How many shoppable procedure prices are published for Mosaic Life Care at St Joseph?

Mosaic Life Care at St Joseph in Saint Joseph, MO currently has 142 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Mosaic Life Care at St Joseph's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Mosaic Life Care at St Joseph's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

What is Mosaic Life Care at St Joseph's CMS Care Compare overall star rating?

CMS Care Compare assigns Mosaic Life Care at St Joseph an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 330 Beds · rural Updated: 2025-09-26

Mosaic Life Care at St Joseph

5325 Faraon Street, Saint Joseph, MO 64506 · 142 Priced Procedures · 64% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.76×vs. Fair Market Price

Typical commercial prices here are 24% below the fair benchmark (0.76×) after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 40% of the Time

File Completeness56

Price Logic82

Peer Alignment64

Clean Billing89

Real Cash Discount91

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.76× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Mosaic Life Care at St Joseph maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.74× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.93× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#1 of 79 in MO · 1st State Percentile#202 of 3,385 in U.S. · 5th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 24% below peer Fair BaseRate (0.76×)
Self-pay cash beats commercial insurance on 40% of shoppable procedures (91/100 Cash Honesty)
4-Star CMS clinical rating with 64% patient recommendation (63/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (41.4% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.76× 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 (1.3×) & laboratory (1.5×) services average 1.43× higher multiples than routine shoppable care (0.7×)
Upper-quartile procedures (Q75 0.93×) jump +26% above the median procedure ratio (Q50 0.74×)
Consolidated metro market (HHI 9,977) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.7× Medicare

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

Back-Door Captive & ER1.43× Divergence

1.0× Medicare

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

Quantile Tail Spread+26% Upper Tail

Q25 0.50× · Q50 0.74× · Q75 0.93×

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

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.5× MedicareGood

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

1.1× MedicareGood

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

40% Cash Edge · 91/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 63/100Elevated

