How many shoppable procedure prices are published for Missouri Baptist Medical Center?

Missouri Baptist Medical Center in Saint Louis, MO currently has 103 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Missouri Baptist Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Missouri Baptist Medical Center's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is Missouri Baptist Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Missouri Baptist Medical Center 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 402 Beds · urban Updated: 2025-12-15

Missouri Baptist Medical Center

3015 N Ballas Rd, Saint Louis, MO 63131 · 103 Priced Procedures · 81% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Above Fair Market · Negotiate

1.18×vs. Fair Market Price

Typical commercial prices here are +18% above the fair benchmark (1.18×) even after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 60% of the Time

File Completeness61

Price Logic85

Peer Alignment73

Clean Billing82

Real Cash Discount100

High Quality · Fair Price

4-Star CMS clinical quality rating paired with 1.18× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Missouri Baptist Medical Center prices routine shoppable procedures near 1.3× Medicare (p50 1.12×) while skewing captive emergency, lab, and upper-quartile codes to 1.6× Medicare (p75 1.66×, +48% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#48 of 79 in MO · 59th State Percentile#1,940 of 3,385 in U.S. · 57th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.83× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 60% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 81% patient recommendation (74/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (55.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.18× 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 (1.9×) & laboratory (1.4×) services average 1.23× higher multiples than routine shoppable care (1.3×)
Upper-quartile procedures (Q75 1.66×) jump +48% above the median procedure ratio (Q50 1.12×)
Unnegotiated chargemaster list prices average 6.8× Medicare (25¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER1.23× Divergence

1.6× Medicare

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

Quantile Tail Spread+48% Upper Tail

Q25 0.83× · Q50 1.12× · Q75 1.66×

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

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

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

0.8× MedicareGood

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

60% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 74/100Fair

Procedure Prices at Missouri Baptist Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 103 published procedures.

Sort:

