How many shoppable procedure prices are published for M Health Fairview St John's Hospital?

M Health Fairview St John's Hospital in Maplewood, MN currently has 142 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do M Health Fairview St John's Hospital's commercial prices compare to the fair BaseRate?

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

What is M Health Fairview St John's Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns M Health Fairview St John's Hospital an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 184 Beds · urban Updated: 2026-02-05

M Health Fairview St John's Hospital

1575 Beam Avenue, Maplewood, MN 55109 · 142 Priced Procedures · 60% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Near Fair BaseRate Benchmark

0.96×vs. Fair Market Price

Typical commercial prices here are 4% below the fair benchmark (0.96×) after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 74% of the Time

File Completeness66

Price Logic90

Peer Alignment65

Clean Billing90

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.96× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

M Health Fairview St John's Hospital prices shoppable and inpatient services (0.9× to 1.3× Medicare, divergence 1.44×) in alignment with regional hospital peers (0.96× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#34 of 76 in MN · 43rd State Percentile#1,051 of 3,385 in U.S. · 31st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 4% below peer Fair BaseRate (0.96×)
Self-pay cash beats commercial insurance on 74% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 60% patient recommendation (71/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (51.8% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.96× 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.
Captive ER (0.6×) & laboratory (1.6×) services average 1.44× higher multiples than routine shoppable care (0.9×)
Upper-quartile procedures (Q75 1.23×) jump +37% above the median procedure ratio (Q50 0.90×)
Unnegotiated chargemaster list prices average 6.7× Medicare (24¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.9× Medicare