Procedure Prices at Mosaic Life Care at St Joseph

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`	—	$28,564	$30,775	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,750	$17,936	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$12,038	$19,432	0.6×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$8,876	$19,087	0.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$3,925	$8,223	0.5×
C-section delivery (full package) CPT Code: `59510`	$5,950	$2,481	$2,975	0.8×
Total knee replacement CPT Code: `27447`	$2,396	$2,396	$13,523	0.2×
Vaginal delivery (full package) CPT Code: `59400`	$4,218	$2,230	$2,680	0.8×
Total hip replacement CPT Code: `27130`	$2,238	$2,238	$13,413	0.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,692	$1,692	$6,109	0.3×
Trauma team activation HCPCS Code: `G0390`	$8,075	$1,333	$1,453	0.9×
Blood transfusion CPT Code: `36430`	$935	$935	$498	1.9×
Injection procedure for pain management HCPCS Code: `G0260`	—	$698	$855	0.8×
Cataract surgery with lens implant CPT Code: `66984`	—	$694	$2,540	0.3×
Breast lump removal CPT Code: `19120`	$672	$672	$3,875	0.2×
Bunion correction surgery CPT Code: `28296`	$1,050	$618	$3,446	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$961	$565	$3,372	0.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,250	$520	$1,021	0.5×
Inguinal hernia repair CPT Code: `49505`	$1,576	$529	$3,629	0.1×
Residential mental health treatment HCPCS Code: `H2036`	—	$518	$406	unverified
Rabies immune globulin HCPCS Code: `90375`	$446	$340	$322	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,188	$335	$511	0.7×
Upper endoscopy with biopsy CPT Code: `43239`	$2,125	$285	$987	0.3×
Colonoscopy with biopsy CPT Code: `45380`	$1,738	$286	$1,256	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$234	$234	$201	1.2×
Behavioral health residential care HCPCS Code: `H0011`	—	$250	$364	0.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,060	$252	$448	0.6×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$248	$151	unverified
MRI, brain (no contrast) CPT Code: `70551`	$1,700	$205	$343	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$1,828	$211	$369	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,626	$227	$981	0.2×
MRI, lower back (no contrast) CPT Code: `72148`	$1,700	$200	$338	0.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$298	$162	$185	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$2,550	$148	$242	0.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,148	$165	$272	0.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,720	$153	$258	0.6×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$143	$257	0.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,275	$152	$303	0.5×
Behavioral health day treatment HCPCS Code: `H0010`	—	$166	$343	0.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,720	$168	$583	0.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$170	$132	$181	0.7×
Behavioral health assessment HCPCS Code: `H0001`	—	$135	$157	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$298	$107	$148	0.7×
Mental health services (assessment) HCPCS Code: `H0031`	—	$125	$140	unverified
Review of medical records for care CPT Code: `90889`	—	$85	$114	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$595	$90	$132	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,573	$115	$169	0.7×
Ultrasound, pelvis CPT Code: `76856`	$850	$88	$130	0.7×
CT scan, pelvis CPT Code: `72192`	$850	$110	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$935	$112	$166	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$1,530	$105	$160	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$170	$108	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$2,125	$118	$167	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,020	$114	$168	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,275	$100	$134	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$213	$100	$123	unverified
Family therapy session CPT Code: `90847`	$170	$120	$173	unverified
Neurobehavioral status check CPT Code: `96116`	—	$89	$231	0.4×
Typhoid vaccine HCPCS Code: `90675`	$1,565	$368	$347	unverified
Drug screening test HCPCS Code: `G0480`	$179	$109	$116	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$128	$128	$203	unverified
Residential substance abuse treatment HCPCS Code: `H2035`	—	$76	$88	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$935	$76	$126	0.6×
Pneumococcal vaccine HCPCS Code: `90732`	$101	$101	$140	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$72	$72	$111	0.6×
Speech therapy (language evaluation) CPT Code: `92507`	$281	$76	$86	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$81	$31	$37	0.8×
Orthotic fitting and training CPT Code: `97760`	$111	$42	$51	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$131	$46	$56	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$255	$67	$123	0.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$33	$35	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$79	$37	$48	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$106	$58	$110	0.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$20	$20	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$27	$27	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$34	$30	$33	0.9×
Group therapy session CPT Code: `90853`	$49	$43	$100	0.4×
X-ray, lower back CPT Code: `72110`	$531	$45	$112	0.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$196	$11	$11	1.0×
X-ray, hip CPT Code: `73502`	$510	$36	$93	0.4×
Blood test, basic metabolic panel CPT Code: `80048`	$136	$9	$9	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$102	$14	$14	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$85	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$68	$15	$15	1.0×
Culture, bacterial CPT Code: `87070`	$128	$9	$9	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$120	$24	$25	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$47	$22	$25	0.9×
Speech therapy (group session) CPT Code: `92508`	$64	$23	$27	0.9×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$13	$16	0.8×
Physical therapy (gait training) CPT Code: `97116`	$68	$26	$33	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$64	$11	$14	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$85	$31	$40	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$128	$27	$35	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$119	$29	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$85	$29	$38	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$29	$38	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$31	$37	$49	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$102	$25	$34	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$73	$28	$39	0.7×
Prosthetic fitting and training CPT Code: `97761`	$77	$31	$45	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$221	$46	$87	0.5×
Community mental health services HCPCS Code: `H0038`	—	$8	$16	0.5×
Behavioral health living support HCPCS Code: `H2019`	—	$17	$34	0.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$68	$22	$49	0.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$510	$31	$93	0.3×
Behavioral health day program HCPCS Code: `H2012`	—	$32	$100	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$77	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$55	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$64	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$64	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$136	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$34	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$94	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$94	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$85	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$51	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$77	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$60	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$43	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$94	$8	$8	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$153	$17	$18	0.9×
Blood test, liver function panel CPT Code: `80076`	$153	$8	$9	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$51	$4	$5	0.8×
X-ray, hand CPT Code: `73130`	$510	$29	$93	0.3×
X-ray, ankle CPT Code: `73610`	$510	$29	$93	0.3×
X-ray, shoulder CPT Code: `73030`	$425	$28	$92	0.3×
Blood test, hemoglobin CPT Code: `85018`	$43	$2	$3	0.7×
X-ray, foot CPT Code: `73630`	$468	$27	$92	0.3×
X-ray, chest (two views) CPT Code: `71046`	$425	$27	$93	0.3×
Mental health services (therapy) HCPCS Code: `H0032`	—	$18	$65	0.3×
Care planning with family CPT Code: `90887`	$26	$26	$107	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$191	$15	$64	0.2×
Psychological testing evaluation CPT Code: `96136`	$30	$30	$128	0.2×
X-ray, pelvis CPT Code: `72170`	$361	$24	$110	0.2×
X-ray, chest (single view) CPT Code: `71045`	$340	$18	$92	0.2×
Blood antibody screen CPT Code: `86850`	$153	$8	$46	0.2×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$33	$269	0.1×
Psychological testing by technician CPT Code: `96138`	$553	$33	$395	0.1×
Blood test, amylase CPT Code: `82150`	$102	$7	$7	unverified
Blood test, vitamin D CPT Code: `82306`	$153	$31	$31	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$98	$5	$86	0.1×
Culture, blood CPT Code: `87040`	$128	$11	$11	unverified

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 41.4%

Audit a Bill or Quote at Mosaic Life Care at St Joseph (Zero PHI Required)

CMS CCN: 260006

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $28,564

1. Amount on Your Bill or Quote ($) Pre-filled with Mosaic Life Care at St Joseph’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: $28,402 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $28,402

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (41.4% of gross = $28,402).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Mosaic Life Care at St Joseph'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 +$37,779 Above Fair BaseRate

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

Your bill ($68,554) is $37,779 above the denoised Fair BaseRate ($30,775) and 2.9× 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 (41.4% 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 Composite63/100

Would Recommend64%

Rated 9 or 10 (HCAHPS)67%

Median ER Wait164 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.1%

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 Mosaic Life Care at St Joseph. Prior administrative notices do not necessarily reflect current compliance status.

2023-06-05·administrative_or_closure
Closure Notice
Recorded
2023-02-24·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (1,177 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 Mosaic Life Care at St Joseph.

Price Index: 1.00× regional baseline

Quality: 58/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

SelectHealth

+66.7%

Median Household Income$59,423U.S. Census ACS

Local Uninsured Share12.1%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 76/100 · Corroborated CMS CCN 260006

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 260006) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-09-26

Validated Rate Rows7,073 (CMS v3.0.0)

File Integrity DigestVerified · CCN 260006

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