How many shoppable procedure prices are published for Presence St Marys Hospital?

Presence St Marys Hospital in Kankakee, IL currently has 99 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Presence St Marys Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Presence St Marys Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Presence St Marys Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Presence St Marys Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Church 169 Beds · urban Updated: 2026-03-17

Presence St Marys Hospital

500 W Court St, Kankakee, IL 60901 · 99 Priced Procedures · 69% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

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.

84/100 · Corroborated

84/100Self-Pay Cash Beats Insurance 84% of the Time

File Completeness66

Price Logic98

Peer Alignment76

Clean Billing78

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 0.95× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Presence St Marys Hospital 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.

#41 of 126 in IL · 31st State Percentile#963 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 84% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 69% patient recommendation (67/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (11.0% AGB cap)

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 (0.7×) & laboratory (3.6×) 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
Consolidated metro market (HHI 5,346) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

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 0.85× · Q50 0.96× · 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

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.8× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.6× MedicareElevated

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

1.2× MedicareGood

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

84% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 67/100Fair

Procedure Prices at Presence St Marys Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 99 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`	$15,864	$16,658	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$15,758	$16,547	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$14,469	$15,171	$17,936	0.8×
Total knee replacement CPT Code: `27447`	$13,690	$13,691	$13,523	1.0×
Total hip replacement CPT Code: `27130`	$13,690	$13,691	$13,413	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$6,830	$7,172	$8,223	0.9×
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	unverified
Inguinal hernia repair CPT Code: `49505`	$3,818	$3,818	$3,629	1.1×
Bunion correction surgery CPT Code: `28296`	$3,489	$3,664	$3,446	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,489	$3,489	$3,372	1.0×
Trauma team activation HCPCS Code: `G0390`	—	$3,483	$1,453	unverified
Cataract surgery with lens implant CPT Code: `66984`	$2,460	$2,461	$2,540	1.0×
Colonoscopy with biopsy CPT Code: `45380`	$1,276	$1,276	$1,256	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$915	$916	$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	$470	$498	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$372	$372	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$372	$372	$511	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$233	$234	$201	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$254	$254	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$254	$264	$303	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$254	$254	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$254	$254	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$254	$254	$369	0.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	$189	$199	$185	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$187	$201	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$187	$201	$258	0.8×
X-ray, shoulder CPT Code: `73030`	$92	$93	$92	1.0×
X-ray, lower back CPT Code: `72110`	$111	$111	$112	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$111	$120	$160	0.8×
X-ray, chest (single view) CPT Code: `71045`	$92	$93	$92	1.0×
X-ray, foot CPT Code: `73630`	$92	$93	$92	1.0×
X-ray, pelvis CPT Code: `72170`	$111	$111	$110	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×
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×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$101	$101	$148	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×
Ultrasound, pelvis CPT Code: `76856`	$111	$117	$130	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$83	$83	$123	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	unverified
Drug screening test HCPCS Code: `G0480`	$114	$88	$116	0.8×
Blood antibody screen CPT Code: `86850`	$55	$56	$46	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$62	$63	$64	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$73	$77	$86	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$49	$50	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$49	$50	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$49	$50	$49	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$32	$33	$38	0.9×
Orthotic fitting and training CPT Code: `97760`	$43	$44	$51	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$31	$31	$38	0.8×
Group therapy session CPT Code: `90853`	$108	$47	$100	0.5×
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, calcium CPT Code: `82310`	$5	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$5	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$13	$14	$14	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$9	$10	$10	1.0×
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, vitamin D CPT Code: `82306`	$29	$30	$31	1.0×
Prosthetic fitting and training CPT Code: `97761`	$38	$39	$45	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$33	$34	$40	0.8×
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, glucose (blood sugar) CPT Code: `82947`	$3	$4	$4	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, hemoglobin CPT Code: `85018`	$2	$3	$3	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, thyroid (TSH) CPT Code: `84443`	$16	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$15	$15	$16	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$12	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$10	$10	$11	0.9×
Blood test, liver function panel CPT Code: `80076`	$8	$8	$9	0.9×
Physical therapy (gait training) CPT Code: `97116`	$28	$28	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$31	$32	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$28	$29	$35	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$4	$5	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$11	$12	$35	0.3×
Blood test, lipase CPT Code: `83690`	$6	$7	$7	unverified
Blood test, magnesium CPT Code: `83735`	$6	$7	$7	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$7	$8	$8	unverified
Hepatitis C antibody test CPT Code: `86803`	$14	$14	$15	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$26	$28	$34	unverified

Showing top 25 high-impact procedures of 99 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 11.0%

Audit a Bill or Quote at Presence St Marys Hospital (Zero PHI Required)

CMS CCN: 140155

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $15,864

Insurer Median $16,658

1. Amount on Your Bill or Quote ($) Pre-filled with Presence St Marys Hospital’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 501(r) AGB Cap: $4,398 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $4,398

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (11.0% of gross = $4,398).

Step 2 · Cash vs. Insurance Arbitrage Save $24,115 Paying Cash

Self-Pay Cash Rate ($15,864) Beats Your Bill

Presence St Marys Hospital's published 45 CFR § 180 self-pay cash rate is $15,864 (vs. $16,658 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$20,892 Above Fair BaseRate

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

Your bill ($39,979) is $20,892 above the denoised Fair BaseRate ($19,087) and 2.8× 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) 501(c)(3) Nonprofit Hospital

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

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (11.0% 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.

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 Recommend69%

Rated 9 or 10 (HCAHPS)64%

Median ER Wait146 min

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.3%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (413 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 Quality & Price Benchmark Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Presence St Marys Hospital.

Price Index: 0.42× regional baseline

Quality: 59/100 CMS composite

Median Household Income$68,325U.S. Census ACS

Local Uninsured Share5.6%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 84/100 · Corroborated CMS CCN 140155

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 140155) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-17

Validated Rate Rows5,345 (CMS v3.0)

File Integrity DigestVerified · CCN 140155

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