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

St Lukes Hospital in Duluth, MN currently has 140 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, St Lukes Hospital's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns St Lukes 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 Voluntary non-profit - Private 238 Beds · rural Updated: 2026-04-01

St Lukes Hospital

915 East 1St Street, Duluth, MN 55805 · 140 Priced Procedures · 72% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.79×vs. Fair Market Price

Typical commercial prices here are 21% below the fair benchmark (0.79×) after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 34% of the Time

File Completeness55

Price Logic84

Peer Alignment71

Clean Billing87

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.79× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

St Lukes Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.88× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.99× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#10 of 76 in MN · 11th State Percentile#256 of 3,385 in U.S. · 7th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 21% below peer Fair BaseRate (0.79×)
Self-pay cash beats commercial insurance on 34% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (66/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (17.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Captive ER (1.3×) & laboratory (1.2×) services average 1.11× higher multiples than routine shoppable care (0.9×)
Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 3,037) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.9× Medicare

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

Back-Door Captive & ER1.11× Divergence

1.0× Medicare

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

Quantile Tail Spread+12% Upper Tail

Q25 0.70× · Q50 0.88× · Q75 0.99×

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

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.2× MedicareGood

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

1.1× MedicareGood

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

34% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 66/100Fair

Procedure Prices at St Lukes Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 140 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`	—	$25,872	$30,775	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$15,675	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$15,643	$19,432	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$14,254	$17,936	0.8×
Total hip replacement CPT Code: `27130`	$6,981	$8,878	$13,413	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,499	$8,223	0.8×
Total knee replacement CPT Code: `27447`	$7,154	$4,397	$13,523	0.3×
Vaginal delivery (full package) CPT Code: `59400`	$4,093	$4,266	$2,680	1.6×
C-section delivery (full package) CPT Code: `59510`	$4,848	$4,287	$2,975	1.4×
Inguinal hernia repair CPT Code: `49505`	$4,650	$3,781	$3,629	1.0×
Bunion correction surgery CPT Code: `28296`	$3,136	$3,739	$3,446	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,983	$3,316	$3,372	1.0×
Breast lump removal CPT Code: `19120`	$2,252	$2,252	$3,875	unverified
Trauma team activation HCPCS Code: `G0390`	$1,734	$1,612	$1,453	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,567	$1,144	$6,109	0.2×
Cataract surgery with lens implant CPT Code: `66984`	$3,869	$946	$2,540	0.4×
Injection procedure for pain management HCPCS Code: `G0260`	$651	$767	$855	0.9×
Blood transfusion CPT Code: `36430`	$489	$533	$498	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,560	$467	$981	0.5×
Colonoscopy with biopsy CPT Code: `45380`	$1,778	$491	$1,256	0.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,685	$370	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,847	$376	$511	0.7×
Neurobehavioral status check CPT Code: `96116`	$298	$326	$231	1.4×
Behavioral health residential care HCPCS Code: `H0011`	—	$308	$364	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,853	$315	$1,021	unverified
Rabies immune globulin HCPCS Code: `90375`	$734	$288	$322	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$1,291	$239	$242	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,102	$253	$303	0.8×
Behavioral health day treatment HCPCS Code: `H0010`	$258	$258	$343	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$2,480	$254	$343	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$2,468	$247	$338	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$2,221	$250	$369	0.7×
Upper endoscopy with biopsy CPT Code: `43239`	$1,324	$226	$987	0.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,539	$191	$258	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,479	$176	$583	0.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$233	$184	$185	unverified
Care planning with family CPT Code: `90887`	$200	$200	$107	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$222	$144	$151	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$217	$155	$181	0.9×
Family therapy session CPT Code: `90847`	$208	$171	$173	unverified
X-ray, lower back CPT Code: `72110`	$238	$111	$112	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$202	$112	$123	0.9×
Ultrasound, pelvis CPT Code: `76856`	$351	$111	$130	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$494	$113	$134	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$296	$110	$132	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,553	$128	$168	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$455	$106	$148	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$1,078	$113	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$1,069	$113	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$1,165	$111	$166	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,311	$111	$169	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,201	$109	$167	0.7×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$131	$269	0.5×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$117	$257	0.5×
Speech therapy (language evaluation) CPT Code: `92507`	$212	$86	$86	1.0×
Psychological testing evaluation CPT Code: `96136`	$97	$104	$128	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$193	$83	$110	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$145	$107	$166	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$64	$81	$201	0.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$494	$92	$272	unverified
Typhoid vaccine HCPCS Code: `90675`	$492	$350	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$137	$187	$203	0.9×
Drug screening test HCPCS Code: `G0480`	$191	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$153	$133	$140	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$229	$97	$111	0.9×
Behavioral health living support HCPCS Code: `H2019`	—	$53	$34	1.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$139	$78	$87	0.9×
X-ray, hand CPT Code: `73130`	$162	$78	$93	0.8×
X-ray, hip CPT Code: `73502`	$204	$74	$93	0.8×
X-ray, foot CPT Code: `73630`	$132	$70	$92	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$163	$63	$93	0.7×
X-ray, ankle CPT Code: `73610`	$137	$63	$93	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$55	$58	$86	0.7×
X-ray, shoulder CPT Code: `73030`	$196	$59	$92	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	$287	$77	$123	0.6×
X-ray, chest (two views) CPT Code: `71046`	$180	$49	$93	0.5×
X-ray, pelvis CPT Code: `72170`	$170	$53	$110	0.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$338	$60	$126	0.5×
Psychological testing by technician CPT Code: `96138`	$73	$73	$395	0.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$129	$37	$25	1.5×
Blood antibody screen CPT Code: `86850`	$79	$54	$46	1.2×
Community mental health services HCPCS Code: `H0038`	—	$17	$16	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$77	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$95	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$90	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$85	$9	$9	1.0×
Blood test, vitamin D CPT Code: `82306`	$147	$31	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$34	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$52	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$45	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$41	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$92	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$76	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$36	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$58	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$57	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$45	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$36	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$99	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$35	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$94	$18	$18	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$39	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$67	$8	$8	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$106	$27	$27	1.0×
Orthotic fitting and training CPT Code: `97760`	$91	$49	$51	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$96	$20	$20	1.0×
Prosthetic fitting and training CPT Code: `97761`	$77	$43	$45	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$116	$36	$38	0.9×
Physical therapy (gait training) CPT Code: `97116`	$82	$31	$33	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$63	$13	$14	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$71	$37	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$82	$35	$38	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	$65	$30	$33	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$81	$34	$38	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$84	$32	$37	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$81	$29	$34	0.9×
Mental health services (therapy) HCPCS Code: `H0032`	—	$53	$65	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$121	$28	$35	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$69	$39	$56	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$23	$34	$49	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$23	$33	$48	0.7×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$53	$88	0.6×
Group therapy session CPT Code: `90853`	$49	$51	$100	0.5×
Mental health services (assessment) HCPCS Code: `H0031`	$97	$53	$140	0.4×
Behavioral health assessment HCPCS Code: `H0001`	$93	$53	$157	0.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$54	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$97	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$73	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$65	$9	$9	1.0×
Speech therapy (group session) CPT Code: `92508`	$57	$25	$27	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$46	$23	$25	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$81	$31	$35	0.9×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$14	$16	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$78	$30	$39	0.8×
Behavioral health day program HCPCS Code: `H2012`	—	$32	$100	0.3×
Colorectal cancer screening HCPCS Code: `G0010`	$40	$49	$49	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$39	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$30	$2	$3	0.7×
X-ray, chest (single view) CPT Code: `71045`	$135	$27	$92	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$109	$17	$64	0.3×

