How many shoppable procedure prices are published for Stormont Vail Hospital?

Stormont Vail Hospital in Topeka, KS currently has 98 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Stormont Vail Hospital's commercial prices compare to the fair BaseRate?

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

What is Stormont Vail Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Stormont Vail Hospital 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 442 Beds · urban Updated: 12/19/2025

Stormont Vail Hospital

1500 Sw 10Th Avenue, Topeka, KS 66604 · 98 Priced Procedures · 76% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

64/100 · Caution

64/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness51

Price Logic82

Peer Alignment73

Clean Billing57

Real Cash Discount50

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Stormont Vail Hospital prices routine shoppable procedures near 1.0× Medicare (p50 0.85×) while skewing captive emergency, lab, and upper-quartile codes to 1.6× Medicare (p75 1.34×, +58% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#32 of 103 in KS · 30th State Percentile#1,280 of 3,385 in U.S. · 37th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.72× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
4-Star CMS clinical rating with 76% patient recommendation (65/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (11.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
Captive ER (2.1×) & laboratory (3.3×) services average 1.60× higher multiples than routine shoppable care (1.0×)
Upper-quartile procedures (Q75 1.34×) jump +58% above the median procedure ratio (Q50 0.85×)
Consolidated metro market (HHI 6,016) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.60× Divergence

1.6× Medicare

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

Quantile Tail Spread+58% Upper Tail

Q25 0.72× · Q50 0.85× · Q75 1.34×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.1× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.3× MedicareElevated

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

0.5× MedicareGood

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

0% Cash Edge · 50/100Elevated

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 65/100Fair

Procedure Prices at Stormont Vail Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 98 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`	—	$23,052	$30,775	0.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$14,178	$19,087	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$14,084	$19,432	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$12,941	$17,936	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,165	$8,223	0.7×
Trauma team activation HCPCS Code: `G0390`	—	$1,204	$1,453	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$916	$1,021	0.9×
Rabies immune globulin HCPCS Code: `90375`	—	$614	$322	1.9×
Blood transfusion CPT Code: `36430`	—	$402	$498	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$319	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$329	$511	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$297	$583	0.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$218	$272	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$202	$303	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	—	$222	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	—	$222	$343	0.6×
MRI, knee or other leg joint CPT Code: `73721`	—	$222	$369	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$183	$201	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$152	$123	1.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$146	$166	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$146	$185	0.8×
CT scan, head (with contrast) CPT Code: `70460`	—	$160	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$160	$258	0.6×
Orthotic fitting and training CPT Code: `97760`	—	$102	$51	2.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$116	$87	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	—	$124	$110	1.1×
X-ray, pelvis CPT Code: `72170`	—	$96	$110	0.9×
X-ray, lower back CPT Code: `72110`	—	$96	$112	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	—	$104	$123	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$120	$148	0.8×
Group therapy session CPT Code: `90853`	—	$84	$100	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$96	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	—	$96	$130	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$96	$132	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$96	$134	0.7×
CT scan, head (no contrast) CPT Code: `70450`	—	$98	$160	0.6×
CT scan, pelvis CPT Code: `72192`	—	$96	$163	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	—	$98	$167	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$98	$169	0.6×
CT scan, sinuses CPT Code: `70486`	—	$96	$166	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$96	$168	0.6×
Typhoid vaccine HCPCS Code: `90675`	—	$540	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$236	$203	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	—	—	$140	—
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$105	$39	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	—	$111	—
Drug screening test HCPCS Code: `G0480`	—	—	$116	—
Physical therapy (manual therapy) CPT Code: `97140`	—	$55	$34	1.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$54	$35	1.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$54	$40	1.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$64	$56	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	—	$78	$86	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$75	$25	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	—	$18	$6	3.0×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$36	$18	2.0×
Physical therapy (gait training) CPT Code: `97116`	—	$44	$33	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$48	$38	1.3×
Blood antibody screen CPT Code: `86850`	—	$48	$46	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	—	$37	$37	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$55	$64	0.9×
X-ray, chest (single view) CPT Code: `71045`	—	$79	$92	0.9×
X-ray, shoulder CPT Code: `73030`	—	$79	$92	0.9×
X-ray, foot CPT Code: `73630`	—	$79	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	—	$79	$93	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$79	$93	0.8×
X-ray, hand CPT Code: `73130`	—	$79	$93	0.8×
X-ray, hip CPT Code: `73502`	—	$79	$93	0.8×
X-ray, ankle CPT Code: `73610`	—	$79	$93	0.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$8	$3	2.7×
Blood test, calcium CPT Code: `82310`	—	$9	$5	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	—	$9	$5	1.8×
Blood test, basic metabolic panel CPT Code: `80048`	—	$16	$9	1.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$7	$4	1.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$7	$4	1.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$19	$11	1.7×
Blood test, potassium CPT Code: `84132`	—	$8	$5	1.6×
Blood test, sodium CPT Code: `84295`	—	$8	$5	1.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$11	$8	1.4×
Occupational therapy (self-care training) CPT Code: `97535`	—	$32	$38	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$26	$35	0.7×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$18	$38	0.5×
Prosthetic fitting and training CPT Code: `97761`	—	$21	$45	0.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	—	$14	—
Blood test, liver function panel CPT Code: `80076`	—	—	$9	—
Blood test, amylase CPT Code: `82150`	—	—	$7	—
Blood test, vitamin D CPT Code: `82306`	—	—	$31	unverified
Blood test, vitamin B12 CPT Code: `82607`	—	—	$16	—
Blood test, ferritin (iron stores) CPT Code: `82728`	—	—	$14	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	—	$10	—
Blood test, lipase CPT Code: `83690`	—	—	$7	unverified
Blood test, magnesium CPT Code: `83735`	—	—	$7	—
Blood test, PSA (prostate screen) CPT Code: `84153`	—	—	$19	unverified
Blood test, hemoglobin CPT Code: `85018`	—	—	$3	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	—	$5	unverified
Hepatitis C antibody test CPT Code: `86803`	—	—	$15	—
Culture, blood CPT Code: `87040`	—	—	$11	—
Culture, bacterial CPT Code: `87070`	—	—	$9	—
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	—	$20	—

Showing top 25 high-impact procedures of 98 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 11.5%

Audit a Bill or Quote at Stormont Vail Hospital (Zero PHI Required)

CMS CCN: 170086

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $23,052

1. Amount on Your Bill or Quote ($) Pre-filled with Stormont Vail 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: $6,362 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $6,362

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (11.5% of gross = $6,362).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Stormont Vail Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$24,550 Above Fair BaseRate

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

Your bill ($55,325) is $24,550 above the denoised Fair BaseRate ($30,775) and 2.4× 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)

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 (11.5% 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 Composite65/100

Would Recommend76%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait215 min

Left ER Before Seen4%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.7%

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

2025-05-02·administrative_or_closure
Closure Notice
Recorded
2025-04-22·warning_notice
Warning Notice
Recorded
2023-12-01·administrative_or_closure
Closure Notice
Recorded
2023-10-05·cap_corrective_action
CAP Request
Recorded

Source: CMS Hospital Care Compare (763 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 Value & Quality Leader Pareto Frontier (Price + Quality)

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

Price Index: 0.53× regional baseline

Quality: 58/100 CMS composite

Median Household Income$66,043U.S. Census ACS

Local Uninsured Share8.3%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 64/100 · Caution CMS CCN 170086

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 170086) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage12/19/2025

Validated Rate Rows1,992 (CMS v3.0.0)

File Integrity DigestVerified · CCN 170086

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