How many shoppable procedure prices are published for St Vincent Hospital?

St Vincent Hospital in Worcester, MA currently has 119 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

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

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

CMS Care Compare assigns St Vincent Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 244 Beds · rural Updated: 2026-06-05

St Vincent Hospital

123 Summer Street, Worcester, MA 01608 · 119 Priced Procedures · 51% Patient Recommendation

CMS Overall Rating 2 / 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.

74/100 · Corroborated

74/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness51

Price Logic75

Peer Alignment72

Clean Billing80

Real Cash Discount100

Regional Benchmark Tier

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

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

St Vincent Hospital prices shoppable and inpatient services (1.3× to 1.3× Medicare, divergence 1.00×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#10 of 53 in MA · 16th State Percentile#1,285 of 3,385 in U.S. · 37th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.80× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 51% patient recommendation (55/100 safety score)
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 1.6× markup over Medicare rates
Commercial insurance median sits at 1.19× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.40×) jump +18% above the median procedure ratio (Q50 1.19×)
Consolidated metro market (HHI 2,291) limits in-network hospital competition (Moderately Concentrated (1,500–2,500))

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.3× Medicare

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

Quantile Tail Spread+18% Upper Tail

Q25 0.80× · Q50 1.19× · Q75 1.40×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

4.0× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.3× MedicareElevated

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

1.2× MedicareGood

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

0% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 55/100Elevated

Procedure Prices at St Vincent Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 119 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$18,608	$19,432	1.0×
Blood transfusion CPT Code: `36430`	$5,993	$5,993	$498	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$3,485	$855	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$2,035	$6,109	0.3×
C-section delivery (full package) CPT Code: `59510`	—	$1,989	$2,975	0.7×
Vaginal delivery (full package) CPT Code: `59400`	—	$1,757	$2,680	0.7×
Inguinal hernia repair CPT Code: `49505`	—	$1,371	$3,629	0.4×
Bunion correction surgery CPT Code: `28296`	—	$1,315	$3,446	0.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$1,286	$3,372	0.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$13,214	$1,250	$1,021	1.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$7,478	$1,130	$511	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$1,145	$1,145	$123	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,116	$1,116	$148	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$1,066	$2,540	0.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,123	$946	$583	1.6×
Breast lump removal CPT Code: `19120`	—	$922	$3,875	0.2×
X-ray, hip CPT Code: `73502`	$728	$728	$93	unverified
MRI, brain (no contrast) CPT Code: `70551`	$6,269	$672	$343	2.0×
MRI, knee or other leg joint CPT Code: `73721`	$6,932	$647	$369	1.8×
MRI, lower back (no contrast) CPT Code: `72148`	$8,344	$655	$338	unverified
X-ray, chest (single view) CPT Code: `71045`	$445	$445	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$451	$451	$93	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$3,625	$411	$258	1.6×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$395	$981	0.4×
Upper endoscopy with biopsy CPT Code: `43239`	—	$380	$987	0.4×
Colonoscopy with biopsy CPT Code: `45380`	—	$395	$1,256	0.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$9,708	$368	$448	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$1,434	$338	$242	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,669	$346	$272	1.3×
CT scan, sinuses CPT Code: `70486`	$1,950	$321	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$3,368	$344	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$3,248	$344	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$4,457	$343	$168	unverified
CT scan, pelvis CPT Code: `72192`	$2,155	$331	$163	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$264	$264	$14	18.9×
CT scan, head (no contrast) CPT Code: `70450`	$2,840	$266	$160	1.7×
Rabies immune globulin HCPCS Code: `90375`	$1,079	$280	$322	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$362	$242	$166	1.5×
Psychotherapy session (60 minutes) CPT Code: `90837`	$415	$242	$181	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$851	$242	$185	1.3×
Neurobehavioral status check CPT Code: `96116`	—	$254	$231	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$5,550	$230	$303	0.8×
Behavioral health day program HCPCS Code: `H2012`	—	$162	$100	1.6×
Mental health services (assessment) HCPCS Code: `H0031`	—	$162	$140	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$773	$171	$201	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,298	$134	$151	0.9×
Family therapy session CPT Code: `90847`	$428	$153	$173	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$406	$127	$86	1.5×
New patient office visit (30-44 min) CPT Code: `99203`	$446	$100	$110	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$2,710	$109	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$3,071	$109	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,461	$109	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,951	$109	$134	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$613	$99	$123	0.8×
