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

St Johns Hospital in Springfield, IL currently has 103 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, St Johns Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

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

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

Hospital Profile Acute Care Hospital Voluntary non-profit - Church 442 Beds · rural Updated: 3/24/2026

St Johns Hospital

800 E Carpenter St, Springfield, IL 62769 · 103 Priced Procedures · 63% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.09×vs. Fair Market Price

Typical commercial prices here are +9% above the fair benchmark (1.09×) even after accounting for local nurse/doctor wages and patient complexity.

83/100 · Corroborated

83/100Self-Pay Cash Beats Insurance 43% of the Time

File Completeness56

Price Logic90

Peer Alignment84

Clean Billing92

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.09× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

St Johns Hospital maintains elevated commercial insurance contracts (1.09× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 43% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#74 of 126 in IL · 57th State Percentile#1,644 of 3,385 in U.S. · 48th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.89× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 43% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 63% patient recommendation (62/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (60.8% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
Captive ER (1.3×) & laboratory (2.6×) services average 1.27× higher multiples than routine shoppable care (1.1×)
Upper-quartile procedures (Q75 1.28×) jump +25% above the median procedure ratio (Q50 1.02×)
Consolidated metro market (HHI 4,959) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER1.27× Divergence

1.4× Medicare

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

Quantile Tail Spread+25% Upper Tail

Q25 0.89× · Q50 1.02× · Q75 1.28×

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

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.4× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.6× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.6× MedicareFair

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

1.5× MedicareGood

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

43% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 62/100Elevated

Procedure Prices at St Johns Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 103 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Trauma team activation HCPCS Code: `G0390`	$7,248	$2,152	$1,453	1.5×
Sleep study (overnight, in lab) CPT Code: `95810`	$5,300	$920	$1,021	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$3,246	$756	$855	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,890	$586	$583	1.0×
Rabies immune globulin HCPCS Code: `90375`	$882	$462	$322	1.4×
Blood transfusion CPT Code: `36430`	$2,272	$473	$498	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,456	$374	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,458	$390	$511	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$505	$265	$123	2.2×
Neurobehavioral status check CPT Code: `96116`	$672	$237	$231	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,608	$256	$272	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$482	$265	$110	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$325	$265	$87	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$576	$227	$151	1.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$446	$235	$201	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,839	$256	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$4,510	$256	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$3,504	$256	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$3,547	$257	$369	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$347	$190	$166	1.1×
Family therapy session CPT Code: `90847`	$411	$190	$173	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$375	$195	$185	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$347	$190	$181	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$2,561	$188	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,216	$200	$258	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$111	$155	$86	1.8×
Speech therapy (language evaluation) CPT Code: `92507`	$367	$165	$86	unverified
X-ray, pelvis CPT Code: `72170`	$482	$112	$110	1.0×
X-ray, shoulder CPT Code: `73030`	$544	$93	$92	1.0×
X-ray, foot CPT Code: `73630`	$522	$93	$92	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$667	$93	$93	1.0×
X-ray, lower back CPT Code: `72110`	$868	$112	$112	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,295	$128	$134	1.0×
X-ray, hand CPT Code: `73130`	$503	$93	$93	1.0×
X-ray, hip CPT Code: `73502`	$511	$93	$93	1.0×
X-ray, ankle CPT Code: `73610`	$579	$93	$93	1.0×
Ultrasound, pelvis CPT Code: `76856`	$1,104	$118	$130	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,148	$112	$126	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$878	$112	$132	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$2,258	$115	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$2,508	$115	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$2,497	$115	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$2,408	$115	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,429	$115	$168	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$499	$101	$148	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,933	$115	$169	0.7×
Group therapy session CPT Code: `90853`	$200	$112	$100	unverified
X-ray, chest (single view) CPT Code: `71045`	$377	$84	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$404	$84	$93	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$370	$83	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$1,502	$320	$347	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$422	$193	$111	1.7×
Drug screening test HCPCS Code: `G0480`	$180	$180	$116	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$506	$126	$140	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$126	$61	$39	1.6×
Blood antibody screen CPT Code: `86850`	$106	$56	$46	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$209	$65	$56	1.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$310	$27	$14	1.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$102	$30	$19	1.6×
Blood test, vitamin D CPT Code: `82306`	$171	$48	$31	1.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$186	$30	$20	1.5×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$220	$35	$27	1.3×
Flu vaccine injection HCPCS Code: `G0008`	$117	$50	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$117	$50	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$111	$50	$49	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$348	$63	$64	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$174	$22	$14	1.6×
Culture, bacterial CPT Code: `87070`	$193	$14	$9	1.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$105	$13	$10	1.3×
Blood test, amylase CPT Code: `82150`	$86	$9	$7	1.3×
Blood test, lipase CPT Code: `83690`	$93	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$108	$9	$7	1.3×
Culture, blood CPT Code: `87040`	$274	$14	$11	1.3×
Hepatitis C antibody test CPT Code: `86803`	$171	$19	$15	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$172	$20	$16	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$80	$10	$8	1.3×
Speech therapy (group session) CPT Code: `92508`	$180	$33	$27	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$167	$34	$34	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$176	$34	$35	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$186	$34	$38	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$171	$34	$38	0.9×
Orthotic fitting and training CPT Code: `97760`	$193	$45	$51	0.9×
Blood test, potassium CPT Code: `84132`	$30	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$35	$6	$5	1.2×
Blood test, basic metabolic panel CPT Code: `80048`	$186	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$193	$11	$11	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$90	$22	$25	0.9×
Physical therapy (gait training) CPT Code: `97116`	$143	$29	$33	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$154	$35	$40	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$148	$32	$38	0.8×
Hepatitis B vaccine HCPCS Code: `90744`	$124	$31	$37	0.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$60	$3	$3	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$30	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$40	$4	$4	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$96	$12	$35	0.3×
Blood test, liver function panel CPT Code: `80076`	$130	$13	$9	unverified
Blood test, calcium CPT Code: `82310`	$47	$8	$5	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$147	$22	$14	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$34	$5	$4	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$159	$27	$18	unverified
Blood test, hemoglobin CPT Code: `85018`	$35	$4	$3	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$55	$6	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$77	$10	$6	unverified

