The Rehabilitation Institute of St. Louis, An Affiliation of Bjc Healt
4455 Duncan Ave, Saint Louis, MO 63110 · 59 Priced Procedures
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Specialty Drug & Surgical Margin Engine
The Rehabilitation Institute of St. Louis, An Affiliation of Bjc Healt concentrates commercial margin in outpatient surgical suites (5.1× Medicare) and specialty drug infusions (4.7× Medicare) relative to routine diagnostics (4.3×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 25% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 5.1× markup over Medicare rates
- Captive ER (5.9×) & laboratory (4.4×) services average 1.05× higher multiples than routine shoppable care (4.1×)
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 4.5× Medicare (34¢ 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 The Rehabilitation Institute of St. Louis, An Affiliation of Bjc Healt
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 59 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,420 | 3.2× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,420 | 2.8× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,075 | 3.2× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,075 | 3.1× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,070 | 2.9× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,011 | 4.2× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,011 | 3.9× |
| Blood transfusion CPT Code: 36430 | $894 | 1.8× |
| CT scan, head (no contrast) CPT Code: 70450 | $813 | 5.1× |
| CT scan, sinuses CPT Code: 70486 | $814 | 4.9× |
| CT scan, chest (no contrast) CPT Code: 71250 | $813 | 4.9× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $813 | 4.8× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $813 | 4.8× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $384 | 1.4× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $309 | 0.5× |
| Speech therapy (language evaluation) CPT Code: 92507 | $243 | 2.8× |
| Neurobehavioral status check CPT Code: 96116 | $239 | 1.0× |
| X-ray, chest (single view) CPT Code: 71045 | $203 | 2.2× |
| X-ray, shoulder CPT Code: 73030 | $203 | 2.2× |
| X-ray, foot CPT Code: 73630 | $203 | 2.2× |
| X-ray, chest (two views) CPT Code: 71046 | $203 | 2.2× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $203 | 2.2× |
| X-ray, hand CPT Code: 73130 | $203 | 2.2× |
| X-ray, hip CPT Code: 73502 | $203 | 2.2× |
| X-ray, ankle CPT Code: 73610 | $203 | 2.2× |
Audit a Bill or Quote at The Rehabilitation Institute of St. Louis, An Affiliation of Bjc Healt (Zero PHI Required)
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.
Self-Pay Cash Rate ($1,420) Beats Your Bill
The Rehabilitation Institute of St. Louis, An Affiliation of Bjc Healt's published 45 CFR § 180 self-pay cash rate is $1,420 (vs. $1,420 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $448 Fair BaseRate ($356 Medicare)
Your bill ($1,893) is $1,445 above the denoised Fair BaseRate ($448) and 5.3× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify The Rehabilitation Institute of St. Louis, An Affiliation of Bjc Healt 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.
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 The Rehabilitation Institute of St. Louis, An Affiliation of Bjc Healt.
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.