How many shoppable procedure prices are published for Connecticut Childrens Medical Center?

Connecticut Childrens Medical Center in Hartford, CT currently has 93 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Connecticut Childrens Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Connecticut Childrens Medical Center's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Children's Hospital Voluntary non-profit - Private 187 Beds · urban Updated: 1/1/2026

Connecticut Childrens Medical Center

282 Washington Street, Hartford, CT 06106 · 93 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.48×vs. Fair Market Price

Typical commercial prices here are +48% above the fair benchmark (1.48×) even after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 68% of the Time

File Completeness85

Price Logic76

Peer Alignment68

Clean Billing73

Real Cash Discount100

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Connecticut Childrens Medical Center maintains elevated commercial insurance contracts (1.48× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 68% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#17 of 21 in CT · 76th State Percentile#2,593 of 3,385 in U.S. · 76th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.27× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 68% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (72.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.48× 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 1.35× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.77×) jump +31% above the median procedure ratio (Q50 1.35×)
Unnegotiated chargemaster list prices average 4.7× Medicare (34¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.1× Medicare

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

Back-Door Captive & ER0.62× Divergence

1.3× Medicare

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

Quantile Tail Spread+31% Upper Tail

Q25 1.27× · Q50 1.35× · Q75 1.77×

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

2.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.8× MedicareGood

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

1.2× MedicareGood

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

68% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Connecticut Childrens Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 93 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$89,757	$89,757	$19,432	4.6×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$39,299	$39,299	$19,087	2.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$15,776	$15,776	$8,223	1.9×
Rabies immune globulin HCPCS Code: `90375`	$4,456	$4,456	$322	13.8×
Trauma team activation HCPCS Code: `G0390`	$2,009	$3,368	$1,453	2.3×
Colonoscopy with biopsy CPT Code: `45380`	$2,975	$2,975	$1,256	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$2,264	$2,264	$981	2.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,990	$1,432	$1,021	1.4×
Upper endoscopy with biopsy CPT Code: `43239`	$1,237	$1,237	$987	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,534	$935	$448	2.1×
Blood transfusion CPT Code: `36430`	$936	$936	$498	1.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,698	$851	$511	1.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$779	$779	$151	5.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$610	$530	$272	1.9×
MRI, knee or other leg joint CPT Code: `73721`	$782	$546	$369	1.5×
MRI, brain (no contrast) CPT Code: `70551`	$1,318	$520	$343	1.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$651	$482	$303	1.6×
MRI, lower back (no contrast) CPT Code: `72148`	$1,318	$503	$338	1.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$569	$456	$258	1.8×
CT scan, head (with contrast) CPT Code: `70460`	$556	$379	$242	1.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,276	$385	$583	0.7×
CT scan, sinuses CPT Code: `70486`	$399	$351	$166	2.1×
CT scan, pelvis CPT Code: `72192`	$403	$328	$163	2.0×
CT scan, chest (no contrast) CPT Code: `71250`	$403	$329	$167	2.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$403	$332	$169	2.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$403	$329	$168	2.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$343	$343	$185	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$295	$295	$86	3.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$299	$299	$201	1.5×
CT scan, head (no contrast) CPT Code: `70450`	$358	$265	$160	1.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$253	$290	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$253	$271	$134	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$160	$238	$86	2.8×
Ultrasound, pelvis CPT Code: `76856`	$253	$251	$130	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$253	$204	$126	1.6×
X-ray, hip CPT Code: `73502`	$137	$138	$93	1.5×
X-ray, lower back CPT Code: `72110`	$253	$148	$112	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$80	$104	$40	2.6×
Occupational therapy (self-care training) CPT Code: `97535`	$92	$94	$38	2.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$81	$83	$35	2.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$92	$87	$38	2.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$80	$81	$38	2.1×
Prosthetic fitting and training CPT Code: `97761`	$81	$81	$45	1.8×
Orthotic fitting and training CPT Code: `97760`	$86	$86	$51	1.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$137	$110	$93	1.2×
X-ray, hand CPT Code: `73130`	$137	$109	$93	1.2×
X-ray, ankle CPT Code: `73610`	$137	$109	$93	1.2×
X-ray, foot CPT Code: `73630`	$137	$100	$92	1.1×
X-ray, shoulder CPT Code: `73030`	$137	$97	$92	1.1×
X-ray, chest (two views) CPT Code: `71046`	$195	$89	$93	1.0×
Typhoid vaccine HCPCS Code: `90675`	$695	$550	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$400	$303	$203	1.5×
Pneumococcal vaccine HCPCS Code: `90732`	$151	$210	$140	1.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$200	$150	$111	1.4×
Physical therapy (manual therapy) CPT Code: `97140`	$81	$78	$34	2.3×
Physical therapy (gait training) CPT Code: `97116`	$81	$72	$33	2.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$51	$47	$39	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$97	$63	$56	1.1×
X-ray, chest (single view) CPT Code: `71045`	$137	$66	$92	0.7×
X-ray, pelvis CPT Code: `72170`	$253	$75	$110	0.7×
Speech therapy (group session) CPT Code: `92508`	$53	$53	$27	unverified
Blood test, sodium CPT Code: `84295`	$12	$7	$5	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$19	$11	$8	1.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$42	$8	$6	1.3×
Culture, bacterial CPT Code: `87070`	$22	$12	$9	1.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$29	$33	$25	1.3×
Blood test, vitamin D CPT Code: `82306`	$73	$40	$31	1.3×
Blood test, calcium CPT Code: `82310`	$13	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$13	$7	$5	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$8	$4	$3	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$36	$13	$10	1.3×
Blood test, amylase CPT Code: `82150`	$19	$9	$7	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$35	$18	$14	1.3×
Blood test, lipase CPT Code: `83690`	$17	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$20	$9	$7	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$42	$23	$18	1.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$26	$14	$11	1.3×
Culture, blood CPT Code: `87040`	$25	$14	$11	1.3×
Hepatitis C antibody test CPT Code: `86803`	$36	$19	$15	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$38	$20	$16	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$11	$5	$4	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$21	$11	$9	1.2×
Blood test, liver function panel CPT Code: `80076`	$20	$11	$9	1.2×
Hepatitis B vaccine HCPCS Code: `90744`	$34	$34	$37	0.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$10	$5	$4	1.3×
Blood test, potassium CPT Code: `84132`	$11	$6	$5	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$18	$6	$5	1.2×
Blood test, hemoglobin CPT Code: `85018`	$6	$3	$3	1.0×
Blood antibody screen CPT Code: `86850`	$99	$13	$46	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$123	$18	$64	0.3×
Colorectal cancer screening HCPCS Code: `G0010`	$13	$13	$49	0.3×
Flu vaccine injection HCPCS Code: `G0008`	$13	$13	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$13	$13	$49	unverified

