How many shoppable procedure prices are published for St Francis Hospital?

St Francis Hospital in Litchfield, IL currently has 92 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, St Francis Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns St Francis Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Church 25 Beds · rural Updated: 3/24/2026

St Francis Hospital

1215 Franciscan Dr, Litchfield, IL 62056 · 92 Priced Procedures · 76% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Near Fair BaseRate Benchmark

1.04×vs. Fair Market Price

Typical commercial prices here are +4% above the fair benchmark (1.04×) even after accounting for local nurse/doctor wages and patient complexity.

81/100 · Corroborated

81/100Self-Pay Cash Beats Insurance 65% of the Time

File Completeness61

Price Logic87

Peer Alignment70

Clean Billing89

Real Cash Discount100

High-Markup Tier

2-Star CMS clinical quality rating paired with 1.04× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

St Francis Hospital prices shoppable and inpatient services (1.3× to 1.0× Medicare, divergence 0.77×) in alignment with regional hospital peers (1.04× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#66 of 126 in IL · 51st State Percentile#1,454 of 3,385 in U.S. · 42nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.84× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 65% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 76% patient recommendation (68/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (83.1% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.04× 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 1.03× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.04× 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 13.6× Medicare (26¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.77× Divergence

1.0× Medicare

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

Quantile Tail Spread+14% Upper Tail

Q25 0.84× · Q50 1.03× · Q75 1.17×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.2× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.9× MedicareFair

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

1.0× MedicareGood

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

65% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 68/100Fair

Procedure Prices at St Francis Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 92 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Knee arthroscopy with meniscus repair CPT Code: `29881`	$7,008	$3,981	$3,372	unverified
Rabies immune globulin HCPCS Code: `90375`	$1,176	$1,176	$322	3.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,026	$981	$1,021	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$446	$620	$123	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$4,044	$556	$511	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,491	$578	$583	1.0×
Blood transfusion CPT Code: `36430`	$1,513	$539	$498	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,914	$415	$160	2.6×
CT scan, head (with contrast) CPT Code: `70460`	$2,424	$415	$242	1.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,790	$415	$258	1.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,098	$415	$303	1.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,990	$387	$448	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$3,088	$329	$343	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$3,159	$307	$338	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$3,006	$329	$369	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$252	$252	$14	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$206	$206	$86	2.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,254	$225	$134	1.7×
Ultrasound, pelvis CPT Code: `76856`	$945	$214	$130	1.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,433	$225	$272	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$111	$154	$86	1.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,132	$146	$126	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$743	$136	$132	1.0×
CT scan, pelvis CPT Code: `72192`	$1,986	$146	$163	0.9×
CT scan, sinuses CPT Code: `70486`	$1,719	$146	$166	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$2,013	$146	$167	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,919	$146	$168	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,339	$146	$169	0.9×
X-ray, shoulder CPT Code: `73030`	$496	$105	$92	1.1×
X-ray, foot CPT Code: `73630`	$446	$105	$92	1.1×
X-ray, hand CPT Code: `73130`	$354	$105	$93	1.1×
X-ray, hip CPT Code: `73502`	$584	$105	$93	1.1×
X-ray, ankle CPT Code: `73610`	$446	$105	$93	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$286	$94	$87	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$425	$116	$110	1.1×
Typhoid vaccine HCPCS Code: `90675`	$1,502	$341	$347	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$160	$160	$10	16.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$337	$111	$111	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$85	$61	$35	1.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$449	$75	$93	0.8×
X-ray, chest (single view) CPT Code: `71045`	$286	$71	$92	0.8×
X-ray, chest (two views) CPT Code: `71046`	$352	$71	$93	0.8×
X-ray, pelvis CPT Code: `72170`	$441	$75	$110	0.7×
X-ray, lower back CPT Code: `72110`	$917	$75	$112	0.7×
Drug screening test HCPCS Code: `G0480`	$144	$75	$116	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	$460	$78	$123	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$411	$79	$201	0.4×
Physical therapy (manual therapy) CPT Code: `97140`	$150	$49	$34	1.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$150	$49	$35	1.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$72	$34	$25	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$108	$49	$38	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$70	$49	$38	1.3×
Physical therapy (gait training) CPT Code: `97116`	$116	$41	$33	1.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$150	$49	$40	1.2×
Hepatitis B vaccine HCPCS Code: `90744`	$101	$42	$37	1.1×
Prosthetic fitting and training CPT Code: `97761`	$165	$49	$45	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$91	$52	$48	1.1×
Occupational therapy (self-care training) CPT Code: `97535`	$132	$41	$38	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$99	$52	$49	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	$99	$52	$49	1.1×
Orthotic fitting and training CPT Code: `97760`	$144	$49	$51	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$167	$47	$56	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$538	$64	$148	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$258	$34	$64	0.5×
Blood test, hemoglobin CPT Code: `85018`	$29	$6	$3	2.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$71	$6	$4	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$95	$6	$4	1.5×
Culture, bacterial CPT Code: `87070`	$13	$11	$9	1.2×
Blood test, calcium CPT Code: `82310`	$95	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$95	$6	$5	1.2×
Blood test, potassium CPT Code: `84132`	$95	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$95	$6	$5	1.2×
Blood test, liver function panel CPT Code: `80076`	$192	$10	$9	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$181	$9	$9	1.0×
Blood test, vitamin D CPT Code: `82306`	$211	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$83	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$62	$5	$5	1.0×
Culture, blood CPT Code: `87040`	$399	$11	$11	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$168	$13	$14	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$220	$10	$11	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$71	$14	$16	0.9×
Blood test, amylase CPT Code: `82150`	$124	$6	$7	0.9×
Blood test, lipase CPT Code: `83690`	$134	$6	$7	0.9×
Blood test, magnesium CPT Code: `83735`	$109	$6	$7	0.9×
Blood test, clotting time (PTT) CPT Code: `85730`	$73	$5	$6	0.8×
Hepatitis C antibody test CPT Code: `86803`	$186	$12	$15	0.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$139	$14	$18	0.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$122	$6	$8	0.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$121	$10	$14	0.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$146	$13	$19	0.7×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$201	$12	$20	0.6×
Blood antibody screen CPT Code: `86850`	$83	$5	$46	0.1×

