HSHS Holy Family Hospital Inc
200 Health Care Dr, Greenville, IL 62246 · 89 Priced Procedures · 67% Patient Recommendation
Typical commercial prices here are +3% above the fair benchmark (1.03×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.03× fair market pricing.
Aligned Regional Benchmark Peer
HSHS Holy Family Hospital Inc prices shoppable and inpatient services (1.0× to 1.0× Medicare, divergence 1.00×) in alignment with regional hospital peers (1.03× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.85× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 58% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 67% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (70.2% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
- Commercial insurance median sits at 0.94× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (1.03× 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.
- Unnegotiated chargemaster list prices average 13.8× Medicare (25¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at HSHS Holy Family Hospital Inc
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 89 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sleep study (overnight, in lab) CPT Code: 95810 | $920 | 0.9× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $586 | 1.0× |
| Blood transfusion CPT Code: 36430 | $473 | 0.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $374 | 0.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $374 | 0.7× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $256 | 0.9× |
| Rabies immune globulin HCPCS Code: 90375 | $280 | 0.9× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $235 | 1.2× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $256 | 0.8× |
| MRI, lower back (no contrast) CPT Code: 72148 | $256 | 0.8× |
| MRI, brain (no contrast) CPT Code: 70551 | $256 | 0.7× |
| MRI, knee or other leg joint CPT Code: 73721 | $256 | 0.7× |
| CT scan, head (with contrast) CPT Code: 70460 | $193 | 0.8× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $193 | 0.7× |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $146 | 1.7× |
| New patient office visit (30-44 min) CPT Code: 99203 | $146 | 1.3× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $146 | 1.2× |
| X-ray, pelvis CPT Code: 72170 | $112 | 1.0× |
| X-ray, chest (single view) CPT Code: 71045 | $93 | 1.0× |
| X-ray, shoulder CPT Code: 73030 | $93 | 1.0× |
| X-ray, foot CPT Code: 73630 | $93 | 1.0× |
| X-ray, chest (two views) CPT Code: 71046 | $93 | 1.0× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $93 | 1.0× |
| X-ray, lower back CPT Code: 72110 | $112 | 1.0× |
| X-ray, hand CPT Code: 73130 | $93 | 1.0× |
Audit a Bill or Quote at HSHS Holy Family Hospital Inc (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $3,379
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (70.2% of gross = $3,379).
Self-Pay Cash Rate ($3,466) Beats Your Bill
HSHS Holy Family Hospital Inc's published 45 CFR § 180 self-pay cash rate is $3,466 (vs. $920 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)
Your bill ($4,814) is $3,793 above the denoised Fair BaseRate ($1,021) and 5.5× the $877 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (70.2% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (38 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for HSHS Holy Family Hospital Inc.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.