How many shoppable procedure prices are published for St Elizabeth Hospital?

St Elizabeth Hospital in Fort Morgan, CO currently has 125 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, St Elizabeth Hospital's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns St Elizabeth Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 33 Beds · rural Updated: 2026-02-05

St Elizabeth Hospital

1000 Lincoln St, Fort Morgan, CO 80701 · 125 Priced Procedures · 66% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.79×vs. Fair Market Price

Typical commercial prices here are 21% below the fair benchmark (0.79×) after accounting for local nurse/doctor wages and patient complexity.

85/100 · Corroborated

85/100Self-Pay Cash Beats Insurance 82% of the Time

File Completeness85

Price Logic88

Peer Alignment68

Clean Billing82

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.79× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

St Elizabeth Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.6× Medicare, p50 0.84× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.93× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#4 of 64 in CO · 4th State Percentile#244 of 3,385 in U.S. · 7th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 21% below peer Fair BaseRate (0.79×)
Self-pay cash beats commercial insurance on 82% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 66% patient recommendation (71/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (25.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.3× markup over Medicare rates
Captive ER (1.1×) & laboratory (1.3×) services average 1.67× higher multiples than routine shoppable care (0.6×)
Even at low-cost facilities (0.79× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Consolidated metro market (HHI 5,564) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.6× Medicare

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

Back-Door Captive & ER1.67× Divergence

1.0× Medicare

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

Quantile Tail Spread+11% Upper Tail

Q25 0.43× · Q50 0.84× · Q75 0.93×

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

0.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.3× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.1× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.3× MedicareGood

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

0.6× MedicareGood

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

82% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 71/100Fair

Procedure Prices at St Elizabeth Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 125 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`	—	$32,533	$30,775	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$19,563	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$19,426	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$17,755	$17,936	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,062	$8,223	unverified
C-section delivery (full package) CPT Code: `59510`	—	$2,553	$2,975	0.9×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,306	$2,680	0.9×
Trauma team activation HCPCS Code: `G0390`	$2,992	$1,335	$1,453	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$799	$707	$855	0.8×
Blood transfusion CPT Code: `36430`	$531	$531	$498	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,473	$511	$1,021	0.5×
Cataract surgery with lens implant CPT Code: `66984`	—	$524	$2,540	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$535	$3,372	0.2×
Bunion correction surgery CPT Code: `28296`	—	$507	$3,446	0.1×
Inguinal hernia repair CPT Code: `49505`	—	$506	$3,629	0.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$331	$331	$64	5.2×
X-ray, pelvis CPT Code: `72170`	$340	$340	$110	3.1×
Rabies immune globulin HCPCS Code: `90375`	$2,858	$274	$322	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,346	$221	$448	0.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,930	$216	$511	0.4×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$175	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	—	$190	$1,256	0.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$401	$132	$151	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$236	$141	$185	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$133	$181	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$142	$142	$201	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$922	$152	$272	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$2,409	$143	$369	0.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$378	$112	$148	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,099	$116	$258	0.4×
MRI, brain (no contrast) CPT Code: `70551`	$2,883	$130	$343	0.4×
Care planning with family CPT Code: `90887`	—	$89	$107	0.8×
Family therapy session CPT Code: `90847`	$88	$101	$173	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$2,672	$124	$338	0.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,872	$126	$583	0.2×
Upper endoscopy with biopsy CPT Code: `43239`	—	$131	$987	0.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$93	$123	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$148	$92	$123	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$116	$116	$86	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$576	$83	$132	0.6×
CT scan, sinuses CPT Code: `70486`	$2,052	$90	$166	0.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$90	$166	0.5×
CT scan, pelvis CPT Code: `72192`	$1,950	$84	$163	0.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,298	$85	$168	0.5×
CT scan, chest (no contrast) CPT Code: `71250`	$2,095	$84	$167	0.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,302	$85	$169	0.5×
CT scan, head (with contrast) CPT Code: `70460`	$2,599	$98	$242	0.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,113	$105	$303	0.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$343	$343	$203	1.7×
Typhoid vaccine HCPCS Code: `90675`	$910	$307	$347	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$217	$217	$111	2.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$109	$109	$56	1.9×
Pneumococcal vaccine HCPCS Code: `90732`	$281	$131	$140	0.9×
Drug screening test HCPCS Code: `G0480`	—	$112	$116	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$64	$64	$39	1.6×
Speech therapy (language evaluation) CPT Code: `92507`	$195	$77	$86	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$63	$87	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	—	$78	$110	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$691	$77	$134	0.6×
Neurobehavioral status check CPT Code: `96116`	—	$76	$231	0.3×
Orthotic fitting and training CPT Code: `97760`	$143	$48	$51	0.9×
Ultrasound, pelvis CPT Code: `76856`	$691	$72	$130	0.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$616	$59	$126	0.5×
CT scan, head (no contrast) CPT Code: `70450`	$2,348	$68	$160	0.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$95	$19	$20	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$13	$14	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$102	$36	$40	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$34	$38	0.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$49	$4	$4	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$80	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$81	$14	$15	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$23	$25	0.9×
Physical therapy (gait training) CPT Code: `97116`	$77	$30	$33	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$30	$33	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$89	$16	$18	0.9×
Culture, bacterial CPT Code: `87070`	$50	$8	$9	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$24	$27	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$120	$33	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$128	$33	$38	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$109	$30	$35	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$66	$31	$37	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$115	$28	$34	0.8×
X-ray, hip CPT Code: `73502`	$637	$37	$93	0.4×
X-ray, lower back CPT Code: `72110`	$939	$39	$112	0.3×
Prosthetic fitting and training CPT Code: `97761`	—	$42	$45	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$56	$47	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$57	$47	$49	unverified
Mental health services (assessment) HCPCS Code: `H0031`	$54	$54	$140	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$51	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$55	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$55	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$55	$4	$4	1.0×
Blood test, lipase CPT Code: `83690`	$75	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$55	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$61	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$55	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$93	$18	$19	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$93	$15	$16	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$72	$13	$14	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$143	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$121	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$131	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$58	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$41	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$71	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$14	$25	0.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	$16	$16	$35	0.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$455	$29	$93	0.3×
X-ray, hand CPT Code: `73130`	$557	$29	$93	0.3×
X-ray, ankle CPT Code: `73610`	$554	$28	$93	0.3×
X-ray, shoulder CPT Code: `73030`	$684	$26	$92	0.3×
X-ray, foot CPT Code: `73630`	$503	$26	$92	0.3×
X-ray, chest (two views) CPT Code: `71046`	$392	$23	$93	0.2×
Group therapy session CPT Code: `90853`	—	$24	$100	0.2×
Blood antibody screen CPT Code: `86850`	$61	$10	$46	0.2×
X-ray, chest (single view) CPT Code: `71045`	$350	$17	$92	0.2×
Psychological testing evaluation CPT Code: `96136`	—	$22	$128	0.2×
Psychological testing by technician CPT Code: `96138`	—	$35	$395	0.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$82	$13	$14	unverified
Blood test, vitamin D CPT Code: `82306`	$220	$29	$31	unverified
Flu vaccine injection HCPCS Code: `G0008`	$257	$47	$48	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$66	$10	$10	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$81	$8	$8	unverified
Culture, blood CPT Code: `87040`	$94	$10	$11	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	unverified

