How many shoppable procedure prices are published for Johnson Memorial Hospital?

Johnson Memorial Hospital in Stafford Springs, CT currently has 100 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Johnson Memorial Hospital's median negotiated commercial rate is 1.9× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Johnson Memorial Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 44 Beds · urban Updated: 2026-03-31

Johnson Memorial Hospital

201 Chestnut Hill Road, Stafford Springs, CT 06076 · 100 Priced Procedures · 65% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.91×vs. Fair Market Price

Typical commercial prices here are +91% above the fair benchmark (1.91×) even after accounting for local nurse/doctor wages and patient complexity.

64/100 · Caution

64/100Self-Pay Cash Beats Insurance 40% of the Time

File Completeness56

Price Logic42

Peer Alignment68

Clean Billing77

Real Cash Discount86

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.91× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Johnson Memorial Hospital maintains elevated commercial insurance contracts (1.91× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 40% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#21 of 21 in CT · 95th State Percentile#3,026 of 3,385 in U.S. · 89th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.35× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 40% of shoppable procedures (86/100 Cash Honesty)
CMS clinical safety score (64/100 safety score) with 65% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (28.4% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.8× markup over Medicare rates
Commercial insurance median sits at 1.94× Fair BaseRate (2.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 2.0× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 6.5× Medicare (18¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.2× Medicare

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

Back-Door Captive & ER0.95× Divergence

2.1× Medicare

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

Quantile Tail Spread+12% Upper Tail

Q25 1.35× · Q50 1.94× · Q75 2.18×

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

2.2× MedicareFair

Outpatient Surgery & ORBack-Door Captive

2.8× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.4× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

3.2× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

2.4× MedicareFair

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

2.0× MedicareGood

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

40% Cash Edge · 86/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 64/100Elevated

