How many shoppable procedure prices are published for St Peter's Hospital?

St Peter's Hospital in Albany, NY currently has 121 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, St Peter's Hospital's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns St Peter's Hospital 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 Voluntary non-profit - Private 502 Beds · urban Updated: 2026-03-31

St Peter's Hospital

315 South Manning Boulevard, Albany, NY 12208 · 121 Priced Procedures · 74% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

1.49×vs. Fair Market Price

Typical commercial prices here are +49% above the fair benchmark (1.49×) even after accounting for local nurse/doctor wages and patient complexity.

48/100 · Quarantined

48/100Self-Pay Cash Beats Insurance 25% of the Time

File Completeness56

Price Logic24

Peer Alignment56

Clean Billing49

Real Cash Discount63

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.49× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

St Peter's Hospital prices routine shoppable procedures near 1.7× Medicare (p50 1.31×) while skewing captive emergency, lab, and upper-quartile codes to 2.6× Medicare (p75 2.05×, +56% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#78 of 92 in NY · 83rd State Percentile#2,622 of 3,385 in U.S. · 77th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.92× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 25% of shoppable procedures (63/100 Cash Honesty)
2-Star CMS clinical rating with 74% patient recommendation (63/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (73.4% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.49× 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 (2.5×) & laboratory (4.4×) services average 1.53× higher multiples than routine shoppable care (1.7×)
Upper-quartile procedures (Q75 2.05×) jump +56% above the median procedure ratio (Q50 1.31×)
Consolidated metro market (HHI 2,515) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.7× Medicare

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

Back-Door Captive & ER1.53× Divergence

2.6× Medicare

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

Quantile Tail Spread+56% Upper Tail

Q25 0.92× · Q50 1.31× · Q75 2.05×

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

1.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.3× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.5× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

