How many shoppable procedure prices are published for St Joseph Hospital?

St Joseph Hospital in Nashua, NH currently has 123 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do St Joseph Hospital's commercial prices compare to the fair BaseRate?

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

What is St Joseph Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns St Joseph Hospital 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 - Other 160 Beds · urban Updated: 4/1/2026

St Joseph Hospital

172 Kinsley St, Nashua, NH 03060 · 123 Priced Procedures · 70% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.79×vs. Fair Market Price

Typical commercial prices here are 21% below the fair benchmark (0.79×) after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 6% of the Time

File Completeness90

Price Logic76

Peer Alignment53

Clean Billing78

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 0.79× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

St Joseph Hospital prices routine shoppable procedures near 0.8× Medicare (p50 0.72×) while skewing captive emergency, lab, and upper-quartile codes to 1.9× Medicare (p75 1.09×, +51% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#1 of 16 in NH · 1st State Percentile#259 of 3,385 in U.S. · 7th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 21% below peer Fair BaseRate (0.79×)
Self-pay cash beats commercial insurance on 6% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 70% patient recommendation (66/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (5.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.79× 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 (0.5×) & laboratory (0.5×) services average 2.37× higher multiples than routine shoppable care (0.8×)
Upper-quartile procedures (Q75 1.09×) jump +51% above the median procedure ratio (Q50 0.72×)
Consolidated metro market (HHI 5,534) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.8× Medicare

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

Back-Door Captive & ER2.37× Divergence

1.9× Medicare

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

Quantile Tail Spread+51% Upper Tail

Q25 0.41× · Q50 0.72× · Q75 1.09×

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

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× 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

0.5× MedicareGood

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

0.5× MedicareGood

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

6% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 66/100Fair

Procedure Prices at St Joseph Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 123 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`	—	$47,954	$30,775	1.6×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$28,835	$19,087	1.5×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$28,634	$19,432	1.5×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$26,171	$17,936	1.5×
Total hip replacement CPT Code: `27130`	—	$14,750	$13,413	1.1×
Total knee replacement CPT Code: `27447`	—	$14,750	$13,523	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$11,573	$8,223	1.4×
C-section delivery (full package) CPT Code: `59510`	—	$3,158	$2,975	1.1×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,844	$2,680	1.1×
Rabies immune globulin HCPCS Code: `90375`	—	$845	$322	2.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$4,675	$815	$6,109	0.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,721	$712	$1,021	0.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$670	$3,372	0.2×
Bunion correction surgery CPT Code: `28296`	—	$642	$3,446	0.2×
Inguinal hernia repair CPT Code: `49505`	—	$655	$3,629	0.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$615	$2,540	0.2×
Breast lump removal CPT Code: `19120`	—	$527	$3,875	0.1×
Blood transfusion CPT Code: `36430`	$449	$449	$498	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,208	$278	$448	0.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,543	$272	$511	0.5×
Colonoscopy with biopsy CPT Code: `45380`	—	$236	$1,256	0.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$188	$181	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$124	$191	$185	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$821	$195	$272	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,714	$182	$369	0.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$374	$142	$148	1.0×
Family therapy session CPT Code: `90847`	—	$143	$173	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,563	$147	$258	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$1,525	$164	$343	0.5×
MRI, lower back (no contrast) CPT Code: `72148`	$1,732	$158	$338	0.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,447	$166	$583	0.3×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$164	$981	0.2×
Upper endoscopy with biopsy CPT Code: `43239`	$738	$164	$987	0.2×
Speech therapy (language evaluation) CPT Code: `92507`	$142	$103	$86	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$305	$117	$123	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$75	$114	$123	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$498	$106	$132	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$131	$128	$166	0.8×
Ultrasound, pelvis CPT Code: `76856`	$450	$94	$130	0.7×
CT scan, sinuses CPT Code: `70486`	$1,190	$114	$166	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,948	$133	$303	0.4×
New patient office visit (30-44 min) CPT Code: `99203`	$66	$96	$110	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$609	$99	$134	0.7×
CT scan, pelvis CPT Code: `72192`	$1,193	$107	$163	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,242	$107	$167	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,325	$108	$169	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,345	$107	$168	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$114	$114	$201	0.6×
CT scan, head (with contrast) CPT Code: `70460`	$1,285	$124	$242	0.5×
CT scan, head (no contrast) CPT Code: `70450`	$1,169	$86	$160	0.5×
Neurobehavioral status check CPT Code: `96116`	—	$99	$231	0.4×
Typhoid vaccine HCPCS Code: `90675`	$1,042	$1,042	$347	3.0×
Blood test, vitamin D CPT Code: `82306`	$173	$173	$31	5.6×
Culture, blood CPT Code: `87040`	$82	$82	$11	7.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$92	$92	$203	0.5×
Drug screening test HCPCS Code: `G0480`	$106	$106	$116	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$62	$62	$10	6.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$80	$80	$14	5.7×
Blood test, lipase CPT Code: `83690`	$63	$63	$7	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$87	$87	$18	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$53	$53	$6	8.8×
Hepatitis C antibody test CPT Code: `86803`	$78	$78	$15	5.2×
Blood antibody screen CPT Code: `86850`	$60	$74	$46	1.6×
Flu vaccine injection HCPCS Code: `G0008`	$58	$58	$48	1.2×
Orthotic fitting and training CPT Code: `97760`	$69	$61	$51	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$65	$78	$87	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$347	$76	$126	0.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$92	$92	$11	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$79	$79	$14	unverified
Blood test, vitamin B12 CPT Code: `82607`	$92	$92	$16	unverified
Culture, bacterial CPT Code: `87070`	$76	$76	$9	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$42	$42	$3	14.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$32	$32	$4	8.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$30	$30	$4	7.5×
Blood test, calcium CPT Code: `82310`	$33	$33	$5	6.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$32	$32	$5	6.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$32	$32	$5	6.4×
Blood test, sodium CPT Code: `84295`	$29	$29	$5	5.8×
Prosthetic fitting and training CPT Code: `97761`	$63	$54	$45	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$18	$27	$20	1.4×
Speech therapy (group session) CPT Code: `92508`	$133	$32	$27	1.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$69	$45	$38	1.2×
Physical therapy (gait training) CPT Code: `97116`	$62	$39	$33	1.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$80	$47	$40	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$65	$44	$38	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$77	$43	$38	1.1×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$37	$33	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$62	$39	$35	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	$62	$37	$34	1.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$37	$35	1.1×
Flu vaccine (high dose) HCPCS Code: `90656`	$22	$25	$25	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$44	$44	$49	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$44	$44	$8	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$18	$18	$19	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$32	$43	$56	0.8×
X-ray, hip CPT Code: `73502`	$213	$49	$93	0.5×
X-ray, lower back CPT Code: `72110`	$384	$52	$112	0.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$274	$38	$93	0.4×
X-ray, hand CPT Code: `73130`	$255	$38	$93	0.4×
X-ray, ankle CPT Code: `73610`	$252	$37	$93	0.4×
Pneumococcal vaccine HCPCS Code: `90732`	$53	$53	$140	0.4×
Psychological testing by technician CPT Code: `96138`	—	$48	$395	0.1×
Blood test, amylase CPT Code: `82150`	$61	$61	$7	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$40	$17	$14	1.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$27	$20	$25	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$34	$34	$49	0.7×
Hepatitis B vaccine HCPCS Code: `90744`	$25	$25	$37	0.7×
X-ray, shoulder CPT Code: `73030`	$259	$34	$92	0.4×
X-ray, foot CPT Code: `73630`	$260	$33	$92	0.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$38	$38	$111	0.3×
Group therapy session CPT Code: `90853`	—	$34	$100	0.3×
X-ray, chest (two views) CPT Code: `71046`	$213	$30	$93	0.3×
Psychological testing evaluation CPT Code: `96136`	—	$29	$128	0.2×
Blood test, basic metabolic panel CPT Code: `80048`	$52	$52	$9	unverified
Blood test, liver function panel CPT Code: `80076`	$52	$52	$9	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$16	$16	$86	0.2×
Blood test, magnesium CPT Code: `83735`	$40	$40	$7	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$12	$12	$39	0.3×
X-ray, chest (single view) CPT Code: `71045`	$172	$22	$92	0.2×
X-ray, pelvis CPT Code: `72170`	$195	$25	$110	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$133	$9	$64	0.1×
Blood test, potassium CPT Code: `84132`	$29	$29	$5	unverified
Blood test, hemoglobin CPT Code: `85018`	$19	$19	$3	unverified

