St Bernard Hospital
326 W 64Th St, Chicago, IL 60621 · 87 Priced Procedures · 44% Patient Recommendation
Typical commercial prices here are 49% below the fair benchmark (0.51×) after accounting for local nurse/doctor wages and patient complexity.
1-Star CMS clinical quality rating paired with 0.51× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
St Bernard Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.6× Medicare, p50 0.45× Fair BaseRate) and emergency/ancillary services (1.1× Medicare, p75 0.75× 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 49% below peer Fair BaseRate (0.51×)
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (25/100 Cash Honesty)
- 1-Star CMS clinical rating with 44% patient recommendation (57/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (46.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.9× markup over Medicare rates
- Captive ER (0.9×) & laboratory (2.9×) services average 1.83× higher multiples than routine shoppable care (0.6×)
- Upper-quartile procedures (Q75 0.75×) jump +67% above the median procedure ratio (Q50 0.45×)
- Unnegotiated chargemaster list prices average 1.4× Medicare (59¢ 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 St Bernard Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 87 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,266 | 4.4× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,068 | 8.0× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,801 | 4.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,669 | 3.7× |
| CT scan, pelvis CPT Code: 72192 | $1,600 | 9.8× |
| Cataract surgery with lens implant CPT Code: 66984 | $1,529 | 0.6× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,529 | 0.3× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,412 | 8.4× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,412 | 8.4× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,434 | 5.9× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,336 | 8.3× |
| CT scan, sinuses CPT Code: 70486 | $1,344 | 8.1× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,320 | 7.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,320 | 4.4× |
| Vaginal delivery (full package) CPT Code: 59400 | $1,278 | 0.5× |
| C-section delivery (full package) CPT Code: 59510 | $1,278 | 0.4× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,278 | 0.4× |
| Inguinal hernia repair CPT Code: 49505 | $1,278 | 0.4× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,203 | 3.6× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,203 | 3.5× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,146 | 4.2× |
| Bunion correction surgery CPT Code: 28296 | $1,061 | 0.3× |
| Breast lump removal CPT Code: 19120 | $1,061 | 0.3× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $941 | 1.0× |
| Upper endoscopy with biopsy CPT Code: 43239 | $941 | 1.0× |
Audit a Bill or Quote at St Bernard Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,043
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (46.0% of gross = $1,043).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
St Bernard Hospital's published 45 CFR § 180 self-pay cash rate is $2,266 (vs. $2,266 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $511 Fair BaseRate ($356 Medicare)
Your bill ($2,266) is $1,755 above the denoised Fair BaseRate ($511) and 6.4× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (46.0% 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.
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 St Bernard Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2026-03-10·warning_notice
Warning Notice
Recorded - 2025-01-02·administrative_or_closure
Closure Notice
Recorded - 2024-09-24·cap_corrective_action
CAP Request
Recorded
Source: CMS Hospital Care Compare (82 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 St Bernard Hospital.
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.