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`	$62,248	$26,824	$30,775	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$45,403	$24,265	$17,936	1.4×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$37,172	$18,710	$19,432	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$32,852	$14,620	$19,087	0.8×
Inguinal hernia repair CPT Code: `49505`	$10,765	$9,866	$3,629	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$14,951	$9,443	$8,223	1.1×
Injection procedure for pain management HCPCS Code: `G0260`	$4,048	$4,048	$855	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$1,375	$1,941	$981	2.0×
Upper endoscopy with biopsy CPT Code: `43239`	$3,095	$1,925	$987	2.0×
Colonoscopy with biopsy CPT Code: `45380`	$3,097	$1,941	$1,256	1.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$5,346	$1,480	$583	2.5×
MRI, knee or other leg joint CPT Code: `73721`	$1,434	$1,017	$369	unverified
Rabies immune globulin HCPCS Code: `90375`	$895	$895	$322	2.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,054	$860	$1,021	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,361	$421	$272	1.5×
Blood transfusion CPT Code: `36430`	$1,993	$442	$498	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$398	$398	$151	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$293	$342	$148	2.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,839	$367	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,020	$367	$511	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,744	$239	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,423	$251	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,382	$251	$343	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$240	$219	$201	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$411	$241	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$573	$237	$134	unverified
Ultrasound, pelvis CPT Code: `76856`	$614	$219	$130	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$318	$216	$64	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,023	$184	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,219	$184	$258	0.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$448	$179	$126	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$204	$204	$86	unverified
X-ray, hip CPT Code: `73502`	$115	$89	$93	1.0×
X-ray, lower back CPT Code: `72110`	$316	$107	$112	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$236	$88	$93	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$209	$92	$123	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$860	$110	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$705	$110	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$793	$110	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$709	$110	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$691	$110	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$907	$110	$169	0.7×
X-ray, hand CPT Code: `73130`	$266	$84	$93	0.9×
X-ray, ankle CPT Code: `73610`	$166	$82	$93	0.9×
X-ray, chest (two views) CPT Code: `71046`	$274	$81	$93	0.9×
Typhoid vaccine HCPCS Code: `90675`	$571	$608	$347	1.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$231	$193	$111	1.7×
Drug screening test HCPCS Code: `G0480`	$111	$121	$116	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$127	$127	$27	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$92	$90	$56	1.6×
X-ray, shoulder CPT Code: `73030`	$199	$78	$92	0.8×
X-ray, foot CPT Code: `73630`	$259	$77	$92	0.8×
Blood test, vitamin D CPT Code: `82306`	$71	$51	$31	1.6×
Hepatitis B vaccine HCPCS Code: `90744`	$55	$55	$37	1.5×
Speech therapy (language evaluation) CPT Code: `92507`	$319	$74	$86	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$82	$47	$49	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$120	$72	$87	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$240	$72	$110	0.7×
Orthotic fitting and training CPT Code: `97760`	$84	$45	$51	0.9×
X-ray, chest (single view) CPT Code: `71045`	$261	$60	$92	0.7×
X-ray, pelvis CPT Code: `72170`	$170	$68	$110	0.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$62	$61	$39	unverified
Blood test, calcium CPT Code: `82310`	$19	$9	$5	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$12	$9	$5	1.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$34	$7	$4	1.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$17	$7	$4	1.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$33	$24	$14	1.7×
Blood test, lipase CPT Code: `83690`	$46	$12	$7	1.7×
Blood test, magnesium CPT Code: `83735`	$55	$12	$7	1.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$23	$17	$10	1.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$77	$32	$19	1.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$79	$10	$6	1.7×
Hepatitis C antibody test CPT Code: `86803`	$61	$25	$15	1.7×
Flu vaccine injection HCPCS Code: `G0008`	$82	$47	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$82	$47	$49	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$20	$15	$9	1.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$8	$5	$3	1.7×
Culture, bacterial CPT Code: `87070`	$21	$15	$9	1.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$32	$23	$14	1.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$25	$18	$11	1.6×
Culture, blood CPT Code: `87040`	$194	$18	$11	1.6×
Blood test, vitamin B12 CPT Code: `82607`	$36	$26	$16	1.6×
Prosthetic fitting and training CPT Code: `97761`	$67	$39	$45	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$19	$13	$8	1.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$40	$29	$18	1.6×
Blood test, amylase CPT Code: `82150`	$22	$11	$7	1.6×
Blood test, liver function panel CPT Code: `80076`	$20	$14	$9	1.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$38	$38	$25	1.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$30	$34	$35	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$112	$34	$40	0.8×
Blood test, potassium CPT Code: `84132`	$11	$8	$5	1.6×
Blood test, sodium CPT Code: `84295`	$26	$8	$5	1.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$46	$32	$20	1.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$17	$7	$5	1.4×
Electrical stimulation therapy HCPCS Code: `G0283`	$136	$12	$14	0.9×
Physical therapy (gait training) CPT Code: `97116`	$91	$28	$33	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$77	$32	$38	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$101	$31	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$112	$31	$38	0.8×
Blood test, hemoglobin CPT Code: `85018`	$20	$4	$3	1.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$91	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$81	$27	$34	0.8×
Blood antibody screen CPT Code: `86850`	$46	$21	$46	0.5×

Showing top 25 high-impact procedures of 103 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 55.6%

Audit a Bill or Quote at Missouri Baptist Medical Center (Zero PHI Required)

CMS CCN: 260108

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $62,248

Insurer Median $26,824

1. Amount on Your Bill or Quote ($) Pre-filled with Missouri Baptist Medical Center’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: $57,683 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $57,683

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (55.6% of gross = $57,683).

Step 2 · Cash vs. Insurance Arbitrage Save $41,499 Paying Cash

Self-Pay Cash Rate ($62,248) Beats Your Bill

Missouri Baptist Medical Center's published 45 CFR § 180 self-pay cash rate is $62,248 (vs. $26,824 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$72,972 Above Fair BaseRate

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

Your bill ($103,747) is $72,972 above the denoised Fair BaseRate ($30,775) and 4.4× 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)

EIN: 430652656

Filing Period: 200203

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 (55.6% 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 Composite74/100

Would Recommend81%

Rated 9 or 10 (HCAHPS)76%

Median ER Wait252 min

Left ER Before Seen3%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate3.2%

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 Missouri Baptist Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-01-16·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (2,581 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 Missouri Baptist Medical Center.

Price Index: 0.95× regional baseline

Quality: 82/100 CMS composite

Median Household Income$81,340U.S. Census ACS

Local Uninsured Share5.8%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 80/100 · Corroborated CMS CCN 260108 EIN 430652656

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 260108) ↗ Verify IRS Form 990 (EIN 430652656) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-12-15

Validated Rate Rows7,228 (CMS v3.0.0)

File Integrity DigestVerified · CCN 260108

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