How many shoppable procedure prices are published for Lawrence & Memorial Hospital?

Lawrence & Memorial Hospital in New London, CT currently has 98 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

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

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

CMS Care Compare assigns Lawrence & 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 236 Beds · rural Updated: 9/19/2026

Lawrence & Memorial Hospital

365 Montauk Ave, New London, CT 06320 · 98 Priced Procedures · 65% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.89×vs. Fair Market Price

Typical commercial prices here are +89% above the fair benchmark (1.89×) even after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 66% of the Time

File Completeness85

Price Logic87

Peer Alignment58

Clean Billing69

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.89× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +49% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Lawrence & Memorial Hospital prices routine shoppable procedures at 2.7× Medicare (median 1.68× Fair BaseRate) while upper-quartile commercial rates jump +49% to 2.51× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#20 of 21 in CT · 90th State Percentile#3,013 of 3,385 in U.S. · 88th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.30× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 66% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (70/100 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 (16.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.3× markup over Medicare rates
Commercial insurance median sits at 1.68× Fair BaseRate (2.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.51×) jump +49% above the median procedure ratio (Q50 1.68×)
Unnegotiated chargemaster list prices average 6.0× Medicare (15¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.7× Medicare

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

Back-Door Captive & ER0.44× Divergence

1.2× Medicare

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

Quantile Tail Spread+49% Upper Tail

Q25 1.30× · Q50 1.68× · Q75 2.51×

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

2.7× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.3× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.5× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.1× MedicareElevated

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

1.1× MedicareGood

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

66% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 70/100Fair

Procedure Prices at Lawrence & Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 98 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Breast lump removal CPT Code: `19120`	$2,313	$3,910	$3,875	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,388	$2,347	$1,021	2.3×
Colonoscopy with biopsy CPT Code: `45380`	$1,159	$1,959	$1,256	1.6×
Trauma team activation HCPCS Code: `G0390`	$1,155	$1,952	$1,453	1.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$902	$1,718	$511	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$908	$1,535	$987	1.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$884	$1,494	$981	1.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$792	$1,509	$448	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$556	$1,058	$338	3.1×
MRI, knee or other leg joint CPT Code: `73721`	$556	$1,058	$369	2.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$595	$1,079	$583	1.9×
MRI, brain (no contrast) CPT Code: `70551`	$556	$1,058	$343	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$541	$1,030	$258	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$503	$957	$303	unverified
CT scan, head (with contrast) CPT Code: `70460`	$488	$929	$242	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$387	$654	$272	2.4×
CT scan, head (no contrast) CPT Code: `70450`	$285	$543	$160	3.4×
CT scan, pelvis CPT Code: `72192`	$285	$543	$163	3.3×
CT scan, sinuses CPT Code: `70486`	$285	$543	$166	3.3×
CT scan, chest (no contrast) CPT Code: `71250`	$285	$543	$167	3.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$285	$543	$168	3.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$285	$543	$169	3.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$210	$399	$148	2.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$229	$388	$201	1.9×
Screening mammogram (both breasts) CPT Code: `77067`	$175	$333	$123	2.7×
Ultrasound, pelvis CPT Code: `76856`	$163	$311	$130	2.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$163	$311	$134	2.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$185	$313	$185	1.7×
X-ray, lower back CPT Code: `72110`	$149	$284	$112	unverified
X-ray, pelvis CPT Code: `72170`	$149	$284	$110	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$297	$297	$25	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$137	$231	$110	2.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$150	$253	$181	1.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$130	$227	$126	1.8×
Family therapy session CPT Code: `90847`	$141	$238	$173	1.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	$135	$227	$166	1.4×
X-ray, hip CPT Code: `73502`	$100	$191	$93	2.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$110	$186	$123	1.5×
Physical therapy (manual therapy) CPT Code: `97140`	$90	$160	$34	4.7×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$88	$159	$64	2.5×
X-ray, chest (single view) CPT Code: `71045`	$82	$156	$92	1.7×
X-ray, shoulder CPT Code: `73030`	$82	$156	$92	1.7×
X-ray, foot CPT Code: `73630`	$82	$156	$92	1.7×
X-ray, chest (two views) CPT Code: `71046`	$82	$156	$93	1.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$82	$156	$93	1.7×
X-ray, hand CPT Code: `73130`	$82	$156	$93	1.7×
X-ray, ankle CPT Code: `73610`	$82	$156	$93	1.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$92	$171	$132	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$172	$172	$86	unverified
Orthotic fitting and training CPT Code: `97760`	$73	$130	$51	2.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$75	$126	$87	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$135	$135	$38	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$137	$137	$40	unverified
Speech therapy (group session) CPT Code: `92508`	$99	$99	$27	3.7×
Physical therapy (gait training) CPT Code: `97116`	$94	$94	$33	2.8×
Group therapy session CPT Code: `90853`	$60	$101	$100	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$118	$118	$35	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$136	$136	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$98	$98	$38	2.6×
Prosthetic fitting and training CPT Code: `97761`	$85	$85	$45	1.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$301	$509	$203	2.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$114	$192	$111	1.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$88	$148	$56	2.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$40	$68	$25	2.7×
Flu vaccine injection HCPCS Code: `G0008`	$52	$88	$48	1.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$52	$88	$49	1.8×
Colorectal cancer screening HCPCS Code: `G0010`	$52	$88	$49	1.8×
Drug screening test HCPCS Code: `G0480`	$247	$98	$116	0.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$22	$9	$6	1.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$50	$20	$14	1.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$68	$27	$19	1.4×
Blood test, vitamin D CPT Code: `82306`	$110	$44	$31	1.4×
Blood test, lipase CPT Code: `83690`	$26	$10	$7	1.4×
Blood test, magnesium CPT Code: `83735`	$25	$10	$7	1.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$36	$14	$10	1.4×
Hepatitis C antibody test CPT Code: `86803`	$53	$21	$15	1.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$62	$25	$18	1.4×
Blood test, vitamin B12 CPT Code: `82607`	$56	$22	$16	1.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$68	$27	$20	1.4×
Culture, blood CPT Code: `87040`	$35	$14	$11	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$12	$5	$4	1.3×
Culture, bacterial CPT Code: `87070`	$28	$11	$9	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$14	$6	$5	1.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$7	$3	$3	1.0×
Blood test, hemoglobin CPT Code: `85018`	$9	$3	$3	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$64	$25	$27	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$17	$7	$8	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$23	$9	$11	0.8×
Blood test, calcium CPT Code: `82310`	$11	$4	$5	0.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$11	$4	$5	0.8×
Blood test, potassium CPT Code: `84132`	$10	$4	$5	0.8×
Blood test, sodium CPT Code: `84295`	$10	$4	$5	0.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$29	$11	$14	0.8×
Blood test, basic metabolic panel CPT Code: `80048`	$18	$7	$9	0.8×
Blood test, liver function panel CPT Code: `80076`	$18	$7	$9	0.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$8	$3	$4	0.8×
Blood antibody screen CPT Code: `86850`	$52	$21	$46	0.5×
Blood test, amylase CPT Code: `82150`	$24	$24	$7	unverified

