How many shoppable procedure prices are published for St Joseph Hospital?

St Joseph Hospital in Bellingham, WA currently has 105 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, St Joseph Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns St Joseph Hospital 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 Voluntary non-profit - Other 208 Beds · rural

St Joseph Hospital

2901 Squalicum Parkway, Bellingham, WA 98225 · 105 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.12×vs. Fair Market Price

Typical commercial prices here are +12% above the fair benchmark (1.12×) even after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Self-Pay Cash Beats Insurance 1% of the Time

File Completeness90

Price Logic88

Peer Alignment86

Clean Billing83

Real Cash Discount84

Regional Quality Benchmark

3-Star CMS clinical quality rating paired with 1.12× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

St Joseph Hospital prices shoppable and inpatient services (1.2× to 1.2× Medicare, divergence 1.00×) in alignment with regional hospital peers (1.12× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#25 of 58 in WA · 41st State Percentile#1,775 of 3,385 in U.S. · 52nd 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 26% of shoppable procedures (84/100 Cash Honesty)
4-Star CMS clinical rating with 67% patient recommendation (66/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (36.3% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
Commercial insurance median sits at 1.10× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.4× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 11.2× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.2× Medicare

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

Quantile Tail Spread+12% Upper Tail

Q25 1.00× · Q50 1.10× · Q75 1.23×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

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

1.4× MedicareGood

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

26% Cash Edge · 84/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 66/100Fair

