How many shoppable procedure prices are published for St Catherine Hospital Inc?

St Catherine Hospital Inc in East Chicago, IN currently has 96 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, St Catherine Hospital Inc's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns St Catherine Hospital Inc 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 - Private 122 Beds · urban Updated: 4/1/2026

St Catherine Hospital Inc

4321 Fir Street, East Chicago, IN 46312 · 96 Priced Procedures · 69% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

1.46×vs. Fair Market Price

Typical commercial prices here are +46% above the fair benchmark (1.46×) even after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 48% of the Time

File Completeness56

Price Logic82

Peer Alignment78

Clean Billing86

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.46× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

St Catherine Hospital Inc maintains elevated commercial insurance contracts (1.46× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 48% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#73 of 107 in IN · 67th State Percentile#2,562 of 3,385 in U.S. · 75th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.99× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 48% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 69% 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 (34.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.46× 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 (2.3×) & laboratory (2.3×) services average 1.19× higher multiples than routine shoppable care (1.6×)
Upper-quartile procedures (Q75 1.89×) jump +23% above the median procedure ratio (Q50 1.54×)
Unnegotiated chargemaster list prices average 10.5× Medicare (16¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.6× Medicare

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

Back-Door Captive & ER1.19× Divergence

1.9× Medicare

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

Quantile Tail Spread+23% Upper Tail

Q25 0.99× · Q50 1.54× · Q75 1.89×

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

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.3× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.3× MedicareFair

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

1.4× MedicareGood

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

48% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 68/100Fair

Procedure Prices at St Catherine Hospital Inc

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 96 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`	$44,642	$29,101	$19,087	1.5×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$32,362	$28,897	$19,432	1.5×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$60,901	$26,412	$17,936	1.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$14,327	$11,281	$8,223	1.4×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,794	$2,794	$151	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$2,978	$1,503	$1,021	1.5×
Upper endoscopy with biopsy CPT Code: `43239`	$1,939	$1,400	$987	1.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$807	$758	$86	8.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,710	$693	$511	1.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,806	$633	$448	1.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,491	$578	$583	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,398	$458	$272	1.7×
MRI, lower back (no contrast) CPT Code: `72148`	$2,369	$472	$338	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$2,341	$475	$343	1.4×
MRI, knee or other leg joint CPT Code: `73721`	$2,363	$490	$369	1.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,292	$440	$303	1.5×
Blood transfusion CPT Code: `36430`	$818	$425	$498	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,625	$386	$258	1.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$307	$327	$148	2.2×
CT scan, head (with contrast) CPT Code: `70460`	$1,301	$317	$242	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$224	$270	$123	2.2×
CT scan, pelvis CPT Code: `72192`	$1,139	$263	$163	1.6×
CT scan, sinuses CPT Code: `70486`	$1,030	$265	$166	1.6×
CT scan, chest (no contrast) CPT Code: `71250`	$1,153	$264	$167	1.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,193	$264	$168	1.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,193	$264	$169	1.6×
CT scan, head (no contrast) CPT Code: `70450`	$1,030	$239	$160	1.5×
Speech therapy (group session) CPT Code: `92508`	$230	$230	$27	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$227	$182	$86	2.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$868	$141	$87	1.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$946	$159	$123	1.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$228	$159	$166	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$284	$159	$181	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$624	$118	$134	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$140	$140	$201	0.7×
Prosthetic fitting and training CPT Code: `97761`	$82	$92	$45	2.0×
Orthotic fitting and training CPT Code: `97760`	$82	$88	$51	1.7×
X-ray, chest (single view) CPT Code: `71045`	$154	$92	$92	1.0×
X-ray, lower back CPT Code: `72110`	$459	$111	$112	1.0×
X-ray, chest (two views) CPT Code: `71046`	$290	$92	$93	1.0×
X-ray, hip CPT Code: `73502`	$305	$92	$93	1.0×
Ultrasound, pelvis CPT Code: `76856`	$560	$113	$130	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$305	$87	$93	0.9×
X-ray, hand CPT Code: `73130`	$305	$87	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$560	$111	$126	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$557	$111	$132	0.8×
X-ray, ankle CPT Code: `73610`	$305	$84	$93	0.9×
Group therapy session CPT Code: `90853`	$103	$80	$100	0.8×
Typhoid vaccine HCPCS Code: `90675`	$1,220	$320	$347	0.9×
Drug screening test HCPCS Code: `G0480`	$174	$179	$116	1.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$384	$117	$111	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$75	$75	$10	7.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$68	$77	$38	2.0×
Blood test, vitamin D CPT Code: `82306`	$113	$59	$31	1.9×
Physical therapy (gait training) CPT Code: `97116`	$80	$56	$33	1.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$80	$67	$40	1.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$80	$63	$38	1.7×
X-ray, foot CPT Code: `73630`	$305	$78	$92	0.8×
X-ray, shoulder CPT Code: `73030`	$305	$77	$92	0.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$114	$37	$19	1.9×
Occupational therapy (self-care training) CPT Code: `97535`	$80	$62	$38	1.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$80	$56	$35	1.6×
Physical therapy (manual therapy) CPT Code: `97140`	$92	$53	$34	1.6×
Flu vaccine injection HCPCS Code: `G0008`	$105	$50	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$105	$50	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$106	$50	$49	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$275	$62	$64	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$196	$40	$56	0.7×
X-ray, pelvis CPT Code: `72170`	$262	$59	$110	0.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$41	$6	$3	2.0×
Blood test, calcium CPT Code: `82310`	$44	$10	$5	2.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$24	$10	$5	2.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$35	$8	$4	2.0×
Blood test, potassium CPT Code: `84132`	$45	$10	$5	2.0×
Blood test, sodium CPT Code: `84295`	$45	$10	$5	2.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$146	$27	$14	1.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$105	$27	$14	1.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$246	$21	$11	1.9×
Blood test, basic metabolic panel CPT Code: `80048`	$146	$17	$9	1.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$104	$34	$18	1.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$41	$8	$4	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$73	$16	$8	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$51	$12	$6	2.0×
Hepatitis C antibody test CPT Code: `86803`	$148	$29	$15	1.9×
Culture, blood CPT Code: `87040`	$66	$21	$11	1.9×
Culture, bacterial CPT Code: `87070`	$44	$17	$9	1.9×
Blood test, amylase CPT Code: `82150`	$78	$13	$7	1.9×
Blood test, magnesium CPT Code: `83735`	$56	$13	$7	1.9×
Blood test, liver function panel CPT Code: `80076`	$246	$16	$9	1.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$129	$37	$39	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$47	$9	$5	1.8×
Blood test, hemoglobin CPT Code: `85018`	$23	$5	$3	1.7×
Blood test, lipase CPT Code: `83690`	$73	$11	$7	1.6×
Hepatitis B vaccine HCPCS Code: `90744`	$128	$33	$37	0.9×
Blood antibody screen CPT Code: `86850`	$126	$24	$46	0.5×
Blood test, vitamin B12 CPT Code: `82607`	$140	$30	$16	unverified

