How many shoppable procedure prices are published for Saint Joseph London?

Saint Joseph London in London, KY currently has 111 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Saint Joseph London's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Saint Joseph London's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Saint Joseph London's CMS Care Compare overall star rating?

CMS Care Compare assigns Saint Joseph London 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 118 Beds · rural Updated: 2026-02-28

Saint Joseph London

1001 Saint Joseph Lane, London, KY 40741 · 111 Priced Procedures · 73% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.14×vs. Fair Market Price

Typical commercial prices here are +14% above the fair benchmark (1.14×) even after accounting for local nurse/doctor wages and patient complexity.

84/100 · Corroborated

84/100Self-Pay Cash Beats Insurance 63% of the Time

File Completeness66

Price Logic94

Peer Alignment69

Clean Billing90

Real Cash Discount100

High Quality · Fair Price

4-Star CMS clinical quality rating paired with 1.14× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +51% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Saint Joseph London prices routine shoppable procedures at 1.9× Medicare (median 0.98× Fair BaseRate) while upper-quartile commercial rates jump +51% to 1.48× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#39 of 68 in KY · 55th State Percentile#1,835 of 3,385 in U.S. · 54th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.88× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 63% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (70/100 safety score) with 73% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (14.3% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.14× 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 0.98× Fair BaseRate (1.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.48×) jump +51% above the median procedure ratio (Q50 0.98×)
Consolidated metro market (HHI 4,150) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.9× Medicare

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

Back-Door Captive & ER0.53× Divergence

1.0× Medicare

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

Quantile Tail Spread+51% Upper Tail

Q25 0.88× · Q50 0.98× · Q75 1.48×

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

1.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.7× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.8× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

3.0× MedicareFair

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

0.7× MedicareGood

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

63% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 70/100Fair

Procedure Prices at Saint Joseph London

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 111 published procedures.

