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$50	$9	$10	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$165	$17	$19	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$43	$8	$9	0.9×
Culture, bacterial CPT Code: `87070`	$599	$8	$9	0.9×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$24	$27	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$78	$14	$16	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$57	$7	$8	0.9×
Blood test, vitamin D CPT Code: `82306`	$247	$27	$31	0.9×
Hepatitis C antibody test CPT Code: `86803`	$128	$13	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$69	$12	$14	0.9×
Blood test, amylase CPT Code: `82150`	$58	$6	$7	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$124	$12	$14	0.9×
Blood test, lipase CPT Code: `83690`	$63	$6	$7	0.9×
Blood test, magnesium CPT Code: `83735`	$36	$6	$7	0.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$17	$20	0.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$86	$15	$18	0.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$54	$5	$6	0.8×
Culture, blood CPT Code: `87040`	$53	$9	$11	0.8×
Blood test, potassium CPT Code: `84132`	$41	$4	$5	0.8×
Blood test, sodium CPT Code: `84295`	$26	$4	$5	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$36	$4	$5	0.8×
Blood test, liver function panel CPT Code: `80076`	$42	$7	$9	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$25	$35	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$17	$25	0.7×
Blood test, hemoglobin CPT Code: `85018`	$22	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$458	$9	$46	0.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$610	$18	$87	unverified

Showing top 25 high-impact procedures of 123 total

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

Audit a Bill or Quote at St. Mary's Hospital (Zero PHI Required)

CMS CCN: 030010

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $38,707

1. Amount on Your Bill or Quote ($) Pre-filled with St. Mary's 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 St. Mary's 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 +$62,122 Above Fair BaseRate

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

Your bill ($92,897) is $62,122 above the denoised Fair BaseRate ($30,775) and 4.0× 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 St. Mary's 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 ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite57/100

Would Recommend54%

Rated 9 or 10 (HCAHPS)56%

Median ER Wait186 min

Left ER Before Seen5%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at St. Mary's Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-03-12·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (1,079 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St. Mary's Hospital.

Price Index: 0.66× regional baseline

Quality: 42/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

+72.0%

Median Household Income$67,929U.S. Census ACS

Local Uninsured Share8.9%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 72/100 · Corroborated CMS CCN 030010

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 030010) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-06

Validated Rate Rows1,630 (CMS v3.0.0)

File Integrity DigestVerified · CCN 030010

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