How many shoppable procedure prices are published for Saint Clare's Hospital/ Denville Campus?

Saint Clare's Hospital/ Denville Campus in Denville, NJ currently has 106 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Saint Clare's Hospital/ Denville Campus's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Saint Clare's Hospital/ Denville Campus's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Saint Clare's Hospital/ Denville Campus's CMS Care Compare overall star rating?

CMS Care Compare assigns Saint Clare's Hospital/ Denville Campus an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 242 Beds · urban Updated: 2026-09-10

Saint Clare's Hospital/ Denville Campus

25 Pocono Road, Denville, NJ 07834 · 106 Priced Procedures · 58% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.10×vs. Fair Market Price

Typical commercial prices here are +10% above the fair benchmark (1.10×) even after accounting for local nurse/doctor wages and patient complexity.

89/100 · Verified

89/100Self-Pay Cash Beats Insurance 87% of the Time

File Completeness100

Price Logic98

Peer Alignment64

Clean Billing78

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.10× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Saint Clare's Hospital/ Denville Campus maintains elevated commercial insurance contracts (1.10× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 87% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#30 of 52 in NJ · 55th State Percentile#1,683 of 3,385 in U.S. · 49th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.00× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 87% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 58% patient recommendation (55/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
Commercial insurance median sits at 1.15× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.42×) jump +23% above the median procedure ratio (Q50 1.15×)
Unnegotiated chargemaster list prices average 8.1× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.6× Medicare

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

Back-Door Captive & ER0.69× Divergence

1.1× Medicare

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

Quantile Tail Spread+23% Upper Tail

Q25 1.00× · Q50 1.15× · Q75 1.42×

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

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.4× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.2× MedicareElevated