Showing top 25 high-impact procedures of 140 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 17.7%

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

CMS CCN: 240047

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $25,872

1. Amount on Your Bill or Quote ($) Pre-filled with St Lukes 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: $11,015 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $11,015

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (17.7% of gross = $11,015).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask St Lukes 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 +$31,318 Above Fair BaseRate

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

Your bill ($62,093) is $31,318 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)

EIN: 410714079

Filing Period: 194901

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 (17.7% 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 Composite66/100

Would Recommend72%

Rated 9 or 10 (HCAHPS)66%

Median ER Wait218 min

Left ER Before Seen4%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate2.7%

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

2026-03-09·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (454 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 St Lukes Hospital.

Price Index: 0.53× regional baseline

Quality: 59/100 CMS composite

Median Household Income$69,455U.S. Census ACS

Local Uninsured Share3.6%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 79/100 · Corroborated CMS CCN 240047 EIN 410714079

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 240047) ↗ Verify IRS Form 990 (EIN 410714079) ↗ CMS HCRIS Cost Reports ↗

Published MRF File410714079_1801835970_aspirus-st-lukes-hospital_standardcharges.json

Publication / Vintage2026-04-01 · 188.59 MB

Validated Rate Rows2,416 (CMS v3.0.0)

File Integrity DigestVerified · CCN 240047

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.

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