How many shoppable procedure prices are published for St Mary Medical Center?

St Mary Medical Center in Langhorne, PA currently has 114 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, St Mary Medical Center's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns St Mary Medical Center 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 348 Beds · rural Updated: 2026-03-31

St Mary Medical Center

Langhorne-Newtown Rd, Langhorne, PA 19047 · 114 Priced Procedures · 58% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.37×vs. Fair Market Price

Typical commercial prices here are +37% above the fair benchmark (1.37×) even after accounting for local nurse/doctor wages and patient complexity.

54/100 · Caution

54/100Self-Pay Cash Beats Insurance 21% of the Time

File Completeness56

Price Logic25

Peer Alignment77

Clean Billing57

Real Cash Discount66

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.37× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

St Mary Medical Center prices shoppable and inpatient services (1.6× to 2.0× Medicare, divergence 1.25×) in alignment with regional hospital peers (1.37× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#109 of 134 in PA · 80th State Percentile#2,405 of 3,385 in U.S. · 71st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.05× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 21% of shoppable procedures (66/100 Cash Honesty)
2-Star CMS clinical rating with 58% patient recommendation (52/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (22.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.37× 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 (1.0×) & laboratory (2.7×) services average 1.25× higher multiples than routine shoppable care (1.6×)
Upper-quartile procedures (Q75 1.79×) jump +30% above the median procedure ratio (Q50 1.38×)
Unnegotiated chargemaster list prices average 9.2× 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 & ER1.25× Divergence