4.4× MedicareWatchout

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

1.0× MedicareGood

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

25% Cash Edge · 63/100Elevated

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 63/100Elevated

Procedure Prices at St Peter's Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 121 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`	$48,499	$69,412	$30,775	2.3×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$31,216	$41,739	$19,087	2.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$32,697	$41,446	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$51,240	$37,882	$17,936	2.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$20,483	$16,751	$8,223	unverified
Total knee replacement CPT Code: `27447`	—	—	$13,523	unverified
C-section delivery (full package) CPT Code: `59510`	$5,860	$5,860	$2,975	unverified
Breast lump removal CPT Code: `19120`	—	—	$3,875	unverified
Total hip replacement CPT Code: `27130`	$1,865	$1,865	$13,413	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$1,544	$1,544	$1,021	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,451	$1,451	$6,109	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	—	$1,256	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,220	$1,220	$3,372	unverified
Inguinal hernia repair CPT Code: `49505`	$1,157	$1,157	$3,629	unverified
Vaginal delivery (full package) CPT Code: `59400`	$5,669	$1,097	$2,680	0.4×
Upper endoscopy with biopsy CPT Code: `43239`	—	—	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	—	$981	unverified
Rabies immune globulin HCPCS Code: `90375`	$1,253	$616	$322	1.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	—	$583	unverified
Blood transfusion CPT Code: `36430`	—	—	$498	—
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	—	$448	—
CT scan, head (with contrast) CPT Code: `70460`	$1,505	$409	$242	1.7×
MRI, knee or other leg joint CPT Code: `73721`	—	—	$369	—
MRI, brain (no contrast) CPT Code: `70551`	—	—	$343	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$690	$303	$151	2.0×
Residential mental health treatment HCPCS Code: `H2036`	$310	$310	$406	0.8×
CT scan, head (no contrast) CPT Code: `70450`	—	$302	$160	unverified
CT scan, pelvis CPT Code: `72192`	—	$323	$163	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$272	$267	$185	1.4×
CT scan, head (with and without contrast) CPT Code: `70470`	—	—	$258	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$282	$282	$511	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	—	$272	—
Psychotherapy session (60 minutes) CPT Code: `90837`	$272	$210	$181	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$208	$303	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$286	$177	$110	1.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$159	$123	1.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$166	$171	$166	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	—	—	$167	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	—	$168	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$183	$183	$338	unverified
Behavioral health assessment HCPCS Code: `H0001`	$167	$152	$157	1.0×
Family therapy session CPT Code: `90847`	$165	$159	$173	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$83	$128	$38	3.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$152	$64	unverified
Physical therapy (gait training) CPT Code: `97116`	$73	$111	$33	3.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$83	$111	$35	3.2×
Physical therapy (manual therapy) CPT Code: `97140`	$83	$106	$34	3.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$107	$87	1.2×
Group therapy session CPT Code: `90853`	$148	$113	$100	1.1×
Ultrasound, pelvis CPT Code: `76856`	—	$115	$130	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	—	—	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	—	—	$134	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$72	$99	$126	0.8×
CT scan, sinuses CPT Code: `70486`	$105	$105	$166	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$122	$122	$169	unverified
Screening mammogram (both breasts) CPT Code: `77067`	—	—	$123	unverified
X-ray, chest (single view) CPT Code: `71045`	—	—	$92	—
X-ray, pelvis CPT Code: `72170`	—	—	$110	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$122	$122	$148	unverified
X-ray, shoulder CPT Code: `73030`	—	—	$92	unverified
X-ray, hip CPT Code: `73502`	—	—	$93	unverified
X-ray, ankle CPT Code: `73610`	—	—	$93	unverified
X-ray, foot CPT Code: `73630`	—	—	$92	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$94	$94	$86	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$110	$110	$201	unverified
Orthotic fitting and training CPT Code: `97760`	$83	$83	$51	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$90	$90	$86	unverified
Drug screening test HCPCS Code: `G0480`	$1,567	$1,567	$116	unverified
Typhoid vaccine HCPCS Code: `90675`	$475	$469	$347	1.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$222	$222	$14	unverified
Blood test, amylase CPT Code: `82150`	$185	$185	$7	26.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$195	$195	$18	10.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$266	$207	$203	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$198	$198	$16	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$105	$147	$140	1.1×
Blood test, vitamin D CPT Code: `82306`	$150	$150	$31	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$111	$111	$14	7.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$78	$78	$38	2.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$149	$102	$111	0.9×
Blood test, liver function panel CPT Code: `80076`	$74	$74	$9	8.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$91	$91	$19	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$45	$45	$6	7.5×
X-ray, lower back CPT Code: `72110`	$33	$68	$112	0.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$42	$42	$10	4.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$49	$52	$25	2.1×
Speech therapy (group session) CPT Code: `92508`	$53	$53	$27	2.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$82	$48	$33	1.5×
Flu vaccine injection HCPCS Code: `G0008`	$78	$64	$48	1.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$78	$64	$49	1.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$76	$60	$56	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$28	$51	$93	0.5×
Occupational therapy (self-care training) CPT Code: `97535`	$70	$70	$38	unverified
Culture, bacterial CPT Code: `87070`	$157	$22	$9	2.4×
Blood test, basic metabolic panel CPT Code: `80048`	—	$21	$9	2.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$127	$26	$14	1.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$40	$26	$25	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	—	$37	$37	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$46	$46	$49	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$55	$32	$39	0.8×
Blood antibody screen CPT Code: `86850`	$70	$36	$46	0.8×
X-ray, chest (two views) CPT Code: `71046`	—	$38	$93	0.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$36	$36	$5	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	—	$40	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$52	$10	$4	2.5×
Blood test, hemoglobin CPT Code: `85018`	—	$6	$3	2.0×
Community mental health services HCPCS Code: `H0038`	$43	$10	$16	0.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	$114	$14	$35	0.4×
X-ray, hand CPT Code: `73130`	—	$37	$93	0.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	—	$11	—
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	—	$3	unverified
Blood test, calcium CPT Code: `82310`	—	—	$5	—
Blood test, creatinine (kidney) CPT Code: `82565`	—	—	$5	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	—	—	$4	unverified
Blood test, lipase CPT Code: `83690`	—	—	$7	unverified
Blood test, magnesium CPT Code: `83735`	—	—	$7	unverified
Blood test, potassium CPT Code: `84132`	—	—	$5	—
Blood test, sodium CPT Code: `84295`	—	—	$5	—
Blood test, complete blood count (CBC) CPT Code: `85025`	—	—	$8	unverified
Hepatitis C antibody test CPT Code: `86803`	—	—	$15	—
Culture, blood CPT Code: `87040`	—	—	$11	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	—	$20	unverified

Showing top 25 high-impact procedures of 121 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 73.4%

Audit a Bill or Quote at St Peter's Hospital (Zero PHI Required)

CMS CCN: 330057

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $48,499

Insurer Median $69,412

1. Amount on Your Bill or Quote ($) Pre-filled with St Peter's 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: $122,210 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $122,210

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (73.4% of gross = $122,210).

Step 2 · Cash vs. Insurance Arbitrage Save $118,090 Paying Cash

Self-Pay Cash Rate ($48,499) Beats Your Bill

St Peter's Hospital's published 45 CFR § 180 self-pay cash rate is $48,499 (vs. $69,412 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$135,814 Above Fair BaseRate

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

Your bill ($166,589) is $135,814 above the denoised Fair BaseRate ($30,775) and 7.1× 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)

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 (73.4% 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 Composite63/100

Would Recommend74%

Rated 9 or 10 (HCAHPS)68%

Median ER Wait374 min

Left ER Before Seen7%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.4%

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 Peter's Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-11·administrative_or_closure
Met Requirements
Recorded
2023-05-30·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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St Peter's Hospital.

Price Index: 1.00× regional baseline

Quality: 55/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Dentaquest

-61.2%

National Healthcare Solutions

-60.2%

Cmn Global

-56.4%

Compsych

-56.1%

Novanet

-53.7%

Mhnet

-51.8%

Median Household Income$83,149U.S. Census ACS

Local Uninsured Share3.0%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 48/100 · Quarantined CMS CCN 330057

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 330057) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-31

Validated Rate Rows64,579 (CMS v3.0.0)

File Integrity DigestVerified · CCN 330057

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