How many shoppable procedure prices are published for Griffin Hospital?

Griffin Hospital in Derby, CT currently has 128 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Griffin Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Griffin Hospital's median negotiated commercial rate is 1.6× the regionally adjusted fair BaseRate benchmark.

What is Griffin Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Griffin Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 101 Beds · rural Updated: 11/26/2025

Griffin Hospital

130 Division St, Derby, CT 06418 · 128 Priced Procedures · 75% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

1.59×vs. Fair Market Price

Typical commercial prices here are +59% above the fair benchmark (1.59×) even after accounting for local nurse/doctor wages and patient complexity.

88/100 · Verified

88/100Self-Pay Cash Beats Insurance 81% of the Time

File Completeness100

Price Logic83

Peer Alignment63

Clean Billing92

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.59× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Griffin Hospital maintains elevated commercial insurance contracts (1.59× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 81% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#18 of 21 in CT · 80th State Percentile#2,754 of 3,385 in U.S. · 81st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.14× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 81% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 75% 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 (22.8% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.4× markup over Medicare rates
Commercial insurance median sits at 1.57× Fair BaseRate (1.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.87×) jump +19% above the median procedure ratio (Q50 1.57×)
Unnegotiated chargemaster list prices average 13.1× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.9× Medicare

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

Back-Door Captive & ER0.95× Divergence

1.8× Medicare

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

Quantile Tail Spread+19% Upper Tail

Q25 1.14× · Q50 1.57× · Q75 1.87×

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

1.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.4× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.9× MedicareFair

