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Hospital Profile Acute Care Hospital Voluntary non-profit - Church 269 Beds · rural Updated: 1/1/2026

Ascension All Saints Hospital

3801 Spring St, Racine, WI 53405 · 18 Priced Procedures · 53% Patient Recommendation

CMS Overall Rating 2 / 5 Stars
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.High Markup · Shop Alternatives
3.20×vs. Fair Market Price
Position vs. 1.00× Fair Price+220% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +220% above the fair benchmark (3.20×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).89/100 · Verified
89/100Self-Pay Cash Beats Insurance 100% of the Time
File Completeness100Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic100Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment81Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing60Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount100Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.High-Markup · Check Safety
CMS Star Rating3/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score64/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait148 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

3-Star CMS clinical quality rating paired with 3.20× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +54% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Ascension All Saints Hospital prices routine shoppable procedures at 3.6× Medicare (median 2.73× Fair BaseRate) while upper-quartile commercial rates jump +54% to 4.20× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#99 of 99 in WI · 98th State Percentile#3,358 of 3,385 in U.S. · 99th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 2.51× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 100% of shoppable procedures (99/100 Cash Honesty)
  • 2-Star CMS clinical rating with 53% patient recommendation (64/100 safety score)
  • IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (78.0% AGB cap)
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 2.6× markup over Medicare rates
  • Commercial insurance median sits at 2.73× Fair BaseRate (3.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Upper-quartile procedures (Q75 4.20×) jump +54% above the median procedure ratio (Q50 2.73×)
  • Consolidated metro market (HHI 6,648) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Front-Door ShoppableElective / Imaging
3.6× Medicare

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

Back-Door Captive & ER0.75× Divergence
2.7× Medicare

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

Quantile Tail Spread+54% Upper Tail
Q25 2.51× · Q50 2.73× · Q75 4.20×

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
3.6× MedicareElevated
Outpatient Surgery & ORBack-Door Captive
2.6× MedicareFair
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
1.8× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
1.6× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
1.0× MedicareGood
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
4.1× MedicareElevated
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
100% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
2 CMS · 64/100Elevated

Procedure Prices at Ascension All Saints Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 18 published procedures.

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Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,581 unverified
Ultrasound, thyroid and neck
CPT Code: 76536
 $751 unverified
Ultrasound, abdomen (complete)
CPT Code: 76700
 $612 unverified
Ultrasound, pelvis
CPT Code: 76856
 $546 4.2×
Ultrasound, abdomen (limited)
CPT Code: 76705
 $551 unverified
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $562 unverified
Screening mammogram (both breasts)
CPT Code: 77067
 $381 3.1×
X-ray, hip
CPT Code: 73502
 $268 2.9×
X-ray, foot
CPT Code: 73630
 $251 2.7×
X-ray, chest (two views)
CPT Code: 71046
 $252 2.7×
X-ray, hand
CPT Code: 73130
 $252 2.7×
X-ray, shoulder
CPT Code: 73030
 $233 2.5×
X-ray, ankle
CPT Code: 73610
 $233 2.5×
X-ray, neck (cervical spine)
CPT Code: 72040
 $231 2.5×
X-ray, lower back
CPT Code: 72110
 $240 2.1×
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 $209 0.0×
X-ray, chest (single view)
CPT Code: 71045
 $170 1.8×
X-ray, pelvis
CPT Code: 72170
 $193 1.8×
Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 78.0%

Audit a Bill or Quote at Ascension All Saints Hospital (Zero PHI Required)

CMS CCN: 520096
CPT 93970
Fair BaseRate™ $272
Medicare Rate $244
Self-Pay Cash $1,074
Insurer Median $1,581
Pre-filled with Ascension All Saints Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $1,581 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $1,581

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (78.0% of gross = $1,581).

Step 2 · Cash vs. Insurance Arbitrage Save $953 Paying Cash

Self-Pay Cash Rate ($1,074) Beats Your Bill

Ascension All Saints Hospital's published 45 CFR § 180 self-pay cash rate is $1,074 (vs. $1,581 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$1,755 Above Fair BaseRate

Negotiate Toward $272 Fair BaseRate ($244 Medicare)

Your bill ($2,027) is $1,755 above the denoised Fair BaseRate ($272) and 8.3× the $244 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: 391264986
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 (78.0% 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 Composite64/100
Would Recommend53%
Rated 9 or 10 (HCAHPS)59%
Median ER Wait148 min
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

Source: CMS Hospital Care Compare (282 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 Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Ascension All Saints Hospital.

Price Index: 0.93× regional baseline
Quality: 55/100 CMS composite
Median Household Income$75,331U.S. Census ACS
Local Uninsured Share5.7%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 89/100 · Verified CMS CCN 520096 EIN 391264986

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 520096) ↗ Verify IRS Form 990 (EIN 391264986) ↗ CMS HCRIS Cost Reports ↗
Published MRF File391264986_ascension-all-saints-hospital-inc_wi_ave_standardcharges.csv
Publication / Vintage1/1/2026 · 250.00 MB
Validated Rate Rows17 (CMS v3.0.0)
File Integrity Digest351884a9e294d535fb9c…

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