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Hospital Profile Acute Care Hospital Voluntary non-profit - Private 185 Beds · rural Updated: 9/19/2026

Greenwich Hospital Association -

5 Perryridge Rd, Greenwich, CT 06830 · 105 Priced Procedures · 76% Patient Recommendation

CMS Overall Rating 5 / 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
1.79×vs. Fair Market Price
Position vs. 1.00× Fair Price+79% 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 +79% above the fair benchmark (1.79×) 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).87/100 · Verified
87/100Self-Pay Cash Beats Insurance 27% 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 Logic75Coherence (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 Alignment75Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing90Regularity (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 Score71/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait177 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 1.79× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

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.

#19 of 21 in CT · 85th State Percentile#2,951 of 3,385 in U.S. · 87th National Percentile
Advantage

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)
Watchout

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)
Front-Door ShoppableElective / Imaging
2.4× Medicare

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

Back-Door Captive & ER0.83× Divergence
2.0× Medicare

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

Quantile Tail Spread+23% Upper Tail
Q25 1.21× · Q50 1.76× · Q75 2.16×

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
2.4× MedicareFair
Outpatient Surgery & ORBack-Door Captive
3.6× MedicareElevated
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
3.4× MedicareElevated
Back-Door Captive ER VisitsBack-Door Captive
2.9× MedicareFair
Inpatient Lab & PathologyBack-Door Captive
4.2× MedicareElevated
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
2.4× MedicareFair
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
27% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
5 CMS · 71/100Fair

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.

Sort:
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×
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 38.5%

Audit a Bill or Quote at Greenwich Hospital Association - (Zero PHI Required)

CMS CCN: 070018
CPT 451
Fair BaseRate™ $30,775
Medicare Rate $23,504
Self-Pay Cash $108,457
Insurer Median $108,457
Pre-filled with Greenwich Hospital Association -’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: $80,404 (274% FPL)

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).

Step 2 · Cash vs. Insurance Arbitrage Save $100,114 Paying Cash

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.

Step 3 · Fair BaseRate Target +$177,796 Above Fair BaseRate

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.

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: 060646659
Filing Period: 197202
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 (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.

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 Composite71/100
Would Recommend76%
Rated 9 or 10 (HCAHPS)74%
Median ER Wait177 min
Left ER Before Seen1%
30-Day Mortality vs U.S.better
Unplanned Readmissionsame
Hip/Knee Complication Rate2.5%

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 (420 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 Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Greenwich Hospital Association -.

Price Index: 0.86× regional baseline
Quality: 73/100 CMS composite
Median Household Income$146,841U.S. Census ACS
Local Uninsured Share6.2%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 87/100 · Verified CMS CCN 070018 EIN 060646659

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

Published MRF File06-0646659-Greenwich_Hospital_Standard_Charges-1.ashx
Publication / Vintage9/19/2026 · 120.29 MB
Validated Rate Rows2,256 (CMS v3.0.0)
File Integrity Digest9f208f38dac8549e0382…

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.