Showing top 25 high-impact procedures of 92 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 83.1%

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

CMS CCN: 141350

CPT 29881

Select Procedure to Audit:

Fair BaseRate™ $3,372

Medicare Rate $3,343

Self-Pay Cash $7,008

Insurer Median $3,981

1. Amount on Your Bill or Quote ($) Pre-filled with St Francis 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: $8,090 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $8,090

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (83.1% of gross = $8,090).

Step 2 · Cash vs. Insurance Arbitrage Save $2,726 Paying Cash

Self-Pay Cash Rate ($7,008) Beats Your Bill

St Francis Hospital's published 45 CFR § 180 self-pay cash rate is $7,008 (vs. $3,981 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$6,362 Above Fair BaseRate

Negotiate Toward $3,372 Fair BaseRate ($3,343 Medicare)

Your bill ($9,734) is $6,362 above the denoised Fair BaseRate ($3,372) and 2.9× the $3,343 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 (83.1% 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 Overall2/5 Stars (2/5)

Safety Composite68/100

Would Recommend76%

Rated 9 or 10 (HCAHPS)85%

Left ER Before Seen0%

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 Infectionsame

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 Francis Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-08-14·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (95 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

Above-Benchmark Price Tier

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

Price Index: 1.92× regional baseline

Quality: 48/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Wexford

-67.8%

Meridian

-49.3%

Median Household Income$61,863U.S. Census ACS

Local Uninsured Share4.5%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 81/100 · Corroborated CMS CCN 141350

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 141350) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage3/24/2026

Validated Rate Rows4,195 (CMS v3.0.0)

File Integrity DigestVerified · CCN 141350

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