How many shoppable procedure prices are published for OSF St Francis Hospital and Medical Group?

OSF St Francis Hospital and Medical Group in Escanaba, MI currently has 92 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do OSF St Francis Hospital and Medical Group's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, OSF St Francis Hospital and Medical Group's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

What is OSF St Francis Hospital and Medical Group's CMS Care Compare overall star rating?

CMS Care Compare assigns OSF St Francis Hospital and Medical Group an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Church 25 Beds · rural Updated: 2026-03-31

OSF St Francis Hospital and Medical Group

3401 Ludington St, Escanaba, MI 49829 · 92 Priced Procedures · 73% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

1.74×vs. Fair Market Price

Typical commercial prices here are +74% above the fair benchmark (1.74×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness66

Price Logic100

Peer Alignment91

Clean Billing54

Real Cash Discount97

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.74× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 10,000), OSF St Francis Hospital and Medical Group commands a 1.74× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#90 of 91 in MI · 97th State Percentile#2,916 of 3,385 in U.S. · 86th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.64× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (97/100 Cash Honesty)
4-Star CMS clinical rating with 73% patient recommendation (73/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (7.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 3.1× markup over Medicare rates
Commercial insurance median sits at 1.73× Fair BaseRate (2.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.74× 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.
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.5× Medicare

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

Back-Door Captive & ER1.00× Divergence

2.5× Medicare

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

Quantile Tail Spread+5% Upper Tail

Q25 1.64× · Q50 1.73× · Q75 1.81×

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

2.5× MedicareFair

Outpatient Surgery & ORBack-Door Captive

3.1× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.9× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

3.6× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

4.8× MedicareWatchout

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

0.5× MedicareGood

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

0% Cash Edge · 97/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 73/100Fair

