How many shoppable procedure prices are published for CHI St Alexius Health?

CHI St Alexius Health in Bismarck, ND currently has 112 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do CHI St Alexius Health's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, CHI St Alexius Health's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is CHI St Alexius Health's CMS Care Compare overall star rating?

CMS Care Compare assigns CHI St Alexius Health 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 - Church 157 Beds · urban Updated: 2026-02-28

CHI St Alexius Health

900 E Broadway, Bismarck, ND 58501 · 112 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.36×vs. Fair Market Price

Typical commercial prices here are +36% above the fair benchmark (1.36×) even after accounting for local nurse/doctor wages and patient complexity.

81/100 · Corroborated

81/100Self-Pay Cash Beats Insurance 86% of the Time

File Completeness100

Price Logic67

Peer Alignment75

Clean Billing68

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.36× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 5,640), CHI St Alexius Health commands a 1.36× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#10 of 23 in ND · 39th State Percentile#2,383 of 3,385 in U.S. · 70th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.98× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 86% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 67% patient recommendation (61/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (68.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.36× 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 1.29× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.68×) jump +30% above the median procedure ratio (Q50 1.29×)
Consolidated metro market (HHI 5,640) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.8× Medicare

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

Back-Door Captive & ER0.89× Divergence

1.6× Medicare

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

Quantile Tail Spread+30% Upper Tail

Q25 0.98× · Q50 1.29× · Q75 1.68×

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

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.0× MedicareGood

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

0.6× MedicareGood

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

86% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 61/100Elevated

Procedure Prices at CHI St Alexius Health

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 112 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`	—	$23,320	$30,775	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$14,948	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$14,377	$19,432	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$13,809	$17,936	0.8×
Total hip replacement CPT Code: `27130`	—	$13,510	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$13,510	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,144	$8,223	0.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,951	$6,109	1.0×
Breast lump removal CPT Code: `19120`	—	$3,906	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$3,600	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,310	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	—	$3,310	$3,446	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,326	$2,540	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$668	$1,017	$1,021	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,378	$735	$511	1.4×
Blood transfusion CPT Code: `36430`	$505	$717	$498	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,037	$618	$448	1.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$371	$548	$583	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,956	$435	$303	1.4×
MRI, lower back (no contrast) CPT Code: `72148`	$1,234	$435	$338	1.3×
MRI, brain (no contrast) CPT Code: `70551`	$1,213	$435	$343	1.3×
MRI, knee or other leg joint CPT Code: `73721`	$1,625	$435	$369	1.2×
CT scan, head (with contrast) CPT Code: `70460`	$1,188	$419	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,522	$419	$258	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$351	$436	$272	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$268	$389	$148	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$221	$321	$123	2.6×
Rabies immune globulin HCPCS Code: `90375`	$248	$317	$322	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$318	$318	$987	0.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$149	$218	$123	1.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$232	$205	$126	1.6×
Ultrasound, pelvis CPT Code: `76856`	$328	$205	$130	1.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$295	$205	$132	1.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$397	$205	$134	1.5×
CT scan, head (no contrast) CPT Code: `70450`	$1,080	$205	$160	1.3×
CT scan, pelvis CPT Code: `72192`	$908	$205	$163	1.3×
CT scan, sinuses CPT Code: `70486`	$908	$205	$166	1.2×
CT scan, chest (no contrast) CPT Code: `71250`	$908	$205	$167	1.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$953	$205	$168	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,053	$205	$169	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$153	$221	$201	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$199	$199	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$216	$216	$1,256	0.2×
X-ray, lower back CPT Code: `72110`	$172	$205	$112	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$112	$164	$87	1.9×
X-ray, pelvis CPT Code: `72170`	$131	$187	$110	unverified
X-ray, chest (single view) CPT Code: `71045`	$106	$152	$92	1.7×
X-ray, shoulder CPT Code: `73030`	$347	$152	$92	1.7×
X-ray, foot CPT Code: `73630`	$117	$152	$92	1.7×
X-ray, chest (two views) CPT Code: `71046`	$138	$152	$93	1.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$112	$152	$93	1.6×
X-ray, hand CPT Code: `73130`	$249	$152	$93	1.6×
