How many shoppable procedure prices are published for Presence Saints Mary and Elizabeth Medical Center?

Presence Saints Mary and Elizabeth Medical Center in Chicago, IL currently has 104 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Presence Saints Mary and Elizabeth Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Presence Saints Mary and Elizabeth Medical Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Presence Saints Mary and Elizabeth Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Presence Saints Mary and Elizabeth Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Church 296 Beds · rural Updated: 2026-03-17

Presence Saints Mary and Elizabeth Medical Center

2233 W Division St, Chicago, IL 60622 · 104 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.89×vs. Fair Market Price

Typical commercial prices here are 11% below the fair benchmark (0.89×) after accounting for local nurse/doctor wages and patient complexity.

83/100 · Corroborated

83/100Self-Pay Cash Beats Insurance 86% of the Time

File Completeness66

Price Logic99

Peer Alignment74

Clean Billing75

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.89× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Presence Saints Mary and Elizabeth Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.98× Fair BaseRate) and emergency/ancillary services (1.1× Medicare, p75 1.02× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#28 of 126 in IL · 21st State Percentile#576 of 3,385 in U.S. · 16th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 11% below peer Fair BaseRate (0.89×)
Self-pay cash beats commercial insurance on 86% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (67/100 safety score) with 67% 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 (0.89× 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×)
Even at low-cost facilities (0.89× 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 11.2× 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+4% Upper Tail

Q25 0.89× · Q50 0.98× · Q75 1.02×

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

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.3× 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

0.7× MedicareGood

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

86% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 67/100Fair

Procedure Prices at Presence Saints Mary and Elizabeth Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 104 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`	$18,644	$18,210	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$18,526	$18,096	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$17,086	$16,701	$17,936	0.9×
Total hip replacement CPT Code: `27130`	$13,690	$13,691	$13,413	1.0×
Total knee replacement CPT Code: `27447`	$13,690	$13,691	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$8,551	$8,190	$8,223	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$6,446	$6,447	$6,109	1.1×
Breast lump removal CPT Code: `19120`	$4,175	$4,175	$3,875	1.1×
Inguinal hernia repair CPT Code: `49505`	$3,818	$4,009	$3,629	1.1×
Bunion correction surgery CPT Code: `28296`	$3,489	$3,629	$3,446	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,489	$3,489	$3,372	1.0×
Colonoscopy with biopsy CPT Code: `45380`	$1,276	$1,276	$1,256	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$991	$1,041	$981	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	$967	$1,016	$987	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$915	$943	$1,021	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$752	$753	$855	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$582	$583	$583	1.0×
Blood transfusion CPT Code: `36430`	$470	$494	$498	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$372	$409	$511	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$372	$382	$448	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$254	$267	$303	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$254	$280	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$254	$280	$343	0.8×
MRI, knee or other leg joint CPT Code: `73721`	$254	$280	$369	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×
Breathing treatment (nebulizer) CPT Code: `94640`	$233	$234	$201	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$189	$194	$166	1.2×
Family therapy session CPT Code: `90847`	$189	$195	$173	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$189	$194	$181	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$189	$197	$185	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$187	$206	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$187	$206	$258	0.8×
Group therapy session CPT Code: `90853`	$108	$113	$100	1.1×
X-ray, pelvis CPT Code: `72170`	$111	$111	$110	1.0×
X-ray, lower back CPT Code: `72110`	$111	$111	$112	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$111	$117	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$111	$117	$130	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$111	$117	$132	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$111	$117	$134	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$111	$123	$160	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$111	$112	$148	0.8×
CT scan, pelvis CPT Code: `72192`	$111	$123	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$111	$123	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$111	$123	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$111	$123	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$111	$123	$169	0.7×
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×
Speech therapy (language evaluation) CPT Code: `92507`	$77	$81	$86	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$92	$92	$123	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$91	$123	0.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$110	$111	1.0×
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×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$62	$63	$64	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	—	$79	$110	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$49	$50	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$49	$50	$49	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$35	$38	$40	0.9×
Orthotic fitting and training CPT Code: `97760`	$46	$47	$51	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$62	$87	0.7×
Blood test, calcium CPT Code: `82310`	$5	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$5	$6	$5	1.2×
Culture, bacterial CPT Code: `87070`	$8	$10	$9	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$8	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$10	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$13	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$8	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$3	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$6	$7	$7	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$13	$14	$14	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$34	$36	$38	0.9×
Physical therapy (gait training) CPT Code: `97116`	$29	$31	$33	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$33	$35	$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	$35	$38	0.9×
Blood test, lipase CPT Code: `83690`	$6	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$6	$7	$7	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$29	$31	$35	0.9×
Blood test, potassium CPT Code: `84132`	$4	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$18	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$4	$5	$5	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$28	$30	$34	0.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$3	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$2	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$7	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$6	$6	$6	1.0×
Culture, blood CPT Code: `87040`	$10	$11	$11	1.0×
Blood test, vitamin D CPT Code: `82306`	$29	$30	$31	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$19	$19	$20	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×
Diagnostic procedure preparation HCPCS Code: `G0279`	$12	$13	$35	0.4×

Showing top 25 high-impact procedures of 104 total

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

Audit a Bill or Quote at Presence Saints Mary and Elizabeth Medical Center (Zero PHI Required)

CMS CCN: 140180

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $18,644

Insurer Median $18,210

1. Amount on Your Bill or Quote ($) Pre-filled with Presence Saints Mary and Elizabeth 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 $25,060 Paying Cash

Self-Pay Cash Rate ($18,644) Beats Your Bill

Presence Saints Mary and Elizabeth Medical Center's published 45 CFR § 180 self-pay cash rate is $18,644 (vs. $18,210 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$24,617 Above Fair BaseRate

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

Your bill ($43,704) is $24,617 above the denoised Fair BaseRate ($19,087) and 3.1× 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 Presence Saints Mary and Elizabeth 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 ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite67/100

Would Recommend67%

Rated 9 or 10 (HCAHPS)65%

Median ER Wait189 min

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (796 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 Presence Saints Mary and Elizabeth Medical Center.

Price Index: 0.62× regional baseline

Quality: 59/100 CMS composite

Median Household Income$81,797U.S. Census ACS

Local Uninsured Share9.0%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 83/100 · Corroborated CMS CCN 140180

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 140180) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-17

Validated Rate Rows4,970 (CMS v3.0)

File Integrity DigestVerified · CCN 140180

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