How many shoppable procedure prices are published for Holy Family Medical Center?

Holy Family Medical Center in Des Plaines, IL currently has 83 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Holy Family Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Holy Family Medical Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile General Acute Care Hospital Updated: 2026-03-17

Holy Family Medical Center

100 N River Rd, Des Plaines, IL 60016 · 83 Priced Procedures

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

0.95×vs. Fair Market Price

Typical commercial prices here are 5% below the fair benchmark (0.95×) after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 90% of the Time

File Completeness66

Price Logic98

Peer Alignment70

Clean Billing76

Real Cash Discount100

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Holy Family Medical Center prices shoppable and inpatient services (1.0× to 1.1× Medicare, divergence 1.10×) in alignment with regional hospital peers (0.95× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#44 of 126 in IL · 34th State Percentile#966 of 3,385 in U.S. · 28th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 5% below peer Fair BaseRate (0.95×)
Self-pay cash beats commercial insurance on 90% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.95× 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 (1.4×) & laboratory (2.2×) services average 1.10× higher multiples than routine shoppable care (1.0×)
Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 12.4× 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 & ER1.10× Divergence

1.1× Medicare

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

Quantile Tail Spread+5% Upper Tail

Q25 0.87× · Q50 0.95× · Q75 1.00×

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

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.2× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.2× MedicareFair

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

1.2× MedicareGood

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

90% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Holy Family Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 83 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$43,861	$44,081	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$35,212	$35,388	$19,432	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$32,365	$32,365	$8,223	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$24,697	$25,439	$17,936	1.4×
Cataract surgery with lens implant CPT Code: `66984`	$2,460	$2,461	$2,540	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$582	$583	$583	1.0×
Blood transfusion CPT Code: `36430`	$470	$470	$498	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$372	$372	$448	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	—	$244	$86	2.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$254	$254	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$254	$263	$303	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$233	$234	$201	unverified
CT scan, head (with contrast) CPT Code: `70460`	$187	$196	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$187	$196	$258	0.8×
X-ray, chest (single view) CPT Code: `71045`	$92	$93	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$92	$93	$92	1.0×
X-ray, foot CPT Code: `73630`	$92	$93	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	$92	$93	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$92	$93	$93	1.0×
X-ray, hand CPT Code: `73130`	$92	$93	$93	1.0×
X-ray, hip CPT Code: `73502`	$92	$93	$93	1.0×
X-ray, ankle CPT Code: `73610`	$92	$93	$93	1.0×
X-ray, lower back CPT Code: `72110`	$111	$111	$112	1.0×
Ultrasound, pelvis CPT Code: `76856`	$111	$117	$130	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$111	$111	$126	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$111	$117	$134	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$111	$111	$132	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$77	$80	$86	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$97	$123	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$111	$112	$148	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$92	$92	$123	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$111	$117	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$111	$111	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$111	$111	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$111	$111	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$111	$111	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$111	$111	$169	0.7×
X-ray, pelvis CPT Code: `72170`	$111	$111	$110	unverified
New patient office visit (30-44 min) CPT Code: `99203`	—	$84	$110	0.8×
Drug screening test HCPCS Code: `G0480`	$114	$114	$116	1.0×
Blood antibody screen CPT Code: `86850`	$55	$56	$46	1.2×
Flu vaccine injection HCPCS Code: `G0008`	$49	$50	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$49	$50	$49	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$62	$63	$64	1.0×
Orthotic fitting and training CPT Code: `97760`	$46	$47	$51	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$66	$87	0.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$10	$11	$11	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$13	$14	$14	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$35	$36	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$33	$33	$38	0.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$3	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$9	$10	$10	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$33	$34	$38	0.9×
Blood test, calcium CPT Code: `82310`	$5	$5	$5	1.0×
Blood test, lipase CPT Code: `83690`	$6	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$6	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$29	$30	$31	1.0×
Physical therapy (gait training) CPT Code: `97116`	$29	$30	$33	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$29	$31	$35	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$3	$3	$3	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$5	$5	$5	1.0×
Blood test, potassium CPT Code: `84132`	$4	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$4	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$3	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$7	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$6	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$8	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$19	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$18	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$16	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$15	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$14	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$13	$13	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$24	$25	$27	0.9×
Culture, blood CPT Code: `87040`	$10	$10	$11	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$34	$34	$38	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$8	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$8	$8	$9	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$28	$30	$34	0.9×
Blood test, amylase CPT Code: `82150`	$6	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$2	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$12	$13	$35	0.4×

Showing top 25 high-impact procedures of 83 total

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

Audit a Bill or Quote at Holy Family Medical Center (Zero PHI Required)

CMS CCN: 142011

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $43,861

Insurer Median $44,081

1. Amount on Your Bill or Quote ($) Pre-filled with Holy Family Medical Center’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 Save $61,933 Paying Cash

Self-Pay Cash Rate ($43,861) Beats Your Bill

Holy Family Medical Center's published 45 CFR § 180 self-pay cash rate is $43,861 (vs. $44,081 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$86,707 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($105,794) is $86,707 above the denoised Fair BaseRate ($19,087) and 7.5× the $14,117 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify Holy Family 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 ↑

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

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

Regional Quality & Price Benchmark

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

Price Index: 0.57× regional baseline

Quality: 54/100 CMS composite

Median Household Income$84,044U.S. Census ACS

Local Uninsured Share10.3%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 142011

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 142011) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-17

Validated Rate Rows3,854 (CMS v3.0)

File Integrity DigestVerified · CCN 142011

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