X-ray, ankle CPT Code: `73610`	$115	$152	$93	1.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$86	$161	$181	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$177	$177	$86	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$77	$112	$35	3.2×
X-ray, hip CPT Code: `73502`	$94	$136	$93	1.5×
Neurobehavioral status check CPT Code: `96116`	$136	$136	$231	0.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$82	$107	$64	1.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$74	$131	$151	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$70	$102	$40	2.5×
New patient office visit (30-44 min) CPT Code: `99203`	$87	$127	$110	1.2×
Prosthetic fitting and training CPT Code: `97761`	$68	$98	$45	2.2×
Orthotic fitting and training CPT Code: `97760`	$71	$104	$51	2.0×
Group therapy session CPT Code: `90853`	$68	$98	$100	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$80	$115	$38	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$77	$112	$34	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$77	$112	$38	unverified
Typhoid vaccine HCPCS Code: `90675`	$157	$289	$347	0.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$94	$165	$203	0.8×
Blood test, vitamin D CPT Code: `82306`	$157	$157	$31	unverified
Blood test, lipase CPT Code: `83690`	$60	$60	$7	8.6×
Culture, bacterial CPT Code: `87070`	$75	$75	$9	8.3×
Culture, blood CPT Code: `87040`	$72	$72	$11	6.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$80	$80	$14	5.7×
Hepatitis C antibody test CPT Code: `86803`	$76	$76	$15	5.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$53	$77	$38	2.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$64	$94	$111	0.8×
Pneumococcal vaccine HCPCS Code: `90732`	$81	$84	$140	0.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$98	$98	$19	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$68	$68	$166	0.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$90	$90	$18	unverified
Blood test, amylase CPT Code: `82150`	$53	$53	$7	7.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$55	$55	$8	6.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$61	$61	$11	5.5×
Blood test, vitamin B12 CPT Code: `82607`	$80	$80	$16	5.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$68	$68	$185	0.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$78	$78	$14	unverified
Physical therapy (gait training) CPT Code: `97116`	$54	$78	$33	unverified
Blood test, calcium CPT Code: `82310`	$35	$35	$5	7.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$28	$28	$4	7.0×
Blood test, sodium CPT Code: `84295`	$33	$33	$5	6.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$32	$47	$25	1.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$27	$41	$86	0.5×
Blood test, magnesium CPT Code: `83735`	$55	$55	$7	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$28	$28	$4	7.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$31	$31	$5	6.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$31	$31	$5	6.2×
Blood test, liver function panel CPT Code: `80076`	$47	$47	$9	5.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$52	$52	$10	5.2×
Blood antibody screen CPT Code: `86850`	$97	$55	$46	1.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$27	$39	$39	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$38	$56	$56	1.0×
Psychological testing evaluation CPT Code: `96136`	$53	$53	$128	0.4×
Psychological testing by technician CPT Code: `96138`	$50	$50	$395	0.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$28	$9	$3	3.0×
Blood test, basic metabolic panel CPT Code: `80048`	$52	$23	$9	2.6×
Blood test, hemoglobin CPT Code: `85018`	$16	$7	$3	2.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$14	$12	$25	0.5×
Hepatitis B vaccine HCPCS Code: `90744`	$19	$16	$37	0.4×
Blood test, potassium CPT Code: `84132`	$24	$24	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$37	$37	$6	unverified

Showing top 25 high-impact procedures of 112 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 68.7%

Audit a Bill or Quote at CHI St Alexius Health (Zero PHI Required)

CMS CCN: 350002

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $23,320

1. Amount on Your Bill or Quote ($) Pre-filled with CHI St Alexius Health’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: $38,439 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $38,439

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (68.7% of gross = $38,439).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask CHI St Alexius Health'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 +$25,193 Above Fair BaseRate

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

Your bill ($55,968) is $25,193 above the denoised Fair BaseRate ($30,775) and 2.4× 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: 450226711

Filing Period: 194603

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 (68.7% 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 Composite61/100

Would Recommend67%

Rated 9 or 10 (HCAHPS)68%

Median ER Wait164 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.6%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (625 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 Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for CHI St Alexius Health.

Price Index: 0.67× regional baseline

Quality: 54/100 CMS composite

Median Household Income$84,948U.S. Census ACS

Local Uninsured Share4.7%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 81/100 · Corroborated CMS CCN 350002 EIN 450226711

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 350002) ↗ Verify IRS Form 990 (EIN 450226711) ↗ CMS HCRIS Cost Reports ↗

Published MRF File450226711-1306832654_st-alexius-medical-center_standardcharges.json

Publication / Vintage2026-02-28 · 42.92 MB

Validated Rate Rows1,240 (CMS v3.0.0)

File Integrity Digest2d638e588d2dc7e47bac…

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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