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Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$21,694	$30,775	0.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$14,008	$19,087	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$13,485	$19,432	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$12,963	$17,936	0.7×
Total hip replacement CPT Code: `27130`	—	$11,889	$13,413	0.9×
Total knee replacement CPT Code: `27447`	—	$11,889	$13,523	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$5,927	$8,223	0.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,285	$6,109	0.9×
Breast lump removal CPT Code: `19120`	—	$3,538	$3,875	unverified
Inguinal hernia repair CPT Code: `49505`	—	$3,293	$3,629	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,028	$3,372	0.9×
Bunion correction surgery CPT Code: `28296`	—	$3,028	$3,446	0.9×
Rabies immune globulin HCPCS Code: `90375`	$2,690	$2,690	$322	8.4×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,128	$2,540	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,983	$1,167	$1,021	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,635	$1,138	$583	2.0×
Colonoscopy with biopsy CPT Code: `45380`	$1,143	$1,095	$1,256	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,476	$904	$303	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,552	$919	$448	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$892	$871	$987	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$851	$981	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,314	$763	$511	1.5×
MRI, brain (no contrast) CPT Code: `70551`	$1,355	$718	$343	2.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,421	$681	$168	4.1×
MRI, lower back (no contrast) CPT Code: `72148`	$1,225	$704	$338	2.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,367	$668	$258	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,256	$642	$242	2.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,360	$666	$169	unverified
CT scan, head (no contrast) CPT Code: `70450`	$1,232	$636	$160	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,050	$556	$167	3.3×
CT scan, sinuses CPT Code: `70486`	$1,039	$550	$166	3.3×
CT scan, pelvis CPT Code: `72192`	$1,009	$534	$163	3.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$958	$507	$272	1.9×
MRI, knee or other leg joint CPT Code: `73721`	$1,003	$489	$369	1.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,019	$444	$134	unverified
Blood transfusion CPT Code: `36430`	$526	$400	$498	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$842	$367	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$720	$314	$130	2.4×
X-ray, shoulder CPT Code: `73030`	$300	$217	$92	2.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$462	$237	$132	1.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$211	$237	$151	1.6×
X-ray, lower back CPT Code: `72110`	$540	$235	$112	unverified
X-ray, foot CPT Code: `73630`	$322	$156	$92	1.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$292	$175	$148	1.2×
X-ray, ankle CPT Code: `73610`	$260	$138	$93	1.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$104	$140	$123	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$76	$103	$87	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$95	$128	$110	1.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$61	$146	$166	0.9×
Family therapy session CPT Code: `90847`	$61	$146	$173	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$61	$146	$181	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$193	$111	$64	1.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$225	$119	$93	1.3×
X-ray, chest (two views) CPT Code: `71046`	$214	$113	$93	1.2×
X-ray, hand CPT Code: `73130`	$210	$111	$93	1.2×
X-ray, hip CPT Code: `73502`	$175	$110	$93	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$104	$125	$123	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$61	$134	$185	0.7×
X-ray, pelvis CPT Code: `72170`	$196	$108	$110	1.0×
X-ray, chest (single view) CPT Code: `71045`	$139	$83	$92	0.9×
Group therapy session CPT Code: `90853`	$34	$84	$100	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$71	$90	$201	0.4×
Typhoid vaccine HCPCS Code: `90675`	$422	$283	$347	0.8×
Drug screening test HCPCS Code: `G0480`	$78	$116	$116	1.0×
Prosthetic fitting and training CPT Code: `97761`	$73	$64	$45	1.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$127	$78	$111	0.7×
Pneumococcal vaccine HCPCS Code: `90732`	$93	$90	$140	0.6×
Physical therapy (manual therapy) CPT Code: `97140`	$83	$63	$34	1.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$85	$52	$38	1.4×
Physical therapy (gait training) CPT Code: `97116`	$66	$40	$33	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$101	$20	$20	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$60	$37	$38	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$58	$36	$38	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$40	$42	$48	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$69	$44	$56	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$49	$30	$40	0.8×
Orthotic fitting and training CPT Code: `97760`	$51	$31	$51	0.6×
Speech therapy (language evaluation) CPT Code: `92507`	$83	$51	$86	0.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$47	$47	$203	0.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$97	$60	$35	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$100	$62	$14	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$93	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$145	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$56	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$68	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$33	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$31	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$27	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$35	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$51	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$21	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$67	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$72	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$53	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$34	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$96	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$25	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$35	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$62	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$57	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$60	$9	$9	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$55	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$72	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$109	$14	$15	0.9×
Culture, blood CPT Code: `87040`	$64	$10	$11	0.9×
Blood test, liver function panel CPT Code: `80076`	$91	$8	$9	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$40	$30	$37	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$55	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$24	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$33	$23	$35	0.7×
Blood antibody screen CPT Code: `86850`	$58	$14	$46	0.3×

Showing top 25 high-impact procedures of 111 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 14.3%

Audit a Bill or Quote at Saint Joseph London (Zero PHI Required)

CMS CCN: 180011

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $21,694

1. Amount on Your Bill or Quote ($) Pre-filled with Saint Joseph London’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: $7,435 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $7,435

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (14.3% of gross = $7,435).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Saint Joseph London'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 +$21,291 Above Fair BaseRate

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

Your bill ($52,066) is $21,291 above the denoised Fair BaseRate ($30,775) and 2.2× 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 (14.3% 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 Overall4/5 Stars (4/5)

Safety Composite70/100

Would Recommend73%

Rated 9 or 10 (HCAHPS)77%

Median ER Wait194 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.7%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (589 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 Saint Joseph London.

Price Index: 0.81× regional baseline

Quality: 71/100 CMS composite

Median Household Income$56,999U.S. Census ACS

Local Uninsured Share8.2%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 84/100 · Corroborated CMS CCN 180011

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 180011) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-28

Validated Rate Rows2,154 (CMS v3.0.0)

File Integrity DigestVerified · CCN 180011

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