Showing top 25 high-impact procedures of 103 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 60.8%

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

CMS CCN: 140053

CPT G0390

Select Procedure to Audit:

Fair BaseRate™ $1,453

Medicare Rate $1,362

Self-Pay Cash $7,248

Insurer Median $2,152

1. Amount on Your Bill or Quote ($) Pre-filled with St Johns 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: $6,122 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $6,122

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (60.8% of gross = $6,122).

Step 2 · Cash vs. Insurance Arbitrage Save $2,819 Paying Cash

Self-Pay Cash Rate ($7,248) Beats Your Bill

St Johns Hospital's published 45 CFR § 180 self-pay cash rate is $7,248 (vs. $2,152 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$8,614 Above Fair BaseRate

Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)

Your bill ($10,067) is $8,614 above the denoised Fair BaseRate ($1,453) and 7.4× the $1,362 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 (60.8% 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 Composite62/100

Would Recommend63%

Rated 9 or 10 (HCAHPS)63%

Median ER Wait162 min

Left ER Before Seen2%

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)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

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

2026-04-09·cap_corrective_action
CAP Request
Recorded
2026-01-06·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (349 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 St Johns Hospital.

Price Index: 0.82× regional baseline

Quality: 52/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Wexford

-66.5%

HealthLink

-53.4%

Meridian

-46.7%

Blue Cross Blue Shield

-44.0%

UnitedHealthcare

+69.5%

Healthscope

+73.9%

Median Household Income$74,114U.S. Census ACS

Local Uninsured Share3.8%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 140053

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 140053) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage3/24/2026

Validated Rate Rows6,258 (CMS v3.0.0)

File Integrity DigestVerified · CCN 140053

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