Typhoid vaccine HCPCS Code: `90675`	$2,597	$314	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$908	$230	$203	1.1×
Drug screening test HCPCS Code: `G0480`	—	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$948	$133	$140	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$314	$64	$40	1.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$251	$57	$38	1.5×
Occupational therapy (self-care training) CPT Code: `97535`	$290	$56	$38	1.5×
Group therapy session CPT Code: `90853`	$330	$78	$100	0.8×
Speech therapy (group session) CPT Code: `92508`	$185	$43	$27	1.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$205	$56	$38	1.5×
Orthotic fitting and training CPT Code: `97760`	$357	$75	$51	1.5×
Physical therapy (gait training) CPT Code: `97116`	$169	$48	$33	1.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$421	$50	$35	1.4×
Prosthetic fitting and training CPT Code: `97761`	$264	$64	$45	1.4×
Physical therapy (manual therapy) CPT Code: `97140`	$374	$46	$34	1.4×
Flu vaccine injection HCPCS Code: `G0008`	$159	$52	$48	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$159	$52	$49	1.1×
Care planning with family CPT Code: `90887`	—	$66	$107	0.6×
X-ray, lower back CPT Code: `72110`	$1,389	$62	$112	0.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$35	$25	1.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$125	$19	$14	1.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$288	$19	$14	1.4×
Blood test, vitamin D CPT Code: `82306`	$717	$41	$31	1.3×
Colorectal cancer screening HCPCS Code: `G0010`	$137	$52	$49	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$602	$56	$64	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$436	$66	$87	0.8×
Blood test, vitamin B12 CPT Code: `82607`	$416	$21	$16	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,598	$42	$93	0.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$85	$6	$4	1.5×
Blood test, lipase CPT Code: `83690`	$246	$10	$7	1.4×
Blood test, calcium CPT Code: `82310`	$102	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$118	$7	$5	1.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$324	$14	$10	1.4×
Blood test, sodium CPT Code: `84295`	$88	$7	$5	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$114	$11	$8	1.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$156	$26	$19	1.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$148	$15	$11	1.4×
Blood test, basic metabolic panel CPT Code: `80048`	$119	$12	$9	1.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$101	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$124	$8	$6	1.3×
Culture, bacterial CPT Code: `87070`	$216	$12	$9	1.3×
Blood test, amylase CPT Code: `82150`	$263	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$111	$9	$7	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$321	$23	$18	1.3×
Culture, blood CPT Code: `87040`	$291	$14	$11	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$115	$5	$4	1.3×
Blood test, liver function panel CPT Code: `80076`	$134	$11	$9	1.2×
X-ray, foot CPT Code: `73630`	$1,181	$36	$92	0.4×
X-ray, hand CPT Code: `73130`	$1,256	$36	$93	0.4×
X-ray, ankle CPT Code: `73610`	$1,307	$36	$93	0.4×
X-ray, shoulder CPT Code: `73030`	$1,232	$35	$92	0.4×
X-ray, pelvis CPT Code: `72170`	$838	$32	$110	0.3×
Blood test, potassium CPT Code: `84132`	$90	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	$275	$16	$15	1.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$124	$19	$20	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$98	$32	$37	0.9×
Behavioral health living support HCPCS Code: `H2019`	—	$20	$34	0.6×
Psychological testing evaluation CPT Code: `96136`	—	$33	$128	0.3×
Psychological testing by technician CPT Code: `96138`	—	$33	$395	0.1×
Blood test, hemoglobin CPT Code: `85018`	$74	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$78	$5	$5	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$68	$23	$25	0.9×
Review of medical records for care CPT Code: `90889`	—	$27	$114	0.2×
Blood antibody screen CPT Code: `86850`	$249	$10	$46	0.2×

Showing top 25 high-impact procedures of 119 total

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

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

CMS CCN: 220176

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $18,608

1. Amount on Your Bill or Quote ($) Pre-filled with St Vincent 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 St Vincent 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 +$25,227 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($44,659) is $25,227 above the denoised Fair BaseRate ($19,432) and 3.2× the $14,044 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 St Vincent 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 Overall2/5 Stars (2/5)

Safety Composite55/100

Would Recommend51%

Rated 9 or 10 (HCAHPS)51%

Median ER Wait220 min

Left ER Before Seen4%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.5%

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

2025-03-27·administrative_or_closure
Met Requirements
Recorded
2023-08-17·administrative_or_closure
Closure Notice
Recorded
2023-04-25·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (1,196 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 Quality & Price Benchmark Pareto Frontier (Price + Quality)

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

Price Index: 0.46× regional baseline

Quality: 42/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Blue Cross Blue Shield

+92.9%

Aetna

+132.7%

Cigna

+288.4%

Median Household Income$93,561U.S. Census ACS

Local Uninsured Share2.6%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 74/100 · Corroborated CMS CCN 220176

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 220176) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-06-05

Validated Rate Rows864 (CMS v3.0.0)

File Integrity DigestVerified · CCN 220176

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