How many shoppable procedure prices are published for St Marys Hospital Superior?

St Marys Hospital Superior in Superior, WI currently has 117 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, St Marys Hospital Superior's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 16 Beds · urban Updated: 2026-01-01

St Marys Hospital Superior

3500 Tower Ave, Superior, WI 54880 · 117 Priced Procedures · 62% Patient Recommendation

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

0.97×vs. Fair Market Price

Typical commercial prices here are 3% below the fair benchmark (0.97×) after accounting for local nurse/doctor wages and patient complexity.

83/100 · Corroborated

83/100Self-Pay Cash Beats Insurance 60% of the Time

File Completeness66

Price Logic95

Peer Alignment68

Clean Billing87

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 0.97× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

St Marys Hospital Superior prices shoppable and inpatient services (1.0× to 1.0× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.97× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#18 of 99 in WI · 17th State Percentile#1,143 of 3,385 in U.S. · 33rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 3% below peer Fair BaseRate (0.97×)
Self-pay cash beats commercial insurance on 60% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (65/100 safety score) with 62% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.97× 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.
Commercial insurance median sits at 0.93× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.97× 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.
Consolidated metro market (HHI 3,037) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

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

Quantile Tail Spread+3% Upper Tail

Q25 0.85× · Q50 0.93× · Q75 0.96×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.7× MedicareFair

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

0.5× MedicareGood

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

60% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 65/100Fair

Procedure Prices at St Marys Hospital Superior

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 117 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	—	$12,778	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$12,778	$13,523	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,699	$6,109	0.9×
Breast lump removal CPT Code: `19120`	—	$3,752	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$3,432	$3,629	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,183	$3,372	0.9×
Bunion correction surgery CPT Code: `28296`	—	$3,183	$3,446	0.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,264	$2,540	0.9×
Trauma team activation HCPCS Code: `G0390`	$2,277	$1,322	$1,453	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$2,264	$1,158	$1,256	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,558	$1,013	$1,021	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$2,287	$906	$987	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,089	$896	$981	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$1,052	$680	$855	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,622	$540	$583	0.9×
Blood transfusion CPT Code: `36430`	$840	$428	$498	0.9×
Psychological testing by technician CPT Code: `96138`	—	$392	$395	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,528	$364	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,901	$364	$511	0.7×
Neurobehavioral status check CPT Code: `96116`	—	$307	$231	1.3×
Rabies immune globulin HCPCS Code: `90375`	$566	$284	$322	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$967	$239	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,197	$239	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,093	$239	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$2,170	$239	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$2,104	$239	$369	0.6×
CT scan, head (with contrast) CPT Code: `70460`	$1,298	$178	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,590	$178	$258	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$266	$143	$151	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$157	$166	0.9×
Family therapy session CPT Code: `90847`	—	$157	$173	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$157	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$256	$157	$185	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$118	$118	$87	1.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$131	$131	$123	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$117	$117	$110	1.1×
Psychological testing evaluation CPT Code: `96136`	—	$126	$128	1.0×
X-ray, pelvis CPT Code: `72170`	$228	$106	$110	1.0×
X-ray, chest (single view) CPT Code: `71045`	$226	$88	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$239	$88	$92	1.0×
X-ray, foot CPT Code: `73630`	$222	$88	$92	1.0×
X-ray, lower back CPT Code: `72110`	$344	$106	$112	0.9×
X-ray, chest (two views) CPT Code: `71046`	$231	$88	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$248	$88	$93	0.9×
X-ray, hand CPT Code: `73130`	$220	$88	$93	0.9×
X-ray, hip CPT Code: `73502`	$276	$88	$93	0.9×
X-ray, ankle CPT Code: `73610`	$235	$88	$93	0.9×
Group therapy session CPT Code: `90853`	—	$89	$100	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$468	$106	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$489	$106	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$474	$106	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$611	$106	$134	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$400	$112	$148	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$338	$93	$123	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$1,259	$106	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$1,335	$106	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$1,392	$106	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$1,339	$106	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,457	$106	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,435	$106	$169	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$100	$100	$201	0.5×
Typhoid vaccine HCPCS Code: `90675`	$740	$339	$347	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$171	$171	$111	1.5×
Pneumococcal vaccine HCPCS Code: `90732`	$177	$177	$140	1.3×
Drug screening test HCPCS Code: `G0480`	—	$114	$116	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$52	$52	$37	1.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$53	$53	$39	1.4×
Blood antibody screen CPT Code: `86850`	$98	$53	$46	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$196	$59	$64	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$210	$76	$86	0.9×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Flu vaccine injection HCPCS Code: `G0008`	—	$46	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$46	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	—	$46	$49	0.9×
Orthotic fitting and training CPT Code: `97760`	$84	$47	$51	0.9×
Prosthetic fitting and training CPT Code: `97761`	$81	$41	$45	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$84	$39	$56	0.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$218	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$67	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$69	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$192	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$57	$3	$3	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$162	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$37	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$42	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$78	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$89	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$61	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$57	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$57	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$122	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$76	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$99	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$117	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$112	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$107	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$83	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$113	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$69	$13	$14	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$74	$36	$40	0.9×
Culture, blood CPT Code: `87040`	$152	$10	$11	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$86	$34	$38	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$52	$52	$86	0.6×
Blood test, basic metabolic panel CPT Code: `80048`	$174	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$129	$8	$9	0.9×
Speech therapy (group session) CPT Code: `92508`	$109	$24	$27	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$22	$22	$25	0.9×
Physical therapy (gait training) CPT Code: `97116`	$75	$29	$33	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$72	$33	$38	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$12	$14	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$67	$32	$38	0.8×
Blood test, amylase CPT Code: `82150`	$72	$6	$7	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$101	$29	$35	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$48	$4	$5	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$92	$27	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$47	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$18	$35	0.5×

Showing top 25 high-impact procedures of 117 total

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

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

CMS CCN: 521329

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $12,778

1. Amount on Your Bill or Quote ($) Pre-filled with St Marys Hospital Superior’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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask St Marys Hospital Superior'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 +$17,254 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($30,667) is $17,254 above the denoised Fair BaseRate ($13,413) and 2.3× the $13,117 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)

Public IRS & CMS ownership records classify St Marys Hospital Superior 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 Overall3/5 Stars (3/5)

Safety Composite65/100

Would Recommend62%

Rated 9 or 10 (HCAHPS)62%

Median ER Wait118 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (111 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 Marys Hospital Superior.

Price Index: 1.12× regional baseline

Quality: 55/100 CMS composite

Median Household Income$72,579U.S. Census ACS

Local Uninsured Share4.7%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 83/100 · Corroborated CMS CCN 521329

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 521329) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-01-01

Validated Rate Rows8,533 (CMS v3.0.0)

File Integrity DigestVerified · CCN 521329

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

St Marys Hospital Superior

Aligned Regional Benchmark Peer

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at St Marys Hospital Superior

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

Above Standard 400% FPL Financial-Assistance Ceiling

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

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

Clinical Quality, Patient Experience & Infection Benchmarks

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

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