Showing top 25 high-impact procedures of 93 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 72.9%

Audit a Bill or Quote at Connecticut Childrens Medical Center (Zero PHI Required)

CMS CCN: 073300

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $89,757

Insurer Median $89,757

1. Amount on Your Bill or Quote ($) Pre-filled with Connecticut Childrens 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: $109,115 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $109,115

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (72.9% of gross = $109,115).

Step 2 · Cash vs. Insurance Arbitrage Save $59,838 Paying Cash

Self-Pay Cash Rate ($89,757) Beats Your Bill

Connecticut Childrens Medical Center's published 45 CFR § 180 self-pay cash rate is $89,757 (vs. $89,757 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$130,163 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($149,595) is $130,163 above the denoised Fair BaseRate ($19,432) and 10.7× the $14,044 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: 060646755

Filing Period: 195602

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 (72.9% 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 Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Connecticut Childrens Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-15·administrative_or_closure
Closure Notice
Recorded
2025-04-23·warning_notice
Warning Notice
Recorded
2023-05-08·administrative_or_closure
Closure Notice
Recorded
2023-01-19·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare. 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 Connecticut Childrens Medical Center.

Price Index: 1.27× regional baseline

Quality: 54/100 CMS composite

Median Household Income$47,542U.S. Census ACS

Local Uninsured Share11.4%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 80/100 · Corroborated CMS CCN 073300 EIN 060646755

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 073300) ↗ Verify IRS Form 990 (EIN 060646755) ↗ CMS HCRIS Cost Reports ↗

Published MRF File060646755_ConnecticutChildrensMedicalCenter_standardcharges.csv

Publication / Vintage1/1/2026 · 178.71 MB

Validated Rate Rows5,199 (CMS v3.0.0)

File Integrity Digest55ef392009f728b908fa…

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