Procedure Prices at OSF St Francis Hospital and Medical Group

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 92 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`	—	$53,107	$30,775	1.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$39,905	$17,936	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$35,220	$19,432	1.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$31,245	$19,087	1.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$12,406	$8,223	1.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,067	$5,067	$511	9.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,674	$4,674	$448	10.4×
MRI, lower back (no contrast) CPT Code: `72148`	$4,505	$4,505	$338	13.3×
MRI, knee or other leg joint CPT Code: `73721`	$4,417	$4,417	$369	12.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,924	$3,924	$1,021	3.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,765	$3,765	$303	12.4×
MRI, brain (no contrast) CPT Code: `70551`	$3,122	$3,122	$343	9.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,785	$2,785	$583	4.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,177	$2,177	$258	8.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,188	$2,188	$272	8.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,882	$1,882	$169	11.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,823	$1,823	$242	7.5×
CT scan, sinuses CPT Code: `70486`	$1,778	$1,778	$166	10.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,778	$1,778	$167	10.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,778	$1,778	$168	10.6×
CT scan, pelvis CPT Code: `72192`	$1,734	$1,734	$163	10.6×
CT scan, head (no contrast) CPT Code: `70450`	$1,683	$1,683	$160	10.5×
Blood transfusion CPT Code: `36430`	$1,620	$1,620	$498	3.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,298	$1,298	$134	9.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,182	$1,182	$126	9.4×
Ultrasound, pelvis CPT Code: `76856`	$1,165	$1,165	$130	9.0×
Trauma team activation HCPCS Code: `G0390`	$1,111	$1,111	$1,453	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,078	$1,078	$132	8.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$733	$733	$148	5.0×
X-ray, shoulder CPT Code: `73030`	$666	$666	$92	7.2×
X-ray, hand CPT Code: `73130`	$626	$626	$93	6.7×
X-ray, foot CPT Code: `73630`	$586	$586	$92	6.4×
X-ray, ankle CPT Code: `73610`	$586	$586	$93	6.3×
X-ray, hip CPT Code: `73502`	$521	$521	$93	5.6×
X-ray, lower back CPT Code: `72110`	$542	$542	$112	4.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$468	$468	$93	5.0×
X-ray, pelvis CPT Code: `72170`	$448	$448	$110	4.1×
Group therapy session CPT Code: `90853`	$389	$389	$100	3.9×
Screening mammogram (both breasts) CPT Code: `77067`	$390	$390	$123	3.2×
Speech therapy (language evaluation) CPT Code: `92507`	$342	$342	$86	4.0×
X-ray, chest (two views) CPT Code: `71046`	$317	$317	$93	3.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$302	$302	$123	2.5×
Psychological testing by technician CPT Code: `96138`	$322	$322	$395	0.8×
X-ray, chest (single view) CPT Code: `71045`	$269	$269	$92	2.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$222	$222	$64	3.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$199	$199	$87	2.3×
Speech therapy (group session) CPT Code: `92508`	$173	$173	$27	6.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$195	$195	$35	5.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$195	$195	$86	2.3×
Physical therapy (gait training) CPT Code: `97116`	$140	$140	$33	4.2×
Physical therapy (manual therapy) CPT Code: `97140`	$140	$140	$34	4.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$140	$140	$35	4.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$144	$144	$38	3.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$142	$142	$38	3.7×
Occupational therapy (self-care training) CPT Code: `97535`	$140	$140	$38	3.7×
Prosthetic fitting and training CPT Code: `97761`	$164	$164	$45	3.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$140	$140	$40	3.5×
Orthotic fitting and training CPT Code: `97760`	$140	$140	$51	2.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$116	$116	$201	0.6×
Hepatitis C antibody test CPT Code: `86803`	$382	$382	$15	25.5×
Culture, blood CPT Code: `87040`	$297	$297	$11	27.0×
Blood test, lipase CPT Code: `83690`	$257	$257	$7	36.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$268	$268	$11	24.4×
Blood antibody screen CPT Code: `86850`	$271	$271	$46	5.9×
Blood test, amylase CPT Code: `82150`	$186	$186	$7	26.6×
Culture, bacterial CPT Code: `87070`	$211	$211	$9	23.4×
Blood test, basic metabolic panel CPT Code: `80048`	$189	$189	$9	21.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$196	$196	$14	14.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$213	$213	$20	10.7×
Blood test, liver function panel CPT Code: `80076`	$168	$168	$9	18.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$186	$186	$14	13.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$201	$201	$19	10.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$189	$189	$18	10.5×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$206	$206	$27	7.6×
Blood test, magnesium CPT Code: `83735`	$134	$134	$7	19.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$129	$129	$8	16.1×
Blood test, vitamin D CPT Code: `82306`	$145	$145	$31	4.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$100	$100	$3	33.3×
Blood test, vitamin B12 CPT Code: `82607`	$119	$119	$16	7.4×
Blood test, hemoglobin CPT Code: `85018`	$80	$80	$3	26.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$73	$73	$4	18.3×
Blood test, calcium CPT Code: `82310`	$88	$88	$5	17.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$86	$86	$5	17.2×
Blood test, sodium CPT Code: `84295`	$84	$84	$5	16.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$67	$67	$4	16.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$88	$88	$6	14.7×
Blood test, potassium CPT Code: `84132`	$68	$68	$5	13.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$62	$62	$5	12.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$79	$79	$10	7.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$75	$75	$49	1.5×
Flu vaccine injection HCPCS Code: `G0008`	$64	$64	$48	1.3×
Colorectal cancer screening HCPCS Code: `G0010`	$54	$54	$49	1.1×

Showing top 25 high-impact procedures of 92 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 7.3%

Audit a Bill or Quote at OSF St Francis Hospital and Medical Group (Zero PHI Required)

CMS CCN: 231337

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $53,107

1. Amount on Your Bill or Quote ($) Pre-filled with OSF St Francis Hospital and Medical Group’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: $9,241 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $9,241

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (7.3% of gross = $9,241).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask OSF St Francis Hospital and Medical Group'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 +$96,682 Above Fair BaseRate

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

Your bill ($127,457) is $96,682 above the denoised Fair BaseRate ($30,775) and 5.4× 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: prospective_medicare_median

Hospital-Specific CMS HCRIS Benchmark (7.3% 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 Composite73/100

Would Recommend73%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait129 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (281 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 OSF St Francis Hospital and Medical Group.

Price Index: 1.00× regional baseline

Quality: 69/100 CMS composite

Median Household Income$54,829U.S. Census ACS

Local Uninsured Share5.7%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 82/100 · Corroborated CMS CCN 231337

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 231337) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-31

Validated Rate Rows5 (CMS v3.0.0)

File Integrity DigestVerified · CCN 231337

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