2.0× Medicare

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

Quantile Tail Spread+30% Upper Tail

Q25 1.05× · Q50 1.38× · Q75 1.79×

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

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.7× MedicareFair

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

1.2× MedicareGood

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

21% Cash Edge · 66/100Fair

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 52/100Elevated

Procedure Prices at St Mary Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 114 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`	$64,820	$47,701	$30,775	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$25,456	$30,721	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$50,068	$30,024	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$46,870	$29,987	$17,936	unverified
Total knee replacement CPT Code: `27447`	—	—	$13,523	—
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$15,190	$12,731	$8,223	unverified
Breast lump removal CPT Code: `19120`	—	—	$3,875	—
Bunion correction surgery CPT Code: `28296`	$22,469	$3,742	$3,446	1.1×
Total hip replacement CPT Code: `27130`	$2,825	$2,825	$13,413	0.2×
Upper endoscopy with biopsy CPT Code: `43239`	$3,938	$2,213	$987	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,451	$1,451	$6,109	0.2×
Trauma team activation HCPCS Code: `G0390`	$4,225	$1,307	$1,453	0.9×
Colonoscopy with biopsy CPT Code: `45380`	—	—	$1,256	—
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,218	$1,218	$3,372	0.4×
Vaginal delivery (full package) CPT Code: `59400`	$5,204	$1,142	$2,680	0.4×
Inguinal hernia repair CPT Code: `49505`	$1,155	$1,155	$3,629	0.3×
C-section delivery (full package) CPT Code: `59510`	$5,715	$893	$2,975	0.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,768	$685	$511	unverified
Rabies immune globulin HCPCS Code: `90375`	$4,499	$623	$322	1.9×
MRI, knee or other leg joint CPT Code: `73721`	$2,679	$481	$369	1.3×
Blood transfusion CPT Code: `36430`	—	$494	$498	1.0×
Injection procedure for pain management HCPCS Code: `G0260`	$1,600	$503	$855	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$2,143	$490	$343	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,059	$463	$448	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$2,143	$468	$338	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,070	$330	$272	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,896	$317	$303	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,767	$322	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$2,170	$340	$258	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$228	$245	$201	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$236	$236	$583	0.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$861	$237	$132	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$523	$242	$148	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$178	$178	$93	1.9×
CT scan, chest (no contrast) CPT Code: `71250`	$1,431	$203	$167	1.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,431	$203	$168	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,431	$200	$169	1.2×
CT scan, sinuses CPT Code: `70486`	$1,936	$195	$166	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$1,683	$201	$160	unverified
CT scan, pelvis CPT Code: `72192`	$1,431	$203	$163	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$569	$203	$134	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$455	$201	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$815	$192	$130	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$524	$195	$123	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$543	$165	$151	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$281	$158	$86	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$120	$177	$35	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$240	$120	$110	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$90	$981	0.1×
X-ray, chest (single view) CPT Code: `71045`	—	—	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$205	$116	$93	unverified
X-ray, lower back CPT Code: `72110`	—	—	$112	—
X-ray, pelvis CPT Code: `72170`	—	—	$110	—
X-ray, shoulder CPT Code: `73030`	—	—	$92	—
X-ray, hand CPT Code: `73130`	—	—	$93	—
X-ray, hip CPT Code: `73502`	—	—	$93	—
X-ray, ankle CPT Code: `73610`	—	—	$93	—
X-ray, foot CPT Code: `73630`	—	—	$92	—
Typhoid vaccine HCPCS Code: `90675`	$2,798	$442	$347	1.3×
Blood test, vitamin D CPT Code: `82306`	$310	$310	$31	unverified
Culture, bacterial CPT Code: `87070`	$268	$268	$9	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$793	$214	$203	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$404	$106	$111	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$779	$124	$140	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$140	$140	$14	unverified
Blood test, liver function panel CPT Code: `80076`	$144	$144	$9	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$111	$111	$19	unverified
Prosthetic fitting and training CPT Code: `97761`	$127	$62	$45	1.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$84	$84	$14	unverified
Speech therapy (group session) CPT Code: `92508`	$225	$52	$27	1.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$127	$68	$40	1.7×
Blood antibody screen CPT Code: `86850`	$59	$58	$46	1.3×
Orthotic fitting and training CPT Code: `97760`	$140	$57	$51	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$195	$67	$87	0.8×
Blood test, vitamin B12 CPT Code: `82607`	$86	$86	$16	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$46	$40	$49	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$54	$123	0.4×
Blood test, lipase CPT Code: `83690`	$72	$72	$7	unverified
Hepatitis C antibody test CPT Code: `86803`	$74	$74	$15	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	—	$64	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$68	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$130	$66	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	—	$74	$38	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$76	$76	$86	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$52	$30	$14	2.1×
Hepatitis B vaccine HCPCS Code: `90744`	$194	$36	$37	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$66	$32	$33	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$204	$37	$39	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$44	$34	$49	0.7×
Physical therapy (gait training) CPT Code: `97116`	$137	$57	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	—	$62	$34	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$107	$23	$25	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$44	$34	$48	0.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$200	$39	$56	0.7×
Blood test, magnesium CPT Code: `83735`	$43	$43	$7	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$137	$42	$18	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$132	$62	$38	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$105	$38	$20	unverified
Blood test, calcium CPT Code: `82310`	$51	$9	$5	1.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$26	$7	$4	1.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$51	$7	$4	1.8×
Blood test, basic metabolic panel CPT Code: `80048`	$120	$21	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$24	$11	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$7	$3	unverified
Blood test, amylase CPT Code: `82150`	$85	$14	$7	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$51	$9	$5	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	—	$10	unverified
Blood test, potassium CPT Code: `84132`	—	$9	$5	unverified
Blood test, sodium CPT Code: `84295`	$51	$9	$5	unverified
Blood test, hemoglobin CPT Code: `85018`	—	$6	$3	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$17	$8	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$26	$10	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$42	$15	$6	unverified
Culture, blood CPT Code: `87040`	—	—	$11	unverified

Showing top 25 high-impact procedures of 114 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 22.6%

Audit a Bill or Quote at St Mary Medical Center (Zero PHI Required)

CMS CCN: 390258

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $64,820

Insurer Median $47,701

1. Amount on Your Bill or Quote ($) Pre-filled with St Mary 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 501(r) AGB Cap: $25,873 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $25,873

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (22.6% of gross = $25,873).

Step 2 · Cash vs. Insurance Arbitrage Save $49,662 Paying Cash

Self-Pay Cash Rate ($64,820) Beats Your Bill

St Mary Medical Center's published 45 CFR § 180 self-pay cash rate is $64,820 (vs. $47,701 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$83,707 Above Fair BaseRate

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

Your bill ($114,482) is $83,707 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: 231913910

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 (22.6% 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 Overall2/5 Stars (2/5)

Safety Composite52/100

Would Recommend58%

Rated 9 or 10 (HCAHPS)62%

Median ER Wait229 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Hip/Knee Complication Rate3.8%

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 Mary Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-04·administrative_or_closure
Met Requirements
Recorded
2023-08-18·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (428 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 St Mary Medical Center.

Price Index: 1.09× regional baseline

Quality: 37/100 CMS composite

Median Household Income$111,951U.S. Census ACS

Local Uninsured Share3.9%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 54/100 · Caution CMS CCN 390258 EIN 231913910

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 390258) ↗ Verify IRS Form 990 (EIN 231913910) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-31

Validated Rate Rows13,102 (CMS v3.0.0)

File Integrity DigestVerified · CCN 390258

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