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

Back-Door Captive & ER1.44× Divergence

1.3× Medicare

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

Quantile Tail Spread+37% Upper Tail

Q25 0.67× · Q50 0.90× · Q75 1.23×

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

0.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

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

0.8× MedicareGood

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

74% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 71/100Fair

Procedure Prices at M Health Fairview St John's Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 142 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`	—	$25,922	$30,775	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$15,800	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$15,694	$19,432	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$14,391	$17,936	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,662	$8,223	0.8×
Total knee replacement CPT Code: `27447`	—	$4,729	$13,523	0.3×
Vaginal delivery (full package) CPT Code: `59400`	$3,668	$2,316	$2,680	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$2,128	$3,372	0.6×
Bunion correction surgery CPT Code: `28296`	—	$2,050	$3,446	0.6×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,029	$2,540	unverified
Breast lump removal CPT Code: `19120`	—	$1,559	$3,875	0.4×
Trauma team activation HCPCS Code: `G0390`	$1,958	$1,297	$1,453	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$1,132	$882	$1,256	0.7×
Injection procedure for pain management HCPCS Code: `G0260`	$782	$697	$855	0.8×
Upper endoscopy with biopsy CPT Code: `43239`	$835	$654	$987	0.7×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$648	$1,021	0.6×
Inguinal hernia repair CPT Code: `49505`	$669	$669	$3,629	0.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$966	$594	$981	0.6×
Behavioral health residential care HCPCS Code: `H0011`	—	$463	$364	unverified
Rabies immune globulin HCPCS Code: `90375`	$685	$307	$322	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$465	$319	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$695	$336	$511	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$219	$219	$123	1.8×
Mental health services (assessment) HCPCS Code: `H0031`	$385	$214	$140	1.5×
Neurobehavioral status check CPT Code: `96116`	—	$235	$231	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$514	$211	$303	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$760	$211	$338	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$643	$211	$343	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$806	$218	$369	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$420	$228	$583	0.4×
Behavioral health assessment HCPCS Code: `H0001`	$278	$177	$157	1.1×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$202	$269	0.8×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$181	$257	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$480	$174	$258	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$285	$193	$110	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$152	$148	$87	1.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$256	$146	$151	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$206	$156	$166	0.9×
Family therapy session CPT Code: `90847`	$219	$157	$173	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$291	$161	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$367	$163	$185	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$428	$187	$272	0.7×
CT scan, head (with contrast) CPT Code: `70460`	$480	$161	$242	0.7×
Blood transfusion CPT Code: `36430`	$502	$186	$498	0.4×
Care planning with family CPT Code: `90887`	—	$163	$107	unverified
CT scan, pelvis CPT Code: `72192`	$491	$130	$163	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$471	$130	$167	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$231	$153	$148	unverified
Review of medical records for care CPT Code: `90889`	—	$153	$114	unverified
Mental health services (therapy) HCPCS Code: `H0032`	—	$103	$65	1.6×
Screening mammogram (both breasts) CPT Code: `77067`	$188	$124	$123	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$278	$108	$134	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$245	$103	$132	0.8×
Ultrasound, pelvis CPT Code: `76856`	$236	$101	$130	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$472	$125	$169	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$343	$124	$168	0.7×
Behavioral health day treatment HCPCS Code: `H0010`	—	$119	$343	0.3×
Residential mental health treatment HCPCS Code: `H2036`	$232	$132	$406	0.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$213	$91	$126	0.7×
CT scan, sinuses CPT Code: `70486`	$552	$110	$166	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$475	$104	$160	0.7×
Psychological testing by technician CPT Code: `96138`	—	$115	$395	0.3×
Speech therapy (language evaluation) CPT Code: `92507`	$154	$82	$86	1.0×
Total hip replacement CPT Code: `27130`	$81	$81	$13,413	0.0×
Typhoid vaccine HCPCS Code: `90675`	$271	$352	$347	1.0×
Drug screening test HCPCS Code: `G0480`	$66	$156	$116	1.3×
Pneumococcal vaccine HCPCS Code: `90732`	$98	$173	$140	1.2×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$142	$198	$203	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$82	$108	$111	1.0×
Residential substance abuse treatment HCPCS Code: `H2035`	$188	$76	$88	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$47	$71	$86	0.8×
Group therapy session CPT Code: `90853`	$154	$78	$100	0.8×
Behavioral health day program HCPCS Code: `H2012`	$90	$77	$100	0.8×
Psychological testing evaluation CPT Code: `96136`	—	$76	$128	0.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$37	$36	$25	1.4×
Blood test, vitamin D CPT Code: `82306`	$66	$40	$31	1.3×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$67	$33	$27	1.2×
Hepatitis B vaccine HCPCS Code: `90744`	$22	$42	$37	1.1×
Orthotic fitting and training CPT Code: `97760`	$75	$50	$51	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$52	$24	$20	1.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$43	$42	$35	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$32	$47	$56	0.8×
X-ray, hip CPT Code: `73502`	$101	$49	$93	0.5×
X-ray, lower back CPT Code: `72110`	$205	$54	$112	0.5×
C-section delivery (full package) CPT Code: `59510`	$79	$79	$2,975	0.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$78	$78	$6,109	0.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$151	$41	$93	0.4×
X-ray, shoulder CPT Code: `73030`	$149	$36	$92	0.4×
X-ray, chest (two views) CPT Code: `71046`	$143	$35	$93	0.4×
Blood test, potassium CPT Code: `84132`	$17	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$16	$7	$5	1.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$57	$8	$6	1.3×
Hepatitis C antibody test CPT Code: `86803`	$50	$20	$15	1.3×
Culture, bacterial CPT Code: `87070`	$28	$12	$9	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$26	$13	$10	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$46	$18	$14	1.3×
Blood test, lipase CPT Code: `83690`	$28	$9	$7	1.3×
Culture, blood CPT Code: `87040`	$75	$14	$11	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$46	$20	$16	1.3×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$19	$16	1.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$22	$39	$39	1.0×
Speech therapy (group session) CPT Code: `92508`	$127	$26	$27	1.0×
Prosthetic fitting and training CPT Code: `97761`	$86	$43	$45	1.0×
Community mental health services HCPCS Code: `H0038`	—	$16	$16	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$71	$36	$38	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	$72	$31	$33	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$13	$14	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$72	$37	$40	0.9×
Physical therapy (gait training) CPT Code: `97116`	$66	$30	$33	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$66	$34	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$76	$34	$38	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$70	$31	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$63	$29	$34	0.9×
Behavioral health living support HCPCS Code: `H2019`	—	$20	$34	0.6×
Blood antibody screen CPT Code: `86850`	$51	$20	$46	0.4×
X-ray, hand CPT Code: `73130`	$143	$38	$93	0.4×
Blood test, calcium CPT Code: `82310`	$16	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$24	$7	$5	1.4×
Blood test, basic metabolic panel CPT Code: `80048`	$59	$12	$9	1.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$33	$4	$3	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$39	$18	$14	1.3×
Blood test, amylase CPT Code: `82150`	$34	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$26	$9	$7	1.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$84	$14	$11	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$52	$24	$19	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$36	$22	$18	1.2×
X-ray, ankle CPT Code: `73610`	$218	$37	$93	0.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$48	$10	$8	1.3×
Blood test, liver function panel CPT Code: `80076`	$48	$11	$9	1.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$10	$10	$25	0.4×
X-ray, foot CPT Code: `73630`	$147	$35	$92	0.4×
Blood test, glucose (blood sugar) CPT Code: `82947`	$19	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$15	$5	$4	1.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$31	$6	$5	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$88	$24	$64	0.4×
Flu vaccine injection HCPCS Code: `G0008`	$16	$16	$48	0.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$16	$16	$49	0.3×
Colorectal cancer screening HCPCS Code: `G0010`	$16	$16	$49	0.3×
X-ray, chest (single view) CPT Code: `71045`	$128	$27	$92	0.3×
X-ray, pelvis CPT Code: `72170`	$145	$29	$110	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$261	$33	$201	0.2×
Blood test, hemoglobin CPT Code: `85018`	$18	$3	$3	1.0×

Showing top 25 high-impact procedures of 142 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 51.8%

Audit a Bill or Quote at M Health Fairview St John's Hospital (Zero PHI Required)

CMS CCN: 240210

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $25,922

1. Amount on Your Bill or Quote ($) Pre-filled with M Health Fairview St John'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 501(r) AGB Cap: $32,251 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $32,251

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (51.8% of gross = $32,251).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask M Health Fairview St John'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 +$31,438 Above Fair BaseRate

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

Your bill ($62,213) is $31,438 above the denoised Fair BaseRate ($30,775) and 2.6× 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 (51.8% 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 Composite71/100

Would Recommend60%

Rated 9 or 10 (HCAHPS)59%

Median ER Wait188 min

Left ER Before Seen2%

30-Day Mortality vs U.S.better

Unplanned Readmissionbetter

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (490 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for M Health Fairview St John's Hospital.

Price Index: 0.92× regional baseline

Quality: 79/100 CMS composite

Median Household Income$81,004U.S. Census ACS

Local Uninsured Share5.2%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 82/100 · Corroborated CMS CCN 240210

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 240210) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-05

Validated Rate Rows26,524 (CMS v3.0.0)

File Integrity DigestVerified · CCN 240210

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