How many shoppable procedure prices are published for Saint Anne's Hospital?

Saint Anne's Hospital in Fall River, MA currently has 129 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Saint Anne's Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Saint Anne's Hospital's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Saint Anne's Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Saint Anne's Hospital 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 Proprietary 154 Beds · rural Updated: 4/1/2026

Saint Anne's Hospital

795 Middle Street, Fall River, MA 02721 · 129 Priced Procedures · 74% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.41×vs. Fair Market Price

Typical commercial prices here are +41% above the fair benchmark (1.41×) even after accounting for local nurse/doctor wages and patient complexity.

65/100 · Caution

65/100Self-Pay Cash Beats Insurance 11% of the Time

File Completeness61

Price Logic89

Peer Alignment71

Clean Billing83

Real Cash Discount7

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.41× fair market pricing.

Behavioral Pricing FingerprintHigh Infusion / OR Multiples

Specialty Drug & Surgical Margin Engine

Saint Anne's Hospital concentrates commercial margin in outpatient surgical suites (1.1× Medicare) and specialty drug infusions (3.3× Medicare) relative to routine diagnostics (1.8×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.

#33 of 53 in MA · 60th State Percentile#2,476 of 3,385 in U.S. · 73rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.28× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 11% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 74% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Captive ER (2.5×) & laboratory (1.8×) services average 1.06× higher multiples than routine shoppable care (1.7×)
Upper-quartile procedures (Q75 1.80×) jump +24% above the median procedure ratio (Q50 1.45×)
Unnegotiated chargemaster list prices average 4.6× Medicare (24¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.7× Medicare

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

Back-Door Captive & ER1.06× Divergence

1.8× Medicare

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

Quantile Tail Spread+24% Upper Tail

Q25 1.28× · Q50 1.45× · Q75 1.80×

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

1.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.5× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

