OSF Saint Anthony's Health Center
St Anthony's Way, Alton, IL 62002 · 124 Priced Procedures · 76% Patient Recommendation
Typical commercial prices here are 18% below the fair benchmark (0.82×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 0.82× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
OSF Saint Anthony's Health Center maintains low, disciplined commercial pricing across both routine shoppable procedures (1.1× Medicare, p50 0.95× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 1.01× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 18% below peer Fair BaseRate (0.82×)
- Self-pay cash beats commercial insurance on 7% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 76% patient recommendation (69/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (9.1% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
- Commercial insurance median sits at 0.95× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 1.3× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 13.7× Medicare (14¢ 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 OSF Saint Anthony's Health 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.
Audit a Bill or Quote at OSF Saint Anthony's Health Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $5,764
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (9.1% of gross = $5,764).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask OSF Saint Anthony's Health Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($63,415) is $32,640 above the denoised Fair BaseRate ($30,775) and 2.7× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (9.1% 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
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at OSF Saint Anthony's Health Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2026-04-14·administrative_or_closure
Closure Notice
Recorded - 2026-01-07·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (323 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 OSF Saint Anthony's Health Center.
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.