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

1.2× MedicareGood

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

87% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 55/100Elevated

Procedure Prices at Saint Clare's Hospital/ Denville Campus

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 106 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$17,834	$21,537	$19,087	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$17,713	$19,993	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$16,238	$19,546	$17,936	1.1×
Total hip replacement CPT Code: `27130`	$14,888	$14,889	$13,413	1.1×
Total knee replacement CPT Code: `27447`	$14,888	$14,889	$13,523	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$7,492	$8,643	$8,223	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$7,010	$7,718	$6,109	1.3×
Inguinal hernia repair CPT Code: `49505`	$4,152	$5,605	$3,629	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,794	$5,123	$3,372	1.5×
Bunion correction surgery CPT Code: `28296`	$3,794	$5,123	$3,446	unverified
Breast lump removal CPT Code: `19120`	$4,540	$4,768	$3,875	1.2×
Cataract surgery with lens implant CPT Code: `66984`	$2,676	$3,613	$2,540	1.4×
Colonoscopy with biopsy CPT Code: `45380`	$1,387	$2,145	$1,256	1.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,078	$1,989	$981	2.0×
Upper endoscopy with biopsy CPT Code: `43239`	$1,051	$1,989	$987	2.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$995	$1,566	$1,021	1.5×
Blood transfusion CPT Code: `36430`	$511	$791	$498	1.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$633	$703	$583	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$404	$549	$448	1.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$404	$552	$511	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	—	$510	$110	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$510	$87	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$510	$123	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$276	$435	$272	1.6×
Neurobehavioral status check CPT Code: `96116`	$250	$344	$231	1.5×
MRI, lower back (no contrast) CPT Code: `72148`	$276	$359	$338	1.1×
MRI, brain (no contrast) CPT Code: `70551`	$276	$359	$343	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$276	$359	$369	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$276	$359	$303	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$205	$250	$185	1.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$253	$260	$201	1.3×
CT scan, head (with contrast) CPT Code: `70460`	$203	$271	$242	1.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$203	$271	$258	1.1×
Family therapy session CPT Code: `90847`	$205	$247	$173	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$205	$211	$166	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$205	$211	$181	1.2×
Ultrasound, pelvis CPT Code: `76856`	$121	$162	$130	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$121	$162	$132	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$121	$163	$134	1.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$128	$154	$148	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$121	$164	$160	1.0×
CT scan, pelvis CPT Code: `72192`	$121	$164	$163	1.0×
CT scan, sinuses CPT Code: `70486`	$121	$164	$166	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$121	$164	$167	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$121	$164	$168	1.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$121	$164	$169	1.0×
X-ray, lower back CPT Code: `72110`	$121	$162	$112	unverified
X-ray, pelvis CPT Code: `72170`	$121	$162	$110	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$121	$162	$126	unverified
Group therapy session CPT Code: `90853`	$117	$121	$100	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$105	$127	$123	1.0×
X-ray, chest (single view) CPT Code: `71045`	$100	$121	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$100	$121	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$100	$121	$93	unverified
X-ray, shoulder CPT Code: `73030`	$100	$121	$92	unverified
X-ray, hand CPT Code: `73130`	$100	$121	$93	unverified
X-ray, hip CPT Code: `73502`	$100	$121	$93	unverified
X-ray, ankle CPT Code: `73610`	$100	$121	$93	unverified
X-ray, foot CPT Code: `73630`	$100	$121	$92	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$84	$88	$86	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$68	$108	$64	unverified
Community mental health services HCPCS Code: `H0038`	—	$83	$16	unverified
Typhoid vaccine HCPCS Code: `90675`	$319	$319	$347	0.9×
Drug screening test HCPCS Code: `G0480`	$114	$87	$116	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$54	$85	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$54	$85	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$54	$85	$49	unverified
Physical therapy (gait training) CPT Code: `97116`	$32	$57	$33	1.7×
Physical therapy (manual therapy) CPT Code: `97140`	$30	$57	$34	1.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$32	$57	$35	1.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$36	$57	$38	1.5×
Occupational therapy (self-care training) CPT Code: `97535`	$36	$57	$38	1.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$37	$57	$38	1.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$39	$57	$40	1.4×
Orthotic fitting and training CPT Code: `97760`	$51	$63	$51	1.2×
Blood antibody screen CPT Code: `86850`	$60	$60	$46	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$14	$25	$14	1.8×
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, vitamin D CPT Code: `82306`	$29	$30	$31	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, calcium CPT Code: `82310`	$5	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$5	$5	$5	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×
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, 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 (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×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$19	$20	$20	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$16	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$15	$15	$16	0.9×
Blood test, liver function panel CPT Code: `80076`	$8	$8	$9	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$2	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$14	$21	$35	0.6×

Showing top 25 high-impact procedures of 106 total

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

Audit a Bill or Quote at Saint Clare's Hospital/ Denville Campus (Zero PHI Required)

CMS CCN: 310050

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $17,834

Insurer Median $21,537

1. Amount on Your Bill or Quote ($) Pre-filled with Saint Clare's Hospital/ Denville Campus’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 $33,855 Paying Cash

Self-Pay Cash Rate ($17,834) Beats Your Bill

Saint Clare's Hospital/ Denville Campus's published 45 CFR § 180 self-pay cash rate is $17,834 (vs. $21,537 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$32,602 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($51,689) is $32,602 above the denoised Fair BaseRate ($19,087) and 3.7× the $14,117 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 Saint Clare's Hospital/ Denville Campus 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 Composite55/100

Would Recommend58%

Rated 9 or 10 (HCAHPS)58%

Median ER Wait164 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Hip/Knee Complication Rate3.6%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (868 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 Saint Clare's Hospital/ Denville Campus.

Price Index: 0.77× regional baseline

Quality: 39/100 CMS composite

Median Household Income$134,929U.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 89/100 · Verified CMS CCN 310050

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 310050) ↗ CMS HCRIS Cost Reports ↗

Published MRF File21403_SaintClaresHealthBoonton_standardcharges.json

Publication / Vintage2026-09-10 · 26.88 MB

Validated Rate Rows2,936 (CMS v3.0)

File Integrity Digest1036837e17da4575aafd…

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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