Showing top 25 high-impact procedures of 125 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 25.0%

Audit a Bill or Quote at St Elizabeth Hospital (Zero PHI Required)

CMS CCN: 060044

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $32,533

1. Amount on Your Bill or Quote ($) Pre-filled with St Elizabeth 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 501(r) AGB Cap: $19,496 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $19,496

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (25.0% of gross = $19,496).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask St Elizabeth 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 +$47,304 Above Fair BaseRate

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

Your bill ($78,079) is $47,304 above the denoised Fair BaseRate ($30,775) and 3.3× 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) 501(c)(3) Nonprofit Hospital

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

EIN: 840405257

Filing Period: 194603

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (25.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

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 Overall4/5 Stars (4/5)

Safety Composite71/100

Would Recommend66%

Rated 9 or 10 (HCAHPS)71%

Median ER Wait106 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.4%

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 Elizabeth Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-06-10·administrative_or_closure
Met Requirements
Recorded
2023-09-19·administrative_or_closure
Closure Notice
Recorded
2023-07-10·cap_corrective_action
CAP Request
Recorded
2023-03-23·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (122 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

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

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

Price Index: 1.56× regional baseline

Quality: 68/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Blue Cross Blue Shield

-53.0%

Median Household Income$75,407U.S. Census ACS

Local Uninsured Share10.8%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 85/100 · Corroborated CMS CCN 060044 EIN 840405257

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 060044) ↗ Verify IRS Form 990 (EIN 840405257) ↗ CMS HCRIS Cost Reports ↗

Published MRF File840405257-1164430567_catholic-health-initiatives-colorado_standardcharges.csv

Publication / Vintage2026-02-05 · 672.24 MB

Validated Rate Rows3,931 (CMS v3.0.0)

File Integrity Digestd70cbbc2d8bdfcffe807…

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

St Elizabeth Hospital

Uniform Value Leader · Low-Cost Across Departments

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at St Elizabeth Hospital

Audit a Bill or Quote at St Elizabeth Hospital (Zero PHI Required)

Statutory 501(r) AGB Cap Limits Bill to $19,496

Compare Prompt-Pay Cash Rate Against Remaining Deductible

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

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

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Price Transparency Administrative Enforcement Log

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

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings