OSF Saint Paul Medical Center
1401 E 12Th Street, Mendota, IL 61342 · 90 Priced Procedures · 73% Patient Recommendation
Typical commercial prices here are 22% below the fair benchmark (0.78×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 0.78× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
OSF Saint Paul Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (1.1× Medicare, p50 0.77× Fair BaseRate) and emergency/ancillary services (1.1× Medicare, p75 0.79× 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 22% below peer Fair BaseRate (0.78×)
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (93/100 Cash Honesty)
- CMS clinical safety score (67/100 safety score) with 73% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (7.3% 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 0.77× 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 3.8× Medicare (20¢ 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 Paul Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 90 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $25,070 | 0.8× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $15,075 | 0.8× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $14,969 | 0.8× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $13,682 | 0.8× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $6,050 | 0.7× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $5,718 | 12.8× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $4,850 | 4.8× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $4,614 | 15.2× |
| MRI, knee or other leg joint CPT Code: 73721 | $3,858 | 10.5× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,823 | 7.5× |
| MRI, lower back (no contrast) CPT Code: 72148 | $3,571 | 10.6× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,954 | 5.1× |
| MRI, brain (no contrast) CPT Code: 70551 | $2,809 | 8.2× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $2,363 | 14.0× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,306 | 13.7× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,198 | 8.5× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,981 | 8.2× |
| CT scan, pelvis CPT Code: 72192 | $1,739 | 10.7× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,752 | 10.5× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,640 | 10.3× |
| CT scan, sinuses CPT Code: 70486 | $1,330 | 8.0× |
| Blood transfusion CPT Code: 36430 | $1,241 | 2.5× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,175 | 8.8× |
| Ultrasound, pelvis CPT Code: 76856 | $1,092 | 8.4× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $1,092 | 8.3× |
Audit a Bill or Quote at OSF Saint Paul Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $4,404
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (7.3% of gross = $4,404).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask OSF Saint Paul 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.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($60,168) is $29,393 above the denoised Fair BaseRate ($30,775) and 2.6× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (7.3% 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)Source: CMS Hospital Care Compare (83 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 Paul Medical 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.