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

Saint Mary's Regional Medical Center in Reno, NV currently has 103 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Saint Mary's Regional Medical Center's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Saint Mary's Regional Medical Center 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 Proprietary 356 Beds · urban Updated: 2026-03-17

Saint Mary's Regional Medical Center

235 W 6Th St, Reno, NV 89503 · 103 Priced Procedures · 70% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.21×vs. Fair Market Price

Typical commercial prices here are +21% above the fair benchmark (1.21×) even after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 91% of the Time

File Completeness50

Price Logic99

Peer Alignment70

Clean Billing77

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.21× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 4,242), Saint Mary's Regional Medical Center commands a 1.21× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#17 of 26 in NV · 61st State Percentile#2,041 of 3,385 in U.S. · 60th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.11× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 91% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 70% patient recommendation (65/100 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 3.1× markup over Medicare rates
Commercial insurance median sits at 1.20× Fair BaseRate (1.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.21× 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.
Consolidated metro market (HHI 4,242) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.4× Medicare

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

Back-Door Captive & ER0.93× Divergence

1.3× Medicare

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

Quantile Tail Spread+8% Upper Tail

Q25 1.11× · Q50 1.20× · Q75 1.29×

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

1.4× MedicareGood

Outpatient Surgery & ORBack-Door Captive

3.1× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.7× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

5.3× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

3.8× MedicareElevated

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

0.9× MedicareGood

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

91% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 65/100Fair

Procedure Prices at Saint Mary's Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 103 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`	$16,311	$22,836	$19,087	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$16,202	$21,874	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$14,877	$20,829	$17,936	1.2×
Total knee replacement CPT Code: `27447`	$13,964	$14,244	$13,523	1.1×
Total hip replacement CPT Code: `27130`	$13,964	$14,244	$13,413	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$7,021	$9,830	$8,223	1.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$6,575	$6,707	$6,109	1.1×
Breast lump removal CPT Code: `19120`	$4,258	$4,344	$3,875	1.1×
Inguinal hernia repair CPT Code: `49505`	$3,894	$3,972	$3,629	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,559	$3,644	$3,372	1.1×
Bunion correction surgery CPT Code: `28296`	—	$3,288	$3,446	1.0×
C-section delivery (full package) CPT Code: `59510`	—	$2,828	$2,975	1.0×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,719	$2,680	1.0×
Colonoscopy with biopsy CPT Code: `45380`	$1,301	$1,722	$1,256	1.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,011	$1,508	$981	1.5×
Upper endoscopy with biopsy CPT Code: `43239`	$986	$1,480	$987	1.5×
Injection procedure for pain management HCPCS Code: `G0260`	$767	$1,128	$855	1.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$594	$683	$583	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$379	$569	$448	1.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$379	$569	$511	1.1×
Blood transfusion CPT Code: `36430`	$479	$494	$498	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$259	$389	$303	1.3×
MRI, lower back (no contrast) CPT Code: `72148`	$259	$389	$338	1.2×
MRI, brain (no contrast) CPT Code: `70551`	$259	$389	$343	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$259	$389	$369	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$259	$363	$272	1.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$193	$270	$166	1.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$193	$270	$181	1.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$238	$274	$201	1.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$190	$286	$258	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$190	$286	$242	unverified
X-ray, lower back CPT Code: `72110`	$113	$159	$112	1.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$113	$159	$126	1.3×
Ultrasound, pelvis CPT Code: `76856`	$113	$159	$130	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$113	$159	$132	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$113	$159	$134	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$113	$171	$160	1.1×
CT scan, pelvis CPT Code: `72192`	$113	$171	$163	1.0×
CT scan, sinuses CPT Code: `70486`	$113	$171	$166	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$113	$171	$167	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$113	$171	$168	1.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$113	$171	$169	1.0×
X-ray, pelvis CPT Code: `72170`	$113	$159	$110	unverified
X-ray, shoulder CPT Code: `73030`	$94	$133	$92	1.4×
X-ray, foot CPT Code: `73630`	$94	$133	$92	1.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$94	$133	$93	1.4×
X-ray, hip CPT Code: `73502`	$94	$133	$93	1.4×
X-ray, ankle CPT Code: `73610`	$94	$133	$93	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$64	$90	$64	1.4×
Speech therapy (language evaluation) CPT Code: `92507`	$76	$111	$86	1.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$110	$127	$148	0.9×
X-ray, chest (single view) CPT Code: `71045`	$94	$133	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$94	$133	$93	unverified
X-ray, hand CPT Code: `73130`	$94	$133	$93	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$91	$105	$123	0.9×
Typhoid vaccine HCPCS Code: `90675`	$319	$319	$347	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$50	$74	$48	1.5×
Colorectal cancer screening HCPCS Code: `G0010`	$50	$74	$49	1.5×
Drug screening test HCPCS Code: `G0480`	$114	$91	$116	0.8×
Blood antibody screen CPT Code: `86850`	$56	$65	$46	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$33	$49	$38	1.3×
Orthotic fitting and training CPT Code: `97760`	$46	$65	$51	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$35	$49	$40	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$73	$123	0.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$32	$46	$38	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	—	$71	$110	0.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$50	$74	$49	unverified
Blood test, vitamin D CPT Code: `82306`	$29	$37	$31	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$47	$87	0.5×
Blood test, lipase CPT Code: `83690`	$6	$9	$7	1.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$12	$18	$14	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$3	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$3	$5	$4	1.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$19	$25	$20	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$18	$23	$19	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$9	$12	$10	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$15	$19	$16	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$29	$41	$35	1.2×
Culture, blood CPT Code: `87040`	$10	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$16	$21	$18	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$27	$39	$34	1.1×
Speech therapy (group session) CPT Code: `92508`	$24	$38	$27	unverified
Physical therapy (gait training) CPT Code: `97116`	$29	$41	$33	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$32	$45	$38	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$3	$4	$3	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$13	$17	$14	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$6	$7	$6	1.2×
Blood test, magnesium CPT Code: `83735`	$6	$8	$7	1.1×
Blood test, liver function panel CPT Code: `80076`	$8	$10	$9	1.1×
Blood test, hemoglobin CPT Code: `85018`	$2	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$5	$5	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$12	$19	$35	0.5×
Blood test, basic metabolic panel CPT Code: `80048`	$8	$11	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$10	$13	$11	unverified
Blood test, amylase CPT Code: `82150`	$6	$8	$7	unverified
Blood test, calcium CPT Code: `82310`	$5	$6	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$5	$6	$5	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$13	$17	$14	unverified
Blood test, potassium CPT Code: `84132`	$4	$6	$5	unverified
Blood test, sodium CPT Code: `84295`	$4	$6	$5	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$7	$10	$8	unverified
Hepatitis C antibody test CPT Code: `86803`	$14	$19	$15	unverified
Culture, bacterial CPT Code: `87070`	$8	$11	$9	unverified

