How many shoppable procedure prices are published for Blessing Hospital?

Blessing Hospital in Quincy, IL currently has 133 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

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

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

CMS Care Compare assigns Blessing 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 - Private 309 Beds · rural Updated: 2026-06-08

Blessing Hospital

1005 Broadway St, Quincy, IL 62301 · 133 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.87×vs. Fair Market Price

Typical commercial prices here are 13% below the fair benchmark (0.87×) after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 41% of the Time

File Completeness51

Price Logic92

Peer Alignment54

Clean Billing85

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.87× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Blessing Hospital prices routine shoppable procedures near 0.8× Medicare (p50 0.77×) while skewing captive emergency, lab, and upper-quartile codes to 1.7× Medicare (p75 1.24×, +61% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#22 of 126 in IL · 16th State Percentile#500 of 3,385 in U.S. · 14th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 13% below peer Fair BaseRate (0.87×)
Self-pay cash beats commercial insurance on 41% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 68% patient recommendation (65/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (59.8% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.87× 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.
Captive ER (1.2×) & laboratory (2.7×) services average 2.13× higher multiples than routine shoppable care (0.8×)
Upper-quartile procedures (Q75 1.24×) jump +61% above the median procedure ratio (Q50 0.77×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.8× Medicare

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

Back-Door Captive & ER2.13× Divergence

1.7× Medicare

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

Quantile Tail Spread+61% Upper Tail

Q25 0.45× · Q50 0.77× · Q75 1.24×

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

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.7× MedicareFair

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

0.5× MedicareGood

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

41% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 65/100Fair

Procedure Prices at Blessing Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 133 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`	—	$20,475	$30,775	0.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$12,312	$19,087	0.6×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$12,226	$19,432	0.6×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$11,175	$17,936	0.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$4,941	$8,223	0.6×
C-section delivery (full package) CPT Code: `59510`	$5,259	$3,450	$2,975	1.2×
Vaginal delivery (full package) CPT Code: `59400`	$4,699	$3,450	$2,680	unverified
Total hip replacement CPT Code: `27130`	$2,704	$2,564	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$2,888	$2,563	$13,523	0.2×
Trauma team activation HCPCS Code: `G0390`	—	$1,530	$1,453	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,682	$1,257	$6,109	0.2×
Bunion correction surgery CPT Code: `28296`	$1,592	$1,056	$3,446	0.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,028	$1,007	$3,372	0.3×
Inguinal hernia repair CPT Code: `49505`	$1,518	$990	$3,629	0.3×
Injection procedure for pain management HCPCS Code: `G0260`	$2,204	$810	$855	0.9×
Cataract surgery with lens implant CPT Code: `66984`	$984	$701	$2,540	0.3×
Breast lump removal CPT Code: `19120`	$980	$657	$3,875	0.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,057	$552	$1,021	0.5×
Rabies immune globulin HCPCS Code: `90375`	—	$422	$322	1.3×
Colonoscopy with biopsy CPT Code: `45380`	$862	$431	$1,256	0.3×
Upper endoscopy with biopsy CPT Code: `43239`	$670	$329	$987	0.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,138	$293	$511	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$616	$308	$981	0.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$607	$250	$448	0.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$284	$204	$185	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$252	$204	$181	unverified
Care planning with family CPT Code: `90887`	—	$166	$107	1.6×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$174	$151	1.2×
Family therapy session CPT Code: `90847`	$171	$187	$173	1.1×
Neurobehavioral status check CPT Code: `96116`	$160	$164	$231	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$625	$167	$583	0.3×
Review of medical records for care CPT Code: `90889`	—	$135	$114	1.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$171	$150	$166	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$448	$159	$258	0.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$618	$158	$272	0.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$389	$174	$303	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$747	$181	$338	0.5×
MRI, brain (no contrast) CPT Code: `70551`	$837	$182	$343	0.5×
MRI, knee or other leg joint CPT Code: `73721`	$1,176	$180	$369	0.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$385	$103	$134	0.8×
CT scan, pelvis CPT Code: `72192`	$396	$125	$163	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$409	$124	$167	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$416	$124	$169	0.7×
CT scan, sinuses CPT Code: `70486`	$435	$121	$166	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$408	$122	$168	0.7×
CT scan, head (with contrast) CPT Code: `70460`	$418	$138	$242	0.6×
Speech therapy (language evaluation) CPT Code: `92507`	$136	$135	$86	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$152	$99	$110	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$175	$99	$123	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$305	$89	$123	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$467	$107	$148	0.7×
Ultrasound, pelvis CPT Code: `76856`	$342	$91	$130	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$329	$90	$132	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$320	$101	$160	0.6×
Typhoid vaccine HCPCS Code: `90675`	$340	$478	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$208	$190	$203	0.9×
Blood test, lipase CPT Code: `83690`	$129	$129	$7	18.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$136	$136	$14	9.7×
Pneumococcal vaccine HCPCS Code: `90732`	$140	$148	$140	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$110	$110	$111	1.0×
