How many shoppable procedure prices are published for Saint Thomas Hospital for Spinal Surgery?

Saint Thomas Hospital for Spinal Surgery in Nashville, TN currently has 122 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Saint Thomas Hospital for Spinal Surgery's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Saint Thomas Hospital for Spinal Surgery's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 23 Beds · urban Updated: 2026-04-14

Saint Thomas Hospital for Spinal Surgery

2011 Murphy Avenue, Nashville, TN 37203 · 122 Priced Procedures · 86% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.14×vs. Fair Market Price

Typical commercial prices here are +14% above the fair benchmark (1.14×) even after accounting for local nurse/doctor wages and patient complexity.

65/100 · Caution

65/100Self-Pay Cash Beats Insurance 42% of the Time

File Completeness60

Price Logic82

Peer Alignment61

Clean Billing72

Real Cash Discount46

High Quality · Fair Price

4-Star CMS clinical quality rating paired with 1.14× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Saint Thomas Hospital for Spinal Surgery prices routine shoppable procedures near 1.3× Medicare (p50 1.21×) while skewing captive emergency, lab, and upper-quartile codes to 1.6× Medicare (p75 1.74×, +44% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#65 of 84 in TN · 76th State Percentile#1,845 of 3,385 in U.S. · 54th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.66× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 42% of shoppable procedures (46/100 Cash Honesty)
4-Star CMS clinical rating with 86% patient recommendation (75/100 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 1.5× markup over Medicare rates
Captive ER (1.2×) & laboratory (0.8×) services average 1.23× higher multiples than routine shoppable care (1.3×)
Upper-quartile procedures (Q75 1.74×) jump +44% above the median procedure ratio (Q50 1.21×)
Unnegotiated chargemaster list prices average 3.8× Medicare (26¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER1.23× Divergence

1.6× Medicare

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

Quantile Tail Spread+44% Upper Tail

Q25 0.66× · Q50 1.21× · Q75 1.74×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.8× MedicareGood

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

1.5× MedicareGood

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

42% Cash Edge · 46/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 75/100Fair