Showing top 25 high-impact procedures of 98 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 16.9%

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

CMS CCN: 070007

CPT 19120

Select Procedure to Audit:

Fair BaseRate™ $3,875

Medicare Rate $4,000

Self-Pay Cash $2,313

Insurer Median $3,910

1. Amount on Your Bill or Quote ($) Pre-filled with Lawrence & 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: $1,084 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $1,084

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (16.9% of gross = $1,084).

Step 2 · Cash vs. Insurance Arbitrage Save $4,111 Paying Cash

Self-Pay Cash Rate ($2,313) Beats Your Bill

Lawrence & Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $2,313 (vs. $3,910 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$2,549 Above Fair BaseRate

Negotiate Toward $3,875 Fair BaseRate ($4,000 Medicare)

Your bill ($6,424) is $2,549 above the denoised Fair BaseRate ($3,875) and 1.6× the $4,000 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: 060646704

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 (16.9% 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 Composite70/100

Would Recommend65%

Rated 9 or 10 (HCAHPS)61%

Median ER Wait123 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)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

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

2025-03-12·administrative_or_closure
Closure Notice
Recorded
2025-01-16·cap_corrective_action
CAP Request
Recorded
2024-09-27·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (863 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 Lawrence & Memorial Hospital.

Price Index: 0.87× regional baseline

Quality: 65/100 CMS composite

Median Household Income$60,224U.S. Census ACS

Local Uninsured Share8.8%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 80/100 · Corroborated CMS CCN 070007 EIN 060646704

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 070007) ↗ Verify IRS Form 990 (EIN 060646704) ↗ CMS HCRIS Cost Reports ↗

Published MRF File060646704-LawrenceMemorialHospitalstandardcharges011025.ashx

Publication / Vintage9/19/2026 · 97.90 MB

Validated Rate Rows98 (CMS v3.0.0)

File Integrity Digestafa878aab0d77c40c2dd…

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