How many shoppable procedure prices are published for Sacred Heart Hospital on the Emerald Coast?

Sacred Heart Hospital on the Emerald Coast in Miramar Beach, FL currently has 110 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Sacred Heart Hospital on the Emerald Coast's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Sacred Heart Hospital on the Emerald Coast's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Sacred Heart Hospital on the Emerald Coast's CMS Care Compare overall star rating?

CMS Care Compare assigns Sacred Heart Hospital on the Emerald Coast an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 80 Beds · rural Updated: 01/01/2026

Sacred Heart Hospital on the Emerald Coast

7800 Us Hwy 98 W, Miramar Beach, FL 32550 · 110 Priced Procedures · 73% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.94×vs. Fair Market Price

Typical commercial prices here are 6% below the fair benchmark (0.94×) after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 12% of the Time

File Completeness66

Price Logic99

Peer Alignment68

Clean Billing72

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.94× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Sacred Heart Hospital on the Emerald Coast prices shoppable and inpatient services (1.2× to 1.0× Medicare, divergence 0.83×) in alignment with regional hospital peers (0.94× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#31 of 165 in FL · 18th State Percentile#902 of 3,385 in U.S. · 26th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 6% below peer Fair BaseRate (0.94×)
Self-pay cash beats commercial insurance on 12% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (71/100 safety score) with 73% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (7.3% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
Commercial insurance median sits at 0.95× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.94× 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 3,306) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER0.83× Divergence

1.0× Medicare

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

Quantile Tail Spread+3% Upper Tail

Q25 0.82× · Q50 0.95× · Q75 0.98×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.7× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.7× MedicareGood

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

0.5× MedicareGood

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

12% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 71/100Fair

Procedure Prices at Sacred Heart Hospital on the Emerald Coast

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 110 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total knee replacement CPT Code: `27447`	—	$27,207	$13,523	2.0×
Total hip replacement CPT Code: `27130`	—	$25,632	$13,413	1.9×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$19,069	$30,775	0.6×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$17,619	$3,372	5.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$11,696	$19,087	0.6×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$11,614	$19,432	0.6×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$11,438	$17,936	0.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,470	$8,223	1.2×
Colonoscopy with biopsy CPT Code: `45380`	—	$8,774	$1,256	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	—	$4,091	$1,021	4.0×
Upper endoscopy with biopsy CPT Code: `43239`	—	$955	$987	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$929	$981	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,560	$556	$583	1.0×
Blood transfusion CPT Code: `36430`	—	$443	$498	0.9×
Psychological testing by technician CPT Code: `96138`	—	$405	$395	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,104	$366	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,326	$366	$511	0.7×
Neurobehavioral status check CPT Code: `96116`	—	$316	$231	1.4×
Rabies immune globulin HCPCS Code: `90375`	$1,054	$296	$322	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$828	$245	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,104	$247	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,286	$247	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$800	$247	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,326	$247	$369	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$206	$201	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$163	$166	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$146	$151	1.0×
Family therapy session CPT Code: `90847`	—	$163	$173	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$163	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$163	$185	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$2,104	$182	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,104	$182	$258	0.7×
Psychological testing evaluation CPT Code: `96136`	—	$131	$128	1.0×
X-ray, pelvis CPT Code: `72170`	$833	$108	$110	1.0×
X-ray, lower back CPT Code: `72110`	$1,516	$109	$112	1.0×
X-ray, hip CPT Code: `73502`	$300	$90	$93	1.0×
X-ray, chest (single view) CPT Code: `71045`	$487	$89	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$1,678	$89	$92	1.0×
X-ray, foot CPT Code: `73630`	$839	$89	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	$560	$89	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$348	$89	$93	1.0×
X-ray, hand CPT Code: `73130`	$844	$89	$93	1.0×
X-ray, ankle CPT Code: `73610`	$896	$89	$93	1.0×
Group therapy session CPT Code: `90853`	—	$94	$100	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$2,155	$109	$126	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	—	$95	$110	0.9×
Ultrasound, pelvis CPT Code: `76856`	$2,188	$109	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$940	$109	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,552	$109	$134	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$768	$104	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$529	$86	$123	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$1,953	$109	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$1,925	$109	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$1,896	$109	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$995	$109	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,844	$109	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,104	$109	$169	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$81	$123	0.7×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$362	$203	1.8×
Typhoid vaccine HCPCS Code: `90675`	$577	$324	$347	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$112	$220	$140	1.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$106	$188	$111	1.7×
Drug screening test HCPCS Code: `G0480`	$59	$114	$116	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$129	$36	$20	1.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$58	$59	$39	1.5×
Flu vaccine (high dose) HCPCS Code: `90656`	$25	$37	$25	1.5×
Hepatitis B vaccine HCPCS Code: `90744`	$30	$52	$37	1.4×
Blood antibody screen CPT Code: `86850`	$65	$54	$46	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$166	$64	$56	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$60	$64	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$284	$74	$86	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$68	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$69	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$13	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$73	$30	$31	1.0×
Prosthetic fitting and training CPT Code: `97761`	$103	$40	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$88	$45	$51	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$51	$87	0.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$50	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$47	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$115	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$29	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$251	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$18	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$294	$10	$10	1.0×
Blood test, magnesium CPT Code: `83735`	$35	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$24	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$121	$19	$19	1.0×
Care planning with family CPT Code: `90887`	—	$35	$107	0.3×
Blood test, lipase CPT Code: `83690`	$97	$7	$7	1.0×
Blood test, sodium CPT Code: `84295`	$24	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$13	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$91	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$3	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$273	$9	$9	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$124	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$195	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$70	$14	$15	0.9×
Culture, blood CPT Code: `87040`	$323	$10	$11	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$131	$33	$38	0.9×
Speech therapy (group session) CPT Code: `92508`	$98	$23	$27	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$116	$34	$40	0.8×
Blood test, liver function panel CPT Code: `80076`	$75	$8	$9	0.9×
Physical therapy (gait training) CPT Code: `97116`	$123	$28	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$138	$32	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$94	$31	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$104	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$120	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$107	$27	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$9	$2	$3	0.7×

Showing top 25 high-impact procedures of 110 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 7.3%

Audit a Bill or Quote at Sacred Heart Hospital on the Emerald Coast (Zero PHI Required)

CMS CCN: 100292

CPT 27447

Select Procedure to Audit:

Fair BaseRate™ $13,523

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $27,207

1. Amount on Your Bill or Quote ($) Pre-filled with Sacred Heart Hospital on the Emerald Coast’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: $4,780 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $4,780

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (7.3% of gross = $4,780).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Sacred Heart Hospital on the Emerald Coast'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 +$51,774 Above Fair BaseRate

Negotiate Toward $13,523 Fair BaseRate ($13,117 Medicare)

Your bill ($65,297) is $51,774 above the denoised Fair BaseRate ($13,523) and 5.0× the $13,117 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)

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 (7.3% 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 Recommend73%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait181 min

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 Infectionsame

Source: CMS Hospital Care Compare (279 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 Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Sacred Heart Hospital on the Emerald Coast.

Price Index: 0.57× regional baseline

Quality: 67/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Cigna

+70.0%

Median Household Income$79,281U.S. Census ACS

Local Uninsured Share14.1%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 82/100 · Corroborated CMS CCN 100292

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 100292) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage01/01/2026

Validated Rate Rows2,885 (CMS v3.0.0)

File Integrity DigestVerified · CCN 100292

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