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Hospital Profile General Acute Care Hospital Updated: 2026-04-01

Hospital for Special Care

2150 Corbin Ave, New Britain, CT 06053 · 25 Priced Procedures

CMS Overall Rating No CMS Rating
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.Above Fair Market · Negotiate
1.11×vs. Fair Market Price
Position vs. 1.00× Fair Price+11% 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 +11% above the fair benchmark (1.11×) 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).59/100 · Caution
59/100Self-Pay Cash Beats Insurance 16% 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 Logic58Coherence (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 Alignment80Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing39Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount6Cash 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.Regional Benchmark Tier
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety ScoreNot ScoredComposite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

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

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Hospital for Special Care prices shoppable and inpatient services (1.2× to 1.0× Medicare, divergence 0.83×) in alignment with regional hospital peers (1.11× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#11 of 21 in CT · 47th State Percentile#1,707 of 3,385 in U.S. · 50th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 0.94× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 16% of shoppable procedures (25/100 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 (71.4% AGB cap)
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
  • Commercial insurance median sits at 1.08× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Upper-quartile procedures (Q75 1.24×) jump +15% above the median procedure ratio (Q50 1.08×)
  • Unnegotiated chargemaster list prices average 2.6× Medicare (45¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
1.2× Medicare

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

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

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

Quantile Tail Spread+15% Upper Tail
Q25 0.94× · Q50 1.08× · Q75 1.24×

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
1.2× MedicareGood
Outpatient Surgery & ORBack-Door Captive
1.5× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
1.3× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
1.7× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
1.6× MedicareGood
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
1.1× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
16% Cash Edge · 25/100Watchout
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 54/100Elevated

Procedure Prices at Hospital for Special Care

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 25 published procedures.

Sort:
Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
Upper endoscopy with biopsy
CPT Code: 43239
 $890 0.9×
Psychotherapy session (60 minutes)
CPT Code: 90837
 $303 unverified
Psychotherapy session (45 minutes)
CPT Code: 90834
 $213 1.3×
Family therapy session
CPT Code: 90847
 $211 1.2×
Psychiatric evaluation (first visit)
CPT Code: 90791
 $200 1.1×
Neurobehavioral status check
CPT Code: 96116
 $188 0.8×
Speech therapy (language evaluation)
CPT Code: 92507
 $152 1.8×
Office visit, established patient (30-39 min)
CPT Code: 99214
 $153 1.2×
Psychological testing by technician
CPT Code: 96138
 $164 0.4×
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $110 2.9×
Office visit, established patient (20-29 min)
CPT Code: 99213
 $108 1.2×
New patient office visit (30-44 min)
CPT Code: 99203
 $120 1.1×
Group therapy session
CPT Code: 90853
 $104 1.0×
Psychological testing evaluation
CPT Code: 96136
 $113 0.9×
Speech therapy (group session)
CPT Code: 92508
 $127 unverified
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $118 unverified
Physical therapy (gait training)
CPT Code: 97116
 $110 unverified
Physical therapy (manual therapy)
CPT Code: 97140
 $110 unverified
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $119 unverified
Occupational therapy (self-care training)
CPT Code: 97535
 $119 unverified
Physical therapy (functional capacity test)
CPT Code: 97750
 $121 unverified
Orthotic fitting and training
CPT Code: 97760
 $123 unverified
Prosthetic fitting and training
CPT Code: 97761
 $118 unverified
Flu vaccine injection
HCPCS Code: G0008
 $46 1.0×
Pneumonia vaccine injection
HCPCS Code: G0009
 $46 0.9×
Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 71.4%

Audit a Bill or Quote at Hospital for Special Care (Zero PHI Required)

CMS CCN: 072004
CPT 43239
Fair BaseRate™ $987
Medicare Rate $927
Self-Pay Cash $980
Insurer Median $890
Pre-filled with Hospital for Special Care’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: $700 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $700

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (71.4% of gross = $700).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $980

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Hospital for Special Care's published 45 CFR § 180 self-pay cash rate is $980 (vs. $890 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $987 Fair BaseRate

Negotiate Toward $987 Fair BaseRate ($927 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($987).

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: 060646766
Filing Period: 194412
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 (71.4% 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 ↑
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 Hospital for Special Care.

Price Index: 1.29× regional baseline
Quality: 54/100 CMS composite
Median Household Income$61,498U.S. Census ACS
Local Uninsured Share5.7%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 59/100 · Caution CMS CCN 072004 EIN 060646766

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 072004) ↗ Verify IRS Form 990 (EIN 060646766) ↗ CMS HCRIS Cost Reports ↗
Published MRF Fileurl
Publication / Vintage2026-04-01 · 2.78 MB
Validated Rate Rows253 (CMS v3.0.0)
File Integrity Digestcc8adeb6bd53fd7ae384…

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