Procedure Prices at Saint Thomas Hospital for Spinal Surgery

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 122 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`	$28,884	$28,036	$30,775	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$17,247	$24,291	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$15,764	$16,566	$17,936	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$17,369	$12,355	$19,087	0.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$6,971	$4,134	$8,223	0.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$7,559	$4,015	$6,109	0.7×
Bunion correction surgery CPT Code: `28296`	$4,091	$3,881	$3,446	1.1×
Total hip replacement CPT Code: `27130`	—	$3,613	$13,413	0.3×
Total knee replacement CPT Code: `27447`	—	$3,613	$13,523	0.3×
Breast lump removal CPT Code: `19120`	$4,895	$2,829	$3,875	0.7×
Cataract surgery with lens implant CPT Code: `66984`	$2,885	$2,473	$2,540	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$4,091	$2,105	$3,372	0.6×
Inguinal hernia repair CPT Code: `49505`	$4,477	$2,105	$3,629	0.6×
C-section delivery (full package) CPT Code: `59510`	—	$1,887	$2,975	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,163	$1,477	$981	1.5×
Upper endoscopy with biopsy CPT Code: `43239`	$1,134	$1,477	$987	1.5×
Colonoscopy with biopsy CPT Code: `45380`	$1,496	$1,477	$1,256	1.2×
Vaginal delivery (full package) CPT Code: `59400`	—	$1,104	$2,680	0.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,074	$890	$1,021	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	—	—	$855	—
Rabies immune globulin HCPCS Code: `90375`	$342	$584	$322	1.8×
Care planning with family CPT Code: `90887`	—	$584	$107	unverified
Review of medical records for care CPT Code: `90889`	—	$584	$114	unverified
Blood transfusion CPT Code: `36430`	$552	$504	$498	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$222	$414	$185	2.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$222	$410	$181	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$384	$123	3.1×
Neurobehavioral status check CPT Code: `96116`	$270	$357	$231	1.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	$222	$372	$166	unverified
Family therapy session CPT Code: `90847`	$222	$370	$173	unverified
New patient office visit (30-44 min) CPT Code: `99203`	—	$371	$110	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$356	$87	unverified
Psychological testing evaluation CPT Code: `96136`	$166	$322	$128	2.5×
Psychological testing by technician CPT Code: `96138`	$559	$317	$395	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$436	$340	$511	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$298	$274	$272	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$683	$296	$583	0.5×
Group therapy session CPT Code: `90853`	$127	$313	$100	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$436	$284	$448	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$298	$227	$369	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$298	$206	$338	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$298	$209	$343	0.6×
CT scan, sinuses CPT Code: `70486`	$131	$183	$166	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	—	$152	$86	1.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$131	$174	$169	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$131	$171	$167	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$131	$172	$168	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$148	$148	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$219	$170	$258	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$164	$164	$151	unverified
Screening mammogram (both breasts) CPT Code: `77067`	—	$122	$123	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$219	$137	$242	0.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$298	$157	$303	0.5×
X-ray, chest (single view) CPT Code: `71045`	$109	$109	$92	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$131	$123	$134	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$131	$115	$132	0.9×
Ultrasound, pelvis CPT Code: `76856`	$131	$110	$130	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$131	$97	$126	0.8×
CT scan, pelvis CPT Code: `72192`	$131	$118	$163	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$131	$99	$160	0.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$584	$111	5.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$584	$203	2.9×
Typhoid vaccine HCPCS Code: `90675`	$384	$584	$347	1.7×
Drug screening test HCPCS Code: `G0480`	$149	$108	$116	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$61	$35	1.7×
Occupational therapy (self-care training) CPT Code: `97535`	—	$66	$38	1.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$64	$38	1.7×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$25	$34	$20	1.7×
Physical therapy (manual therapy) CPT Code: `97140`	—	$57	$34	1.7×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$26	$14	1.9×
Speech therapy (group session) CPT Code: `92508`	—	$45	$27	1.7×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$63	$38	1.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$66	$40	1.6×
Physical therapy (gait training) CPT Code: `97116`	—	$54	$33	1.6×
Orthotic fitting and training CPT Code: `97760`	—	$72	$51	1.4×
Prosthetic fitting and training CPT Code: `97761`	—	$63	$45	1.4×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$46	$33	1.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$59	$46	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$59	$46	$49	0.9×
Blood test, calcium CPT Code: `82310`	$7	$10	$5	2.0×
Blood test, lipase CPT Code: `83690`	$9	$13	$7	1.9×
Blood test, creatinine (kidney) CPT Code: `82565`	$7	$9	$5	1.8×
Blood test, sodium CPT Code: `84295`	$6	$9	$5	1.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$18	$25	$14	1.8×
Culture, bacterial CPT Code: `87070`	$11	$16	$9	1.8×
Blood test, vitamin B12 CPT Code: `82607`	$20	$28	$16	1.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$5	$7	$4	1.8×
Hepatitis C antibody test CPT Code: `86803`	$19	$26	$15	1.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$22	$31	$18	1.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$31	$35	0.9×
Blood antibody screen CPT Code: `86850`	—	—	$46	—
Blood test, glucose (blood sugar) CPT Code: `82947`	$5	$7	$4	1.8×
Culture, blood CPT Code: `87040`	$13	$19	$11	1.7×
Blood test, amylase CPT Code: `82150`	$8	$12	$7	1.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$14	$16	$11	1.5×
Blood test, basic metabolic panel CPT Code: `80048`	$11	$13	$9	1.4×
Blood test, liver function panel CPT Code: `80076`	$11	$13	$9	1.4×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$34	$34	$27	1.3×
Blood test, potassium CPT Code: `84132`	$6	$8	$5	1.6×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$33	$201	0.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$6	$7	$5	1.4×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$31	$25	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$17	$17	$14	1.2×
X-ray, hip CPT Code: `73502`	$109	$36	$93	0.4×
X-ray, lower back CPT Code: `72110`	$131	$41	$112	0.4×
X-ray, ankle CPT Code: `73610`	$109	$31	$93	0.3×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$30	$93	0.3×
X-ray, hand CPT Code: `73130`	$109	$30	$93	0.3×
X-ray, foot CPT Code: `73630`	$109	$28	$92	0.3×
X-ray, shoulder CPT Code: `73030`	$109	$26	$92	0.3×
X-ray, chest (two views) CPT Code: `71046`	$109	$24	$93	0.3×
Flu vaccine injection HCPCS Code: `G0008`	—	—	$48	—
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$74	$15	$64	0.2×
X-ray, pelvis CPT Code: `72170`	—	$24	$110	0.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$4	$6	$3	unverified
Blood test, vitamin D CPT Code: `82306`	—	—	$31	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	$13	$18	$10	unverified
Blood test, magnesium CPT Code: `83735`	$9	$9	$7	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	—	—	$19	—
Blood test, hemoglobin CPT Code: `85018`	$3	$4	$3	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$10	$10	$8	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	—	—	$6	unverified

Showing top 25 high-impact procedures of 122 total

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

Audit a Bill or Quote at Saint Thomas Hospital for Spinal Surgery (Zero PHI Required)

CMS CCN: 440218

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $28,884

Insurer Median $28,036

1. Amount on Your Bill or Quote ($) Pre-filled with Saint Thomas Hospital for Spinal Surgery’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 $38,402 Paying Cash

Self-Pay Cash Rate ($28,884) Beats Your Bill

Saint Thomas Hospital for Spinal Surgery's published 45 CFR § 180 self-pay cash rate is $28,884 (vs. $28,036 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$36,511 Above Fair BaseRate

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

Your bill ($67,286) is $36,511 above the denoised Fair BaseRate ($30,775) and 2.9× 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) For-Profit / Non-501(c)(3)

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

EIN: 621772195

Public IRS & CMS ownership records classify Saint Thomas Hospital for Spinal Surgery 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 Overall4/5 Stars (4/5)

Safety Composite75/100

Would Recommend86%

Rated 9 or 10 (HCAHPS)78%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (163 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 Saint Thomas Hospital for Spinal Surgery.

Price Index: 0.71× regional baseline

Quality: 70/100 CMS composite

Median Household Income$75,664U.S. Census ACS

Local Uninsured Share12.3%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 65/100 · Caution CMS CCN 440218 EIN 621772195

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

MRF Portal Indexed (621772195_baptist-womens-health-center-llc_standardcharges.json) Verify on CMS Medicare.gov (CCN 440218) ↗ Verify IRS Form 990 (EIN 621772195) ↗ CMS HCRIS Cost Reports ↗

Published MRF File621772195_baptist-womens-health-center-llc_standardcharges.json

Publication / Vintage2026-04-14 · 20.81 MB

Validated Rate Rows718 (CMS v3.0.0)

File Integrity DigestVerified · CCN 440218

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