Showing top 25 high-impact procedures of 96 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 34.0%

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

CMS CCN: 150008

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $44,642

Insurer Median $29,101

1. Amount on Your Bill or Quote ($) Pre-filled with St Catherine Hospital Inc’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: $25,319 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $25,319

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (34.0% of gross = $25,319).

Step 2 · Cash vs. Insurance Arbitrage Save $29,761 Paying Cash

Self-Pay Cash Rate ($44,642) Beats Your Bill

St Catherine Hospital Inc's published 45 CFR § 180 self-pay cash rate is $44,642 (vs. $29,101 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$55,316 Above Fair BaseRate

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

Your bill ($74,403) is $55,316 above the denoised Fair BaseRate ($19,087) and 5.3× 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)

EIN: 351738708

Filing Period: 200108

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 (34.0% 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 Composite68/100

Would Recommend69%

Rated 9 or 10 (HCAHPS)70%

Median ER Wait130 min

Left ER Before Seen1%

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 Infectionsame

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

2026-05-05·administrative_or_closure
Closure Notice
Recorded
2026-01-30·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (378 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

Higher-Quality, Above-Median Price Tier

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

Price Index: 1.19× regional baseline

Quality: 61/100 CMS composite

Median Household Income$68,985U.S. Census ACS

Local Uninsured Share6.8%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 79/100 · Corroborated CMS CCN 150008 EIN 351738708

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 150008) ↗ Verify IRS Form 990 (EIN 351738708) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage4/1/2026

Validated Rate Rows6,202 (CMS v3.0.0)

File Integrity DigestVerified · CCN 150008

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