1.8× MedicareGood

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

3.3× MedicareElevated

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

11% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Saint Anne's Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 129 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`	—	$29,320	$30,775	1.0×
Total knee replacement CPT Code: `27447`	—	$20,848	$13,523	unverified
Total hip replacement CPT Code: `27130`	—	$18,288	$13,413	1.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$17,746	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,624	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,133	$17,936	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$9,465	$6,109	unverified
C-section delivery (full package) CPT Code: `59510`	—	$7,278	$2,975	2.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,295	$8,223	0.9×
Vaginal delivery (full package) CPT Code: `59400`	$7,014	$6,438	$2,680	2.4×
Inguinal hernia repair CPT Code: `49505`	—	$6,070	$3,629	1.7×
Breast lump removal CPT Code: `19120`	$8,536	$5,800	$3,875	1.5×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$5,403	$3,372	1.6×
Bunion correction surgery CPT Code: `28296`	—	$5,403	$3,446	1.6×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,948	$2,540	1.6×
Trauma team activation HCPCS Code: `G0390`	—	$1,947	$1,453	1.3×
Colonoscopy with biopsy CPT Code: `45380`	$1,852	$1,852	$1,256	1.5×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,712	$1,021	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$4,694	$1,568	$987	1.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,851	$1,534	$981	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,233	$855	1.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,008	$1,003	$583	unverified
Blood transfusion CPT Code: `36430`	$1,571	$789	$498	1.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,021	$726	$511	1.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,531	$667	$448	unverified
Psychological testing by technician CPT Code: `96138`	—	$552	$395	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$803	$452	$272	1.7×
MRI, lower back (no contrast) CPT Code: `72148`	$1,075	$461	$338	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$1,075	$461	$343	1.3×
MRI, knee or other leg joint CPT Code: `73721`	$1,613	$461	$369	1.2×
Neurobehavioral status check CPT Code: `96116`	—	$382	$231	1.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$955	$402	$303	1.3×
CT scan, head (with contrast) CPT Code: `70460`	$1,059	$373	$242	1.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,059	$373	$258	1.4×
Rabies immune globulin HCPCS Code: `90375`	$10,300	$318	$322	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$334	$334	$201	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$417	$259	$185	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$400	$259	$181	unverified
Family therapy session CPT Code: `90847`	—	$259	$173	unverified
CT scan, head (no contrast) CPT Code: `70450`	$515	$208	$160	1.3×
CT scan, pelvis CPT Code: `72192`	$515	$208	$163	1.3×
CT scan, sinuses CPT Code: `70486`	$515	$208	$166	1.3×
CT scan, chest (no contrast) CPT Code: `71250`	$515	$208	$167	1.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$550	$208	$168	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$550	$208	$169	1.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$612	$221	$148	unverified
Care planning with family CPT Code: `90887`	—	$225	$107	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$207	$207	$110	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$214	$214	$123	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$167	$167	$86	1.9×
Behavioral health day program HCPCS Code: `H2012`	—	$175	$100	1.8×
X-ray, pelvis CPT Code: `72170`	$446	$161	$110	1.5×
X-ray, lower back CPT Code: `72110`	$548	$161	$112	1.4×
Screening mammogram (both breasts) CPT Code: `77067`	$506	$173	$123	1.4×
Mental health services (assessment) HCPCS Code: `H0031`	—	$175	$140	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$139	$139	$87	1.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$564	$161	$126	1.3×
Ultrasound, pelvis CPT Code: `76856`	$564	$161	$130	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$550	$161	$132	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$669	$161	$134	1.2×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$163	$151	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$169	$169	$166	unverified
Group therapy session CPT Code: `90853`	—	$152	$100	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$220	$111	$64	1.7×
Speech therapy (language evaluation) CPT Code: `92507`	$393	$116	$86	1.3×
X-ray, chest (single view) CPT Code: `71045`	$286	$118	$92	1.3×
X-ray, shoulder CPT Code: `73030`	$286	$118	$92	1.3×
X-ray, foot CPT Code: `73630`	$402	$118	$92	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$286	$119	$93	1.3×
X-ray, chest (two views) CPT Code: `71046`	$286	$118	$93	1.3×
X-ray, hand CPT Code: `73130`	$438	$118	$93	1.3×
X-ray, hip CPT Code: `73502`	$268	$118	$93	1.3×
X-ray, ankle CPT Code: `73610`	$438	$118	$93	1.3×
Typhoid vaccine HCPCS Code: `90675`	$1,686	$389	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$228	$203	1.1×
Drug screening test HCPCS Code: `G0480`	$306	$169	$116	1.5×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$77	$25	3.1×
Blood test, vitamin D CPT Code: `82306`	$143	$58	$31	1.9×
Blood antibody screen CPT Code: `86850`	$168	$74	$46	1.6×
Orthotic fitting and training CPT Code: `97760`	$213	$77	$51	1.5×
Prosthetic fitting and training CPT Code: `97761`	$183	$67	$45	1.5×
Electrical stimulation therapy HCPCS Code: `G0283`	$71	$29	$14	2.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$89	$36	$19	1.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$80	$37	$20	1.9×
Occupational therapy (self-care training) CPT Code: `97535`	$175	$54	$38	1.4×
Speech therapy (group session) CPT Code: `92508`	—	$37	$27	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$168	$50	$38	1.3×
Psychological testing evaluation CPT Code: `96136`	$74	$74	$128	0.6×
Physical therapy (gait training) CPT Code: `97116`	$144	$48	$33	1.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$160	$48	$35	1.4×
Flu vaccine injection HCPCS Code: `G0008`	$226	$65	$48	1.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$189	$54	$40	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$171	$51	$38	1.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$65	$49	1.3×
Colorectal cancer screening HCPCS Code: `G0010`	—	$65	$49	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$149	$45	$34	1.3×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$42	$39	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$180	$47	$56	0.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$15	$6	$3	2.0×
Blood test, calcium CPT Code: `82310`	$25	$10	$5	2.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$25	$10	$5	2.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$19	$8	$4	2.0×
Blood test, lipase CPT Code: `83690`	$33	$14	$7	2.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$19	$8	$4	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$38	$16	$8	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$29	$12	$6	2.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$65	$27	$14	1.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$66	$27	$14	1.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$21	$11	1.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$47	$19	$10	1.9×
Blood test, basic metabolic panel CPT Code: `80048`	—	$17	$9	1.9×
Culture, bacterial CPT Code: `87070`	$42	$17	$9	1.9×
Blood test, vitamin B12 CPT Code: `82607`	$73	$30	$16	1.9×
Hepatitis C antibody test CPT Code: `86803`	$69	$28	$15	1.9×
Blood test, amylase CPT Code: `82150`	$31	$13	$7	1.9×
Blood test, magnesium CPT Code: `83735`	$32	$13	$7	1.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$81	$33	$18	1.8×
Culture, blood CPT Code: `87040`	$50	$20	$11	1.8×
Hepatitis B vaccine HCPCS Code: `90744`	—	$37	$37	1.0×
Blood test, potassium CPT Code: `84132`	$22	$9	$5	1.8×
Blood test, sodium CPT Code: `84295`	$23	$9	$5	1.8×
Blood test, liver function panel CPT Code: `80076`	—	$16	$9	1.8×
Blood test, hemoglobin CPT Code: `85018`	$11	$5	$3	1.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$19	$8	$5	1.6×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$26	$25	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$24	$35	0.7×
Behavioral health living support HCPCS Code: `H2019`	—	$22	$34	0.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$28	$28	$111	0.3×
Behavioral health assessment HCPCS Code: `H0001`	—	$33	$157	0.2×

Showing top 25 high-impact procedures of 129 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Saint Anne's Hospital (Zero PHI Required)

CMS CCN: 220020

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $29,320

1. Amount on Your Bill or Quote ($) Pre-filled with Saint Anne's 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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Saint Anne's 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 +$39,593 Above Fair BaseRate

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

Your bill ($70,368) is $39,593 above the denoised Fair BaseRate ($30,775) and 3.0× 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) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Saint Anne's Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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 Composite69/100

Would Recommend74%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait190 min

Left ER Before Seen5%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate5.2%

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 Saint Anne's Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2023-02-08·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (661 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 Saint Anne's Hospital.

Price Index: 1.02× regional baseline

Quality: 66/100 CMS composite

Median Household Income$84,198U.S. Census ACS

Local Uninsured Share3.0%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 65/100 · Caution CMS CCN 220020

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 220020) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage4/1/2026

Validated Rate Rows1,531 (CMS v3.0.0)

File Integrity DigestVerified · CCN 220020

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