Showing top 25 high-impact procedures of 123 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 5.7%

Audit a Bill or Quote at St Joseph Hospital (Zero PHI Required)

CMS CCN: 300011

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $47,954

1. Amount on Your Bill or Quote ($) Pre-filled with St Joseph Hospital’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: $6,537 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $6,537

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (5.7% of gross = $6,537).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask St Joseph Hospital'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 +$84,315 Above Fair BaseRate

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

Your bill ($115,090) is $84,315 above the denoised Fair BaseRate ($30,775) and 4.9× 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)

EIN: 020222215

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 (5.7% 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 Composite66/100

Would Recommend70%

Rated 9 or 10 (HCAHPS)70%

Median ER Wait204 min

Left ER Before Seen4%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3%

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 St Joseph Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2023-06-15·administrative_or_closure
Closure Notice
Recorded
2023-03-03·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (1,124 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 St Joseph Hospital.

Price Index: 0.27× regional baseline

Quality: 58/100 CMS composite

Median Household Income$100,436U.S. Census ACS

Local Uninsured Share6.0%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 300011 EIN 020222215

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 300011) ↗ Verify IRS Form 990 (EIN 020222215) ↗ CMS HCRIS Cost Reports ↗

Published MRF File020222215_st-joseph-hospital-of-nashua_standardcharges.csv

Publication / Vintage4/1/2026 · 8.48 MB

Validated Rate Rows172 (CMS v3.0.0)

File Integrity Digestf52caf1394b0ed2e78e3…

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

St Joseph Hospital

Loss-Leader / Captive Ancillary Cross-Subsidizer

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at St Joseph Hospital

Audit a Bill or Quote at St Joseph Hospital (Zero PHI Required)

Statutory 501(r) AGB Cap Limits Bill to $6,537

Compare Prompt-Pay Cash Rate Against Remaining Deductible

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

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

Clinical Quality, Patient Experience & Infection Benchmarks

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

CMS Price Transparency Administrative Enforcement Log

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

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