Blood test, vitamin D CPT Code: `82306`	$246	$61	$31	2.0×
Drug screening test HCPCS Code: `G0480`	$219	$80	$116	0.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$294	$76	$126	0.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$41	$41	$10	4.1×
Speech therapy (group session) CPT Code: `92508`	—	$39	$27	1.4×
Occupational therapy (self-care training) CPT Code: `97535`	—	$49	$38	1.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$49	$45	$35	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$47	$38	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$98	$56	$56	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$124	$68	$87	0.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$103	$25	$20	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$46	$42	$34	1.2×
Physical therapy (gait training) CPT Code: `97116`	—	$40	$33	1.2×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$46	$38	1.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$58	$48	$40	1.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$224	$39	$35	1.1×
Extended office visit (prolonged) HCPCS Code: `G2212`	$45	$36	$33	1.1×
Orthotic fitting and training CPT Code: `97760`	—	$53	$51	1.0×
Prosthetic fitting and training CPT Code: `97761`	—	$46	$45	1.0×
Behavioral health day program HCPCS Code: `H2012`	—	$54	$100	0.5×
Group therapy session CPT Code: `90853`	$51	$45	$100	0.5×
Psychological testing evaluation CPT Code: `96136`	$77	$55	$128	0.4×
X-ray, lower back CPT Code: `72110`	$90	$42	$112	0.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$71	$30	$93	0.3×
X-ray, chest (two views) CPT Code: `71046`	$56	$23	$93	0.2×
X-ray, pelvis CPT Code: `72170`	$48	$25	$110	0.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$103	$38	$19	unverified
Blood test, calcium CPT Code: `82310`	$107	$11	$5	2.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$62	$22	$11	2.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$13	$10	$5	2.0×
Blood test, magnesium CPT Code: `83735`	$77	$14	$7	2.0×
Blood test, sodium CPT Code: `84295`	$75	$10	$5	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$35	$16	$8	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$82	$12	$6	2.0×
Blood test, vitamin B12 CPT Code: `82607`	$68	$31	$16	1.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$69	$27	$14	1.9×
Culture, blood CPT Code: `87040`	$225	$21	$11	1.9×
Blood test, liver function panel CPT Code: `80076`	$144	$17	$9	1.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$73	$34	$18	1.9×
Blood test, amylase CPT Code: `82150`	$104	$13	$7	1.9×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$13	$14	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$34	$35	$39	0.9×
X-ray, hip CPT Code: `73502`	$77	$38	$93	0.4×
Blood test, potassium CPT Code: `84132`	$91	$9	$5	1.8×
Blood test, hemoglobin CPT Code: `85018`	$6	$5	$3	1.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$24	$8	$5	1.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$30	$28	$25	1.1×
Flu vaccine (high dose) HCPCS Code: `90656`	$16	$22	$25	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$50	$32	$37	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$58	$23	$48	0.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$58	$23	$49	0.5×
Colorectal cancer screening HCPCS Code: `G0010`	$58	$23	$49	0.5×
Mental health services (therapy) HCPCS Code: `H0032`	—	$27	$65	0.4×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$32	$88	0.4×
X-ray, hand CPT Code: `73130`	$86	$28	$93	0.3×
X-ray, ankle CPT Code: `73610`	$58	$28	$93	0.3×
X-ray, shoulder CPT Code: `73030`	$55	$26	$92	0.3×
X-ray, foot CPT Code: `73630`	$55	$26	$92	0.3×
Behavioral health living support HCPCS Code: `H2019`	—	$8	$34	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$16	$13	$64	0.2×
X-ray, chest (single view) CPT Code: `71045`	$43	$18	$92	0.2×
Blood antibody screen CPT Code: `86850`	$168	$9	$46	0.2×
Mental health services (assessment) HCPCS Code: `H0031`	—	$27	$140	0.2×
Behavioral health assessment HCPCS Code: `H0001`	—	$25	$157	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$27	$23	$201	0.1×
Psychological testing by technician CPT Code: `96138`	$60	$43	$395	0.1×
Blood test, basic metabolic panel CPT Code: `80048`	$47	$17	$9	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$20	$6	$3	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$10	$8	$4	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$93	$8	$4	unverified
Hepatitis C antibody test CPT Code: `86803`	$137	$29	$15	unverified
Culture, bacterial CPT Code: `87070`	$220	$18	$9	unverified

Showing top 25 high-impact procedures of 133 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 59.8%

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

CMS CCN: 140015

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $20,475

1. Amount on Your Bill or Quote ($) Pre-filled with Blessing 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: $29,391 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $29,391

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (59.8% of gross = $29,391).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Blessing 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 +$18,365 Above Fair BaseRate

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

Your bill ($49,140) is $18,365 above the denoised Fair BaseRate ($30,775) and 2.1× 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: 370661183

Filing Period: 193810

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 (59.8% 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 Overall3/5 Stars (3/5)

Safety Composite65/100

Would Recommend68%

Rated 9 or 10 (HCAHPS)71%

Median ER Wait161 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.8%

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

2026-04-13·warning_notice
Warning Notice
Recorded
2025-05-21·administrative_or_closure
Closure Notice
Recorded
2025-04-24·warning_notice
Warning Notice
Recorded
2023-08-18·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (430 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 Blessing Hospital.

Price Index: 1.00× regional baseline

Quality: 60/100 CMS composite

Median Household Income$64,962U.S. Census ACS

Local Uninsured Share4.8%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 76/100 · Corroborated CMS CCN 140015 EIN 370661183

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 140015) ↗ Verify IRS Form 990 (EIN 370661183) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-06-08

Validated Rate Rows5,278 (CMS v3.0.0)

File Integrity DigestVerified · CCN 140015

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