St Gabriels Hospital
815 Southeast Second Street, Little Falls, MN 56345 · 110 Priced Procedures · 69% Patient Recommendation
Typical commercial prices here are +21% above the fair benchmark (1.21×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.21× fair market pricing.
Loss-Leader / Captive Ancillary Cross-Subsidizer
St Gabriels Hospital prices routine shoppable procedures near 1.4× Medicare (p50 1.12×) while skewing captive emergency, lab, and upper-quartile codes to 1.6× Medicare (p75 1.64×, +46% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.68× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 58% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 69% patient recommendation (70/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (37.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.21× 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 (0.7×) & laboratory (1.1×) services average 1.14× higher multiples than routine shoppable care (1.4×)
- Upper-quartile procedures (Q75 1.64×) jump +46% above the median procedure ratio (Q50 1.12×)
- Unnegotiated chargemaster list prices average 6.2× Medicare (21¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at St Gabriels Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 110 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $20,228 | 1.1× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $19,199 | 1.0× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $18,604 | 1.0× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $8,015 | 1.0× |
| Rabies immune globulin HCPCS Code: 90375 | $4,826 | unverified |
| Trauma team activation HCPCS Code: G0390 | $4,418 | unverified |
| C-section delivery (full package) CPT Code: 59510 | $4,146 | unverified |
| Vaginal delivery (full package) CPT Code: 59400 | $3,759 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,336 | unverified |
| Total hip replacement CPT Code: 27130 | $2,083 | 0.2× |
| Total knee replacement CPT Code: 27447 | $2,080 | 0.2× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,767 | 0.5× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,674 | 1.6× |
| Bunion correction surgery CPT Code: 28296 | $1,434 | 0.4× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,040 | 0.2× |
| Colonoscopy with biopsy CPT Code: 45380 | $892 | 0.7× |
| Inguinal hernia repair CPT Code: 49505 | $829 | 0.2× |
| Upper endoscopy with biopsy CPT Code: 43239 | $772 | 0.8× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $728 | 1.2× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $619 | 1.4× |
| MRI, brain (no contrast) CPT Code: 70551 | $588 | 1.7× |
| Blood transfusion CPT Code: 36430 | $605 | 1.2× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $619 | 1.2× |
| MRI, lower back (no contrast) CPT Code: 72148 | $588 | 1.7× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $578 | 0.6× |
Audit a Bill or Quote at St Gabriels Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $17,962
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (37.0% of gross = $17,962).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask St Gabriels Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your bill ($48,547) is $29,460 above the denoised Fair BaseRate ($19,087) and 3.4× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (37.0% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
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 Gabriels Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-06-06·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (198 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St Gabriels Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.