Greenwich Hospital Association -
5 Perryridge Rd, Greenwich, CT 06830 · 105 Priced Procedures · 76% Patient Recommendation
Typical commercial prices here are +79% above the fair benchmark (1.79×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.79× fair market pricing.
Aligned Regional Benchmark Peer
Greenwich Hospital Association - prices shoppable and inpatient services (2.4× to 2.0× Medicare, divergence 0.83×) in alignment with regional hospital peers (1.79× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.21× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 27% of shoppable procedures (99/100 Cash Honesty)
- 5-Star CMS clinical rating with 76% patient recommendation (71/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (38.6% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 3.6× markup over Medicare rates
- Commercial insurance median sits at 1.76× Fair BaseRate (2.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.16×) jump +23% above the median procedure ratio (Q50 1.76×)
- Unnegotiated chargemaster list prices average 6.0× Medicare (22¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Greenwich Hospital Association -
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.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $108,457 | unverified |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $41,896 | unverified |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $38,089 | unverified |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $31,878 | 1.7× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $11,467 | 1.4× |
| Breast lump removal CPT Code: 19120 | $2,723 | 0.7× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,634 | 1.6× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,364 | 1.1× |
| Trauma team activation HCPCS Code: G0390 | $1,360 | 0.9× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,228 | unverified |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,069 | 1.1× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,079 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,040 | 1.1× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $736 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $756 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $756 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $756 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $664 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $684 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $596 | 1.0× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $456 | 1.7× |
| Blood transfusion CPT Code: 36430 | $421 | 0.8× |
| CT scan, head (no contrast) CPT Code: 70450 | $388 | 2.4× |
| CT scan, pelvis CPT Code: 72192 | $388 | 2.4× |
| CT scan, sinuses CPT Code: 70486 | $388 | 2.3× |
Audit a Bill or Quote at Greenwich Hospital Association - (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $80,404
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (38.5% of gross = $80,404).
Self-Pay Cash Rate ($108,457) Beats Your Bill
Greenwich Hospital Association -'s published 45 CFR § 180 self-pay cash rate is $108,457 (vs. $108,457 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($208,571) is $177,796 above the denoised Fair BaseRate ($30,775) and 8.9× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (38.5% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (420 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Greenwich Hospital Association -.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.