How many shoppable procedure prices are published for St Mary's Medical Center?

St Mary's Medical Center in Blue Springs, MO currently has 100 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do St Mary's Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, St Mary's Medical Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is St Mary's Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns St Mary's Medical Center 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 Proprietary 73 Beds · urban Updated: 2026-03-17

St Mary's Medical Center

201 Nw R D Mize Rd, Blue Springs, MO 64014 · 100 Priced Procedures · 63% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.90×vs. Fair Market Price

Typical commercial prices here are 10% below the fair benchmark (0.90×) after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 94% of the Time

File Completeness66

Price Logic99

Peer Alignment69

Clean Billing73

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 0.90× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive

Uniform Value Leader

St Mary's Medical Center maintains disciplined commercial pricing across both elective shoppable care (1.2× Medicare) and captive emergency/ancillary departments (1.0× Medicare). Patients and health plans benefit from predictable, below-benchmark rates (0.90× Fair BaseRate) without hidden ancillary cross-subsidization.

#13 of 79 in MO · 15th State Percentile#643 of 3,385 in U.S. · 18th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 10% below peer Fair BaseRate (0.90×)
Self-pay cash beats commercial insurance on 94% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 63% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.90× 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.
Commercial insurance median sits at 1.02× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.90× 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.
Unnegotiated chargemaster list prices average 17.9× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER0.83× Divergence

1.0× Medicare

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

Quantile Tail Spread+12% Upper Tail

Q25 0.95× · Q50 1.02× · Q75 1.14×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.0× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.3× MedicareElevated

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

0.8× MedicareGood

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

94% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at St Mary's Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 100 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	$12,796	$15,795	$13,413	1.2×
Total knee replacement CPT Code: `27447`	$12,796	$15,795	$13,523	1.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$14,034	$14,175	$19,087	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$13,936	$14,076	$19,432	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$12,737	$12,865	$17,936	0.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$6,025	$7,162	$6,109	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$5,632	$5,779	$8,223	0.7×
Inguinal hernia repair CPT Code: `49505`	$3,568	$4,317	$3,629	1.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,261	$3,997	$3,372	1.2×
Bunion correction surgery CPT Code: `28296`	$3,261	$3,969	$3,446	1.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,192	$1,457	$1,256	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$903	$1,155	$987	1.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$855	$1,177	$1,021	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$926	$1,123	$981	1.1×
Injection procedure for pain management HCPCS Code: `G0260`	$703	$850	$855	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$544	$671	$583	1.2×
Blood transfusion CPT Code: `36430`	$439	$540	$498	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$347	$438	$448	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$347	$441	$511	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$237	$298	$272	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$237	$295	$303	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$237	$299	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$237	$299	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$237	$299	$369	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$218	$250	$201	unverified
CT scan, head (with contrast) CPT Code: `70460`	$174	$220	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$174	$220	$258	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$104	$130	$126	1.0×
Ultrasound, pelvis CPT Code: `76856`	$104	$131	$130	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$104	$131	$132	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$104	$131	$134	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$103	$143	$148	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$74	$95	$86	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$85	$118	$123	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$104	$131	$160	0.8×
CT scan, pelvis CPT Code: `72192`	$104	$131	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$104	$131	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$104	$131	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$104	$131	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$104	$131	$169	0.8×
X-ray, chest (single view) CPT Code: `71045`	$86	$108	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$86	$108	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$86	$107	$93	unverified
X-ray, lower back CPT Code: `72110`	$104	$130	$112	unverified
X-ray, pelvis CPT Code: `72170`	$104	$130	$110	unverified
X-ray, shoulder CPT Code: `73030`	$86	$107	$92	unverified
X-ray, hand CPT Code: `73130`	$86	$107	$93	unverified
X-ray, hip CPT Code: `73502`	$86	$108	$93	unverified
X-ray, ankle CPT Code: `73610`	$86	$107	$93	unverified
X-ray, foot CPT Code: `73630`	$86	$107	$92	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	—	$81	$86	0.9×
Typhoid vaccine HCPCS Code: `90675`	$319	$319	$347	0.9×
Drug screening test HCPCS Code: `G0480`	$114	$148	$116	unverified
Flu vaccine injection HCPCS Code: `G0008`	$46	$56	$48	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$58	$73	$64	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	—	$78	$110	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$67	$123	0.5×
Physical therapy (gait training) CPT Code: `97116`	$28	$36	$33	1.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$32	$41	$38	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$31	$40	$38	1.1×
Blood antibody screen CPT Code: `86850`	$51	$65	$46	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$30	$25	1.2×
Speech therapy (group session) CPT Code: `92508`	$23	$30	$27	1.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$33	$43	$40	1.1×
Occupational therapy (self-care training) CPT Code: `97535`	$31	$40	$38	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$28	$36	$35	1.0×
Prosthetic fitting and training CPT Code: `97761`	$38	$46	$45	1.0×
Orthotic fitting and training CPT Code: `97760`	$44	$52	$51	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$8	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$10	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$13	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$8	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$3	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$6	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$29	$31	$31	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$19	$20	$20	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$42	$87	0.5×
Blood test, calcium CPT Code: `82310`	$5	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$5	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$15	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$13	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$3	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$9	$10	$10	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$26	$34	$34	1.0×
Blood test, lipase CPT Code: `83690`	$6	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$6	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$4	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$18	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$4	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$16	$18	$18	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$3	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$7	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$6	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$14	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$10	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$8	$9	$9	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$12	$13	$14	0.9×
Blood test, hemoglobin CPT Code: `85018`	$2	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$11	$16	$35	0.5×

Showing top 25 high-impact procedures of 100 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at St Mary's Medical Center (Zero PHI Required)

CMS CCN: 260193

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $12,796

Insurer Median $15,795

1. Amount on Your Bill or Quote ($) Pre-filled with St Mary's 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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $9,429 Paying Cash

Self-Pay Cash Rate ($12,796) Beats Your Bill

St Mary's Medical Center's published 45 CFR § 180 self-pay cash rate is $12,796 (vs. $15,795 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$8,812 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($22,225) is $8,812 above the denoised Fair BaseRate ($13,413) and 1.7× the $13,117 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) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify St Mary's Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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 Overall2/5 Stars (2/5)

Safety Composite54/100

Would Recommend63%

Rated 9 or 10 (HCAHPS)66%

Median ER Wait162 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Hip/Knee Complication Rate3.8%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (435 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 Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St Mary's Medical Center.

Price Index: 0.47× regional baseline

Quality: 38/100 CMS composite

Median Household Income$67,178U.S. Census ACS

Local Uninsured Share11.3%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 260193

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 260193) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-17

Validated Rate Rows2,499 (CMS v3.0)

File Integrity DigestVerified · CCN 260193

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