Procedure Prices at Johnson Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 100 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$13,759	$45,771	$19,087	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$10,450	$18,728	$8,223	unverified
Rabies immune globulin HCPCS Code: `90375`	$16,069	$16,069	$322	unverified
Bunion correction surgery CPT Code: `28296`	$8,910	$6,585	$3,446	unverified
Cataract surgery with lens implant CPT Code: `66984`	$3,669	$6,585	$2,540	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$4,273	$3,371	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$2,616	$3,371	$981	unverified
Colonoscopy with biopsy CPT Code: `45380`	$2,928	$3,371	$1,256	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$2,461	$2,461	$855	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$2,887	$2,162	$1,021	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$1,768	$1,768	$151	11.7×
Inguinal hernia repair CPT Code: `49505`	$1,095	$1,095	$3,629	0.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,965	$878	$511	1.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$897	$807	$448	1.8×
MRI, brain (no contrast) CPT Code: `70551`	$1,135	$666	$343	1.9×
MRI, knee or other leg joint CPT Code: `73721`	$1,534	$666	$369	1.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,157	$634	$338	1.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$736	$601	$272	unverified
Blood transfusion CPT Code: `36430`	—	$534	$498	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$498	$498	$6,109	0.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$948	$442	$258	1.7×
CT scan, head (with contrast) CPT Code: `70460`	$866	$391	$242	1.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$719	$416	$303	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	$676	$391	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$742	$391	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$742	$391	$168	unverified
CT scan, sinuses CPT Code: `70486`	$669	$353	$166	2.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$637	$373	$148	unverified
CT scan, pelvis CPT Code: `72192`	$674	$335	$163	2.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$504	$292	$134	2.2×
CT scan, head (no contrast) CPT Code: `70450`	$755	$292	$160	1.8×
Screening mammogram (both breasts) CPT Code: `77067`	$307	$308	$123	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$310	$255	$132	1.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$394	$255	$126	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$223	$223	$86	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$592	$177	$583	0.3×
Speech therapy (group session) CPT Code: `92508`	$185	$185	$27	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	—	—	$201	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$109	$146	$40	3.6×
X-ray, lower back CPT Code: `72110`	$309	$163	$112	1.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$93	$117	$35	3.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$87	$122	$38	3.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$351	$138	$185	0.7×
Physical therapy (manual therapy) CPT Code: `97140`	$130	$109	$34	3.2×
X-ray, chest (single view) CPT Code: `71045`	—	$128	$92	1.4×
Physical therapy (gait training) CPT Code: `97116`	$86	$101	$33	3.1×
X-ray, hip CPT Code: `73502`	$185	$124	$93	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$151	$92	$64	1.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$199	$108	$93	1.2×
X-ray, shoulder CPT Code: `73030`	$262	$102	$92	1.1×
X-ray, hand CPT Code: `73130`	$290	$99	$93	1.1×
X-ray, ankle CPT Code: `73610`	$232	$97	$93	1.0×
X-ray, foot CPT Code: `73630`	$273	$95	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	$230	$81	$93	0.9×
X-ray, pelvis CPT Code: `72170`	$173	$93	$110	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$386	$106	$35	unverified
Typhoid vaccine HCPCS Code: `90675`	$2,078	$2,078	$347	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$466	$282	$111	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$41	$61	$14	4.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$86	$86	$20	4.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$54	$54	$14	3.9×
Occupational therapy (self-care training) CPT Code: `97535`	$65	$65	$38	1.7×
Flu vaccine injection HCPCS Code: `G0008`	$81	$65	$48	1.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$95	$65	$49	1.3×
Orthotic fitting and training CPT Code: `97760`	$65	$57	$51	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$236	$62	$56	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$227	$73	$110	0.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$102	$75	$25	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$67	$67	$86	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$36	$36	$10	3.6×
Blood test, vitamin D CPT Code: `82306`	$101	$61	$31	2.0×
Ultrasound, pelvis CPT Code: `76856`	$274	$73	$130	0.6×
Blood test, vitamin B12 CPT Code: `82607`	$61	$61	$16	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$7	$3	2.3×
Blood test, basic metabolic panel CPT Code: `80048`	—	$18	$9	2.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$22	$11	2.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$15	$8	$4	2.0×
Blood test, magnesium CPT Code: `83735`	—	$14	$7	2.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$69	$38	$19	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$16	$8	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$28	$12	$6	2.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$79	$35	$18	1.9×
Hepatitis C antibody test CPT Code: `86803`	$58	$29	$15	1.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$52	$27	$14	1.9×
Culture, bacterial CPT Code: `87070`	$32	$17	$9	1.9×
Hepatitis B vaccine HCPCS Code: `90744`	$139	$37	$37	1.0×
Blood test, hemoglobin CPT Code: `85018`	$12	$5	$3	1.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$15	$8	$5	1.6×
Blood antibody screen CPT Code: `86850`	$42	$26	$46	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$128	$47	$123	0.4×
Blood test, liver function panel CPT Code: `80076`	$26	$17	$9	1.9×
Blood test, amylase CPT Code: `82150`	$40	$13	$7	1.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$85	$31	$87	0.4×
Blood test, calcium CPT Code: `82310`	$18	$11	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	—	$11	$5	unverified
Blood test, lipase CPT Code: `83690`	$28	$28	$7	unverified
Blood test, potassium CPT Code: `84132`	—	$10	$5	unverified
Blood test, sodium CPT Code: `84295`	$25	$10	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$15	$8	$4	unverified
Culture, blood CPT Code: `87040`	—	—	$11	unverified

Showing top 25 high-impact procedures of 100 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 28.4%

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

CMS CCN: 070008

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $13,759

Insurer Median $45,771

1. Amount on Your Bill or Quote ($) Pre-filled with Johnson Memorial 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: $31,153 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $31,153

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (28.4% of gross = $31,153).

Step 2 · Cash vs. Insurance Arbitrage Save $96,091 Paying Cash

Self-Pay Cash Rate ($13,759) Beats Your Bill

Johnson Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $13,759 (vs. $45,771 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$90,763 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($109,850) is $90,763 above the denoised Fair BaseRate ($19,087) and 7.8× the $14,117 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)

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 (28.4% 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 ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite64/100

Would Recommend65%

Rated 9 or 10 (HCAHPS)66%

Median ER Wait178 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

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

2025-07-10·administrative_or_closure
Met Requirements
Recorded
2023-05-17·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (201 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 Johnson Memorial Hospital.

Price Index: 1.28× regional baseline

Quality: 56/100 CMS composite

Median Household Income$96,944U.S. Census ACS

Local Uninsured Share4.3%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 64/100 · Caution CMS CCN 070008

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 070008) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-31

Validated Rate Rows16,832 (CMS v3.0.0)

File Integrity DigestVerified · CCN 070008

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