Showing top 25 high-impact procedures of 103 total

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

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

CMS CCN: 290009

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $16,311

Insurer Median $22,836

1. Amount on Your Bill or Quote ($) Pre-filled with Saint Mary's Regional 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 $38,495 Paying Cash

Self-Pay Cash Rate ($16,311) Beats Your Bill

Saint Mary's Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $16,311 (vs. $22,836 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$35,719 Above Fair BaseRate

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

Your bill ($54,806) is $35,719 above the denoised Fair BaseRate ($19,087) and 3.9× 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)

EIN: 454989022

Public IRS & CMS ownership records classify Saint Mary's Regional 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 Overall3/5 Stars (3/5)

Safety Composite65/100

Would Recommend70%

Rated 9 or 10 (HCAHPS)66%

Median ER Wait138 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.3%

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

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Saint Mary's Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-21·administrative_or_closure
Met Requirements
Recorded
2024-07-31·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (514 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 Value & Quality Leader Pareto Frontier (Price + Quality)

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

Price Index: 0.92× regional baseline

Quality: 57/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Imperial Insurance Company

+67.6%

Median Household Income$85,600U.S. Census ACS

Local Uninsured Share9.7%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 79/100 · Corroborated CMS CCN 290009 EIN 454989022

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 290009) ↗ Verify IRS Form 990 (EIN 454989022) ↗ CMS HCRIS Cost Reports ↗

Published MRF File454989022_SaintMarysRegionalMedicalCenter_standardcharges.JSON

Publication / Vintage2026-03-17 · 40.72 MB

Validated Rate Rows4,452 (CMS v3.0)

File Integrity DigestVerified · CCN 290009

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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