Procedure Prices at St Joseph Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 105 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`	—	$34,992	$30,775	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$20,894	$19,432	1.1×
Total hip replacement CPT Code: `27130`	$40,567	$16,391	$13,413	1.2×
Total knee replacement CPT Code: `27447`	—	—	$13,523	—
Hospital observation (per hour) HCPCS Code: `G0378`	$11,205	$11,205	$86	130.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,445	$8,223	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$46,396	$7,898	$6,109	1.3×
Inguinal hernia repair CPT Code: `49505`	$8,619	$7,210	$3,629	2.0×
Breast lump removal CPT Code: `19120`	$20,979	$4,883	$3,875	1.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$7,578	$4,274	$3,372	unverified
Bunion correction surgery CPT Code: `28296`	$6,227	$4,177	$3,446	1.2×
Cataract surgery with lens implant CPT Code: `66984`	$10,715	$2,878	$2,540	1.1×
Trauma team activation HCPCS Code: `G0390`	$6,057	$1,634	$1,453	1.1×
Colonoscopy with biopsy CPT Code: `45380`	$2,781	$1,492	$1,256	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$4,798	$1,160	$981	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$2,032	$1,158	$987	1.2×
Injection procedure for pain management HCPCS Code: `G0260`	$1,464	$880	$855	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,794	$714	$583	1.2×
Blood transfusion CPT Code: `36430`	$1,143	$576	$498	1.2×
MRI, knee or other leg joint CPT Code: `73721`	$3,140	$547	$369	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,569	$456	$448	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,905	$435	$511	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,197	$298	$272	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,727	$312	$303	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$2,418	$312	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$3,171	$298	$343	unverified
Rabies immune globulin HCPCS Code: `90375`	$4,766	$294	$322	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,169	$219	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,505	$219	$258	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$285	$183	$201	0.9×
X-ray, pelvis CPT Code: `72170`	$340	$137	$110	1.2×
X-ray, chest (single view) CPT Code: `71045`	$260	$114	$92	1.2×
X-ray, shoulder CPT Code: `73030`	$357	$114	$92	1.2×
X-ray, chest (two views) CPT Code: `71046`	$289	$114	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$428	$114	$93	1.2×
X-ray, hand CPT Code: `73130`	$885	$114	$93	1.2×
X-ray, hip CPT Code: `73502`	$771	$114	$93	1.2×
X-ray, lower back CPT Code: `72110`	$461	$137	$112	1.2×
Ultrasound, pelvis CPT Code: `76856`	$696	$137	$130	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$607	$130	$126	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$750	$137	$134	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$689	$130	$132	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$437	$145	$151	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,461	$137	$160	0.9×
CT scan, sinuses CPT Code: `70486`	$2,093	$137	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,882	$137	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,942	$137	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,976	$137	$169	0.8×
X-ray, foot CPT Code: `73630`	$627	$111	$92	1.2×
X-ray, ankle CPT Code: `73610`	$371	$111	$93	1.2×
CT scan, pelvis CPT Code: `72192`	$1,472	$130	$163	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$259	$86	$86	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$187	$89	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$245	$336	$347	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$193	$193	$111	1.7×
Drug screening test HCPCS Code: `G0480`	$447	$126	$116	1.1×
Blood antibody screen CPT Code: `86850`	$226	$67	$46	1.5×
Flu vaccine injection HCPCS Code: `G0008`	$76	$58	$48	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$219	$77	$64	1.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$81	$58	$49	1.2×
Colorectal cancer screening HCPCS Code: `G0010`	$76	$58	$49	1.2×
Blood test, calcium CPT Code: `82310`	$85	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$137	$6	$5	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$155	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$131	$15	$14	1.1×
Blood test, vitamin D CPT Code: `82306`	$163	$33	$31	1.1×
Orthotic fitting and training CPT Code: `97760`	$263	$53	$51	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$181	$75	$110	0.7×
Prosthetic fitting and training CPT Code: `97761`	$137	$46	$45	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$217	$61	$87	0.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$83	$7	$6	1.2×
Blood test, complete blood count (CBC) CPT Code: `85025`	$80	$9	$8	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$109	$15	$14	1.1×
Hepatitis C antibody test CPT Code: `86803`	$106	$16	$15	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$120	$17	$16	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$121	$20	$19	1.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$115	$21	$20	1.1×
Physical therapy (gait training) CPT Code: `97116`	$86	$33	$33	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$96	$38	$38	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$104	$31	$34	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$204	$33	$35	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$55	$4	$4	1.0×
Blood test, magnesium CPT Code: `83735`	$79	$7	$7	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$59	$31	$37	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$192	$37	$38	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$113	$40	$40	unverified
Blood test, potassium CPT Code: `84132`	$49	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$49	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$144	$18	$18	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$96	$37	$38	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$113	$9	$9	1.0×
Blood test, liver function panel CPT Code: `80076`	$71	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$49	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$83	$7	$7	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$69	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$31	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$63	$5	$5	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$60	$14	$14	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$21	$19	$25	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$22	$22	$39	0.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$31	$20	$56	0.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$87	$11	$10	unverified
Blood test, lipase CPT Code: `83690`	$104	$8	$7	unverified
Culture, blood CPT Code: `87040`	—	—	$11	—
Culture, bacterial CPT Code: `87070`	$116	$9	$9	unverified

Showing top 25 high-impact procedures of 105 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at St Joseph Hospital (Zero PHI Required)

CMS CCN: 500030

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $34,992

1. Amount on Your Bill or Quote ($) Pre-filled with St Joseph 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: $30,452 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $30,452

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $30,452).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask St Joseph Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$53,206 Above Fair BaseRate

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

Your bill ($83,981) is $53,206 above the denoised Fair BaseRate ($30,775) and 3.6× 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: national_nonprofit_median

Illustrative National Nonprofit Peer Median (36.3% of gross — request this hospital's exact FAP Look-Back AGB percentage)

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. Hospital-specific AGB look-back percentages are published in each facility’s written Financial Assistance Policy (FAP). This figure reflects the national nonprofit peer median benchmark.

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 Composite66/100

Would Recommend67%

Rated 9 or 10 (HCAHPS)63%

Median ER Wait211 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionbetter

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 Infectionbetter

Source: CMS Hospital Care Compare (417 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

Median Household Income$80,989U.S. Census ACS

Local Uninsured Share5.6%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 Verified CMS CCN 500030

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 500030) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-10

Validated Rate RowsIndexed (CMS v2024)

File Integrity DigestVerified · CCN 500030

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