How many shoppable procedure prices are published for St Mary Medical Center Inc?

St Mary Medical Center Inc in Hobart, IN currently has 97 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do St Mary Medical Center Inc's commercial prices compare to the fair BaseRate?

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

What is St Mary Medical Center Inc's CMS Care Compare overall star rating?

CMS Care Compare assigns St Mary Medical Center Inc an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 180 Beds · urban Updated: 4/1/2026

St Mary Medical Center Inc

1500 S Lake Park Ave, Hobart, IN 46342 · 97 Priced Procedures · 72% Patient Recommendation

CMS Overall Rating 3 / 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.

81/100 · Corroborated

81/100Self-Pay Cash Beats Insurance 48% of the Time

File Completeness61

Price Logic82

Peer Alignment78

Clean Billing88

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 Mary Medical Center 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.

#74 of 107 in IN · 68th State Percentile#2,563 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)
CMS clinical safety score (70/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (33.8% 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 (2.2×) 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 10.4× 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

2.2× MedicareFair

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

1.5× MedicareGood

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

48% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 70/100Fair

Procedure Prices at St Mary Medical Center Inc

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 97 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$49,165	$48,395	$30,775	1.6×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$35,502	$29,101	$19,087	1.5×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$33,527	$28,897	$19,432	1.5×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$56,083	$26,412	$17,936	1.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$17,484	$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×
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×
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 (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×
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×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$275	$62	$64	1.0×
Hepatitis C antibody test CPT Code: `86803`	$148	$29	$15	1.9×
Culture, blood CPT Code: `87040`	$66	$21	$11	1.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$104	$34	$18	1.9×
Physical therapy (manual therapy) CPT Code: `97140`	$92	$53	$34	1.6×
X-ray, foot CPT Code: `73630`	$305	$78	$92	0.8×
X-ray, shoulder CPT Code: `73030`	$305	$77	$92	0.8×
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×
Hepatitis B vaccine HCPCS Code: `90744`	$128	$33	$37	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$196	$40	$56	0.7×
Blood test, magnesium CPT Code: `83735`	$56	$13	$7	1.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$128	$37	$39	0.9×
X-ray, pelvis CPT Code: `72170`	$262	$59	$110	0.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$114	$37	$19	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$41	$6	$3	2.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$35	$8	$4	2.0×
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, 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, hemoglobin CPT Code: `85018`	$23	$5	$3	1.7×
Blood test, lipase CPT Code: `83690`	$73	$11	$7	1.6×
Blood antibody screen CPT Code: `86850`	$126	$24	$46	0.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$146	$27	$14	unverified
Blood test, liver function panel CPT Code: `80076`	$246	$16	$9	unverified
Blood test, amylase CPT Code: `82150`	$78	$13	$7	unverified
Blood test, calcium CPT Code: `82310`	$44	$10	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$24	$10	$5	unverified
Blood test, vitamin B12 CPT Code: `82607`	$140	$30	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$105	$27	$14	unverified
Blood test, potassium CPT Code: `84132`	$45	$10	$5	unverified
Blood test, sodium CPT Code: `84295`	$45	$10	$5	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$47	$9	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$51	$12	$6	unverified
Culture, bacterial CPT Code: `87070`	$44	$17	$9	unverified

Showing top 25 high-impact procedures of 97 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 33.8%

Audit a Bill or Quote at St Mary Medical Center Inc (Zero PHI Required)

CMS CCN: 150034

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $49,165

Insurer Median $48,395

1. Amount on Your Bill or Quote ($) Pre-filled with St Mary Medical Center 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: $27,721 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $27,721

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (33.8% of gross = $27,721).

Step 2 · Cash vs. Insurance Arbitrage Save $32,777 Paying Cash

Self-Pay Cash Rate ($49,165) Beats Your Bill

St Mary Medical Center Inc's published 45 CFR § 180 self-pay cash rate is $49,165 (vs. $48,395 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$51,167 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($81,942) is $51,167 above the denoised Fair BaseRate ($30,775) and 3.5× the $23,504 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: 352007327

Filing Period: 199709

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 (33.8% 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 Overall3/5 Stars (3/5)

Safety Composite70/100

Would Recommend72%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait162 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate2.9%

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 Mary Medical Center Inc. Prior administrative notices do not necessarily reflect current compliance status.

2026-04-08·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (523 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 Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St Mary Medical Center Inc.

Price Index: 1.20× regional baseline

Quality: 68/100 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 81/100 · Corroborated CMS CCN 150034 EIN 352007327

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 150034) ↗ Verify IRS Form 990 (EIN 352007327) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage4/1/2026

Validated Rate Rows6,293 (CMS v3.0.0)

File Integrity DigestVerified · CCN 150034

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