How many shoppable procedure prices are published for Saint Joseph Hospital-Elgin?

Saint Joseph Hospital-Elgin in Elgin, IL currently has 100 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Saint Joseph Hospital-Elgin's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Saint Joseph Hospital-Elgin's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Saint Joseph Hospital-Elgin's CMS Care Compare overall star rating?

CMS Care Compare assigns Saint Joseph Hospital-Elgin 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 144 Beds · urban Updated: 2026-03-17

Saint Joseph Hospital-Elgin

77 N Airlite Street, Elgin, IL 60123 · 100 Priced Procedures · 64% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.88×vs. Fair Market Price

Typical commercial prices here are 12% below the fair benchmark (0.88×) after accounting for local nurse/doctor wages and patient complexity.

84/100 · Corroborated

84/100Self-Pay Cash Beats Insurance 86% of the Time

File Completeness66

Price Logic99

Peer Alignment75

Clean Billing78

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.88× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Saint Joseph Hospital-Elgin maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.98× 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.

#24 of 126 in IL · 18th State Percentile#538 of 3,385 in U.S. · 15th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 12% below peer Fair BaseRate (0.88×)
Self-pay cash beats commercial insurance on 86% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 64% patient recommendation (66/100 safety score)
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 (0.88× 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.
Commercial insurance median sits at 0.98× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.88× 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 16.8× 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 & ER1.00× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+3% Upper Tail

Q25 0.88× · Q50 0.98× · Q75 1.01×

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

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.2× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.5× MedicareWatchout

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

0.5× MedicareGood

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

86% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 66/100Fair

Procedure Prices at Saint Joseph Hospital-Elgin

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 100 published procedures.

Sort:

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`	$16,149	$16,957	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$16,044	$16,846	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$14,757	$15,200	$17,936	0.8×
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`	$7,128	$7,485	$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	1.1×
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	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,489	$3,489	$3,372	1.0×
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	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$991	$992	$981	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$967	$967	$987	1.0×
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	$378	$511	0.7×
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	$258	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$254	$258	$343	0.8×
MRI, knee or other leg joint CPT Code: `73721`	$254	$258	$369	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$233	$234	$201	unverified
Family therapy session CPT Code: `90847`	$189	$189	$173	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$189	$199	$185	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$187	$197	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$187	$197	$258	0.8×
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, 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×
X-ray, lower back CPT Code: `72110`	$111	$111	$112	1.0×
Ultrasound, pelvis CPT Code: `76856`	$111	$117	$130	0.9×
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`	$114	$114	$148	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$93	$94	$123	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$111	$118	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$111	$113	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$111	$113	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$111	$113	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$111	$113	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$111	$113	$169	0.7×
Speech therapy (language evaluation) CPT Code: `92507`	$77	$81	$86	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	—
Drug screening test HCPCS Code: `G0480`	$114	$137	$116	1.2×
Blood antibody screen CPT Code: `86850`	$55	$56	$46	1.2×
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×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$62	$63	$64	1.0×
Orthotic fitting and training CPT Code: `97760`	$47	$47	$51	0.9×
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×
Physical therapy (functional capacity test) CPT Code: `97750`	$34	$35	$38	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$35	$36	$40	0.9×
Blood test, amylase CPT Code: `82150`	$6	$7	$7	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, vitamin B12 CPT Code: `82607`	$15	$16	$16	1.0×
Prosthetic fitting and training CPT Code: `97761`	$41	$41	$45	0.9×
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×
Electrical stimulation therapy HCPCS Code: `G0283`	$13	$14	$14	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$19	$19	$20	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$33	$34	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$33	$33	$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×
Blood test, potassium CPT Code: `84132`	$4	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$4	$5	$5	1.0×
Culture, bacterial CPT Code: `87070`	$8	$9	$9	1.0×
Blood test, vitamin D CPT Code: `82306`	$29	$30	$31	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$3	$4	$4	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$18	$19	$19	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$3	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$7	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$6	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$14	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$10	$11	$11	1.0×
Speech therapy (group session) CPT Code: `92508`	$24	$26	$27	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$16	$17	$18	0.9×
Physical therapy (gait training) CPT Code: `97116`	$29	$30	$33	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$3	$3	$3	1.0×
Blood test, liver function panel CPT Code: `80076`	$8	$8	$9	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$29	$31	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$28	$30	$34	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$2	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$13	$14	$35	0.4×

Showing top 25 high-impact procedures of 100 total

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

Audit a Bill or Quote at Saint Joseph Hospital-Elgin (Zero PHI Required)

CMS CCN: 140217

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $16,149

Insurer Median $16,957

1. Amount on Your Bill or Quote ($) Pre-filled with Saint Joseph Hospital-Elgin’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 $24,548 Paying Cash

Self-Pay Cash Rate ($16,149) Beats Your Bill

Saint Joseph Hospital-Elgin's published 45 CFR § 180 self-pay cash rate is $16,149 (vs. $16,957 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$21,610 Above Fair BaseRate

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

Your bill ($40,697) is $21,610 above the denoised Fair BaseRate ($19,087) and 2.9× 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 Saint Joseph Hospital-Elgin 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 Composite66/100

Would Recommend64%

Rated 9 or 10 (HCAHPS)63%

Median ER Wait145 min

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.6%

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 (337 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Saint Joseph Hospital-Elgin.

Price Index: 0.63× regional baseline

Quality: 57/100 CMS composite

Median Household Income$100,678U.S. Census ACS

Local Uninsured Share7.9%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 140217

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 140217) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-17

Validated Rate Rows5,109 (CMS v3.0)

File Integrity DigestVerified · CCN 140217

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