Mount Sinai Rehabilitation Hospital Inc
490 Blue Hills Ave, Hartford, CT 06112 · 56 Priced Procedures
Typical commercial prices here are +25% above the fair benchmark (1.25×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Cash-Arbitrage Bifurcated Pricer
Mount Sinai Rehabilitation Hospital Inc maintains elevated commercial insurance contracts (1.25× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 54% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.00× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 54% of shoppable procedures (96/100 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 (41.8% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.0× markup over Medicare rates
- Commercial insurance median sits at 1.29× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (1.25× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Unnegotiated chargemaster list prices average 7.2× Medicare (21¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Mount Sinai Rehabilitation Hospital Inc
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 56 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Blood transfusion CPT Code: 36430 | $516 | 1.0× |
| Hospital observation (per hour) HCPCS Code: G0378 | $177 | 2.1× |
| Speech therapy (language evaluation) CPT Code: 92507 | $195 | unverified |
| Speech therapy (group session) CPT Code: 92508 | $184 | unverified |
| Occupational therapy (self-care training) CPT Code: 97535 | $166 | unverified |
| Physical therapy (gait training) CPT Code: 97116 | $126 | 3.8× |
| Orthotic fitting and training CPT Code: 97760 | $144 | unverified |
| Electrical stimulation therapy HCPCS Code: G0283 | $106 | 7.6× |
| Prosthetic fitting and training CPT Code: 97761 | $129 | unverified |
| X-ray, chest (single view) CPT Code: 71045 | $92 | 1.0× |
| X-ray, chest (two views) CPT Code: 71046 | $92 | 1.0× |
| X-ray, shoulder CPT Code: 73030 | $87 | 0.9× |
| Varicella (chickenpox) vaccine HCPCS Code: 90716 | $159 | 0.8× |
| Pneumococcal vaccine HCPCS Code: 90732 | $125 | 0.9× |
| Flu vaccine injection HCPCS Code: G0008 | $55 | 1.1× |
| Pneumonia vaccine injection HCPCS Code: G0009 | $55 | 1.1× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $70 | 1.1× |
| X-ray, hand CPT Code: 73130 | $79 | 0.8× |
| MMR vaccine (measles, mumps, rubella) HCPCS Code: 90707 | $93 | 0.8× |
| X-ray, pelvis CPT Code: 72170 | $77 | 0.7× |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $69 | unverified |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $29 | 2.1× |
| Blood test, vitamin D CPT Code: 82306 | $41 | 1.3× |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $42 | 1.2× |
| Blood antibody screen CPT Code: 86850 | $52 | 1.1× |
Audit a Bill or Quote at Mount Sinai Rehabilitation Hospital Inc (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,014
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (41.8% of gross = $1,014).
Self-Pay Cash Rate ($1,334) Beats Your Bill
Mount Sinai Rehabilitation Hospital Inc's published 45 CFR § 180 self-pay cash rate is $1,334 (vs. $516 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $498 Fair BaseRate ($451 Medicare)
Your bill ($2,425) is $1,927 above the denoised Fair BaseRate ($498) and 5.4× the $451 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (41.8% 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.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Mount Sinai Rehabilitation Hospital Inc.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.