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

0.5× MedicareGood

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

81% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 64/100Elevated

Procedure Prices at Griffin Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 128 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`	—	$33,426	$19,432	1.7×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$31,469	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$29,739	$19,087	1.6×
Total hip replacement CPT Code: `27130`	$15,382	$20,962	$13,413	unverified
Total knee replacement CPT Code: `27447`	$15,382	$20,962	$13,523	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$18,531	$17,936	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$11,784	$8,223	1.4×
C-section delivery (full package) CPT Code: `59510`	—	$8,075	$2,975	2.7×
Vaginal delivery (full package) CPT Code: `59400`	—	$8,075	$2,680	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$6,975	$7,042	$6,109	1.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,879	$6,343	$3,372	unverified
Inguinal hernia repair CPT Code: `49505`	$4,219	$6,343	$3,629	unverified
Cataract surgery with lens implant CPT Code: `66984`	$2,727	$6,343	$2,540	unverified
Bunion correction surgery CPT Code: `28296`	$3,879	$5,786	$3,446	1.7×
Breast lump removal CPT Code: `19120`	—	—	$3,875	unverified
Colonoscopy with biopsy CPT Code: `45380`	$1,410	$2,500	$1,256	2.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,090	$2,500	$981	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$1,216	$2,239	$1,021	2.2×
Trauma team activation HCPCS Code: `G0390`	$1,582	$1,582	$1,453	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$427	$1,062	$511	unverified
Upper endoscopy with biopsy CPT Code: `43239`	—	—	$987	—
Injection procedure for pain management HCPCS Code: `G0260`	$828	$828	$855	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$655	$684	$583	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$427	$589	$448	1.3×
Rabies immune globulin HCPCS Code: `90375`	$347	$478	$322	1.5×
Blood transfusion CPT Code: `36430`	—	—	$498	—
MRI, lower back (no contrast) CPT Code: `72148`	$289	$470	$338	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$289	$470	$343	1.4×
MRI, knee or other leg joint CPT Code: `73721`	$289	$470	$369	1.3×
Neurobehavioral status check CPT Code: `96116`	$372	$372	$231	1.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$289	$304	$303	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$208	$324	$148	unverified
CT scan, head (with contrast) CPT Code: `70460`	$213	$284	$242	1.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$213	$289	$258	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$289	$289	$272	1.1×
CT scan, sinuses CPT Code: `70486`	$127	$250	$166	1.5×
Screening mammogram (both breasts) CPT Code: `77067`	$169	$268	$123	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$127	$216	$134	1.6×
Hepatitis B immune globulin HCPCS Code: `90371`	$171	$241	$151	1.6×
CT scan, pelvis CPT Code: `72192`	$127	$234	$163	1.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$127	$238	$169	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	$127	$235	$167	1.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$127	$236	$168	1.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$127	$171	$126	1.4×
Ultrasound, pelvis CPT Code: `76856`	$127	$175	$130	1.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$127	$171	$132	1.3×
CT scan, head (no contrast) CPT Code: `70450`	$127	$190	$160	1.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$192	$192	$166	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$192	$192	$185	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$98	$214	$86	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$192	$176	$181	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	—	—	$201	—
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$135	$25	5.4×
Physical therapy (gait training) CPT Code: `97116`	$37	$130	$33	3.9×
Physical therapy (manual therapy) CPT Code: `97140`	$35	$130	$34	3.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$37	$130	$35	3.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$41	$130	$38	3.4×
Occupational therapy (self-care training) CPT Code: `97535`	$41	$130	$38	3.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$45	$130	$40	3.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$140	$123	1.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	$54	$88	$35	2.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$106	$87	1.2×
X-ray, chest (single view) CPT Code: `71045`	$105	$105	$92	1.1×
X-ray, shoulder CPT Code: `73030`	$105	$105	$92	1.1×
X-ray, foot CPT Code: `73630`	$105	$105	$92	1.1×
X-ray, lower back CPT Code: `72110`	$127	$127	$112	1.1×
X-ray, chest (two views) CPT Code: `71046`	$105	$105	$93	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$105	$105	$93	1.1×
X-ray, hand CPT Code: `73130`	$105	$105	$93	1.1×
X-ray, hip CPT Code: `73502`	$105	$105	$93	1.1×
X-ray, ankle CPT Code: `73610`	$105	$105	$93	1.1×
Group therapy session CPT Code: `90853`	$111	$111	$100	1.1×
X-ray, pelvis CPT Code: `72170`	$127	$114	$110	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	—	$109	$110	1.0×
Family therapy session CPT Code: `90847`	$192	$122	$173	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$380	$512	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$404	$203	2.0×
Pneumococcal vaccine HCPCS Code: `90732`	—	$355	$140	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$214	$111	1.9×
Drug screening test HCPCS Code: `G0480`	$114	$113	$116	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	—	$83	$37	2.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$89	$56	1.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$91	$39	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	—	$59	$25	2.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$18	$35	$19	1.8×
Blood test, vitamin D CPT Code: `82306`	$30	$56	$31	1.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$19	$35	$20	1.8×
Flu vaccine injection HCPCS Code: `G0008`	$55	$55	$48	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$71	$71	$64	1.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$43	$43	$38	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$55	$55	$49	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	$55	$55	$49	1.1×
Psychological testing evaluation CPT Code: `96136`	$154	$55	$128	0.4×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$26	$26	$27	1.0×
Psychological testing by technician CPT Code: `96138`	$477	$45	$395	0.1×
Orthotic fitting and training CPT Code: `97760`	$60	$60	$51	unverified
Hepatitis C antibody test CPT Code: `86803`	$14	$27	$15	1.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$13	$25	$14	1.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$17	$32	$18	1.8×
Care planning with family CPT Code: `90887`	—	$54	$107	0.5×
Culture, blood CPT Code: `87040`	$10	$18	$11	1.6×
Culture, bacterial CPT Code: `87070`	$9	$14	$9	1.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$7	$5	1.4×
Blood test, hemoglobin CPT Code: `85018`	$2	$4	$3	1.3×
Blood antibody screen CPT Code: `86850`	$64	$24	$46	0.5×
Blood test, basic metabolic panel CPT Code: `80048`	$8	$16	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$11	$20	$11	unverified
Blood test, liver function panel CPT Code: `80076`	$8	$15	$9	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$3	$6	$3	unverified
Blood test, amylase CPT Code: `82150`	$6	$12	$7	unverified
Blood test, calcium CPT Code: `82310`	$5	$10	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$5	$10	$5	unverified
Blood test, vitamin B12 CPT Code: `82607`	$15	$28	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$14	$26	$14	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$4	$7	$4	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$10	$18	$10	unverified
Blood test, lipase CPT Code: `83690`	$7	$13	$7	unverified
Blood test, magnesium CPT Code: `83735`	$7	$13	$7	unverified
Blood test, potassium CPT Code: `84132`	$5	$9	$5	unverified
Blood test, sodium CPT Code: `84295`	$5	$9	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$4	$7	$4	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$8	$15	$8	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$6	$11	$6	unverified
Speech therapy (group session) CPT Code: `92508`	$30	$30	$27	unverified
Prosthetic fitting and training CPT Code: `97761`	$52	$52	$45	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$16	$16	$14	unverified
Extended office visit (prolonged) HCPCS Code: `G2212`	—	—	$33	—

Showing top 25 high-impact procedures of 128 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 22.8%

Audit a Bill or Quote at Griffin Hospital (Zero PHI Required)

CMS CCN: 070031

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $33,426

1. Amount on Your Bill or Quote ($) Pre-filled with Griffin Hospital’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: $18,307 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $18,307

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (22.8% of gross = $18,307).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Griffin Hospital'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 +$60,790 Above Fair BaseRate

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

Your bill ($80,222) is $60,790 above the denoised Fair BaseRate ($19,432) and 5.7× 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: 060647014

Filing Period: 193703

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 (22.8% 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 Recommend75%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait173 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.4%

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 (672 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

Higher-Quality, Above-Median Price Tier

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

Price Index: 1.29× regional baseline

Quality: 59/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Centivo

+151.4%

Median Household Income$75,718U.S. Census ACS

Local Uninsured Share3.9%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 88/100 · Verified CMS CCN 070031 EIN 060647014

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 070031) ↗ Verify IRS Form 990 (EIN 060647014) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filegriffinhealth

Publication / Vintage11/26/2025 · 160.08 MB

Validated Rate Rows2,223 (CMS v3.0.0)

File Integrity Digest8327f6b10c43e6aa4722…

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.

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