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Hospital Profile Acute Care Hospital Proprietary 222 Beds · urban Updated: 2026-09-01

St Lucie Medical Center

1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 · 124 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 1 / 5 Stars
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Above Fair Market · Negotiate
1.25×vs. Fair Market Price
Position vs. 1.00× Fair Price+25% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +25% above the fair benchmark (1.25×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).70/100 · Caution
70/100Self-Pay Cash Beats Insurance 1% of the Time
File Completeness100Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic81Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment60Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing88Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount6Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star Rating2/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score58/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait95 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

2-Star CMS clinical quality rating paired with 1.25× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +69% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

St Lucie Medical Center prices routine shoppable procedures at 2.5× Medicare (median 1.02× Fair BaseRate) while upper-quartile commercial rates jump +69% to 1.72× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#104 of 165 in FL · 62nd State Percentile#2,129 of 3,385 in U.S. · 62nd National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 0.94× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 1% of shoppable procedures (25/100 Cash Honesty)
  • 1-Star CMS clinical rating with 67% patient recommendation (58/100 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 1.02× Fair BaseRate (2.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Upper-quartile procedures (Q75 1.72×) jump +69% above the median procedure ratio (Q50 1.02×)
  • Consolidated metro market (HHI 3,271) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Front-Door ShoppableElective / Imaging
2.5× Medicare

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

Back-Door Captive & ER0.40× Divergence
1.0× Medicare

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

Quantile Tail Spread+69% Upper Tail
Q25 0.94× · Q50 1.02× · Q75 1.72×

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
2.5× MedicareFair
Outpatient Surgery & ORBack-Door Captive
1.2× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
1.8× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
0.6× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
1.6× MedicareGood
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
2.4× MedicareFair
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
1% Cash Edge · 25/100Watchout
CMS Clinical Safety & Star ValueIntegrity & Outcomes
1 CMS · 58/100Elevated

Procedure Prices at St Lucie Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 124 published procedures.

Sort:
Procedure & Billing Code This Hospital vs. Fair
Spinal fusion, single level (inpatient stay)
MS-DRG Code: 451
$28,850 0.9×
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$27,685 unverified
Total hip replacement
CPT Code: 27130
$22,716 1.7×
Total knee replacement
CPT Code: 27447
$21,781 1.6×
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
$19,453 unverified
Gallbladder removal (laparoscopic)
CPT Code: 47562
$18,415 unverified
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
$17,727 0.9×
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
$17,610 0.9×
Heart stent placement (inpatient stay)
MS-DRG Code: 322
$16,912 0.9×
Breast lump removal
CPT Code: 19120
$16,525 unverified
CT scan, head (with and without contrast)
CPT Code: 70470
$16,140 unverified
Knee arthroscopy with meniscus repair
CPT Code: 29881
$15,227 unverified
CT scan, head (with contrast)
CPT Code: 70460
$13,850 unverified
Inguinal hernia repair
CPT Code: 49505
$11,969 3.3×
CT scan, head (no contrast)
CPT Code: 70450
$10,102 63.1×
CT scan, pelvis
CPT Code: 72192
$10,102 62.0×
CT scan, sinuses
CPT Code: 70486
$10,102 60.9×
CT scan, chest (no contrast)
CPT Code: 71250
$10,102 60.5×
CT scan, lower back (lumbar spine)
CPT Code: 72131
$10,102 60.1×
CT scan, neck (cervical spine)
CPT Code: 72125
$10,102 59.8×
MRI, lower back (no contrast)
CPT Code: 72148
$7,845 23.2×
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
$7,858 1.0×
Hepatitis B immune globulin
HCPCS Code: 90371
$6,771 44.8×
Ultrasound, abdomen (complete)
CPT Code: 76700
$6,285 46.9×
Bunion correction surgery
CPT Code: 28296
$5,879 1.7×
Showing top 25 high-impact procedures of 124 total
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at St Lucie Medical Center (Zero PHI Required)

CMS CCN: 100260
CPT 451
Fair BaseRate™ $30,775
Medicare Rate $23,504
Self-Pay Cash Request Quote
Insurer Median $28,850
Pre-filled with St Lucie Medical Center’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
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 Lucie Medical Center'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 +$38,465 Above Fair BaseRate

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

Your bill ($69,240) is $38,465 above the denoised Fair BaseRate ($30,775) and 2.9× 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)

EIN: 621113740

Public IRS & CMS ownership records classify St Lucie Medical Center 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 Composite58/100
Would Recommend67%
Rated 9 or 10 (HCAHPS)63%
Median ER Wait95 min
Left ER Before Seen0%
30-Day Mortality vs U.S.same
Unplanned Readmissionworse
Hip/Knee Complication Rate3.1%

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

Source: CMS Hospital Care Compare (572 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St Lucie Medical Center.

Price Index: 1.00× regional baseline
Quality: 42/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana
-67.5%
Prominence Healthfirst
-48.8%
WellCare
+175.0%
Median Household Income$69,027U.S. Census ACS
Local Uninsured Share12.1%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 70/100 · Caution CMS CCN 100260 EIN 621113740

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

Published MRF File62-1113740_HCA-FLORIDA-ST.-LUCIE-HOSPITAL_standardcharges.json
Publication / Vintage2026-09-01 · 341.85 MB
Validated Rate Rows5,281 (CMS v3.0.0)
File Integrity Digest2f0521eabcb21d009d4d…

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.