How many shoppable procedure prices are published for William W Backus Hospital?

William W Backus Hospital in Norwich, CT currently has 105 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do William W Backus Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, William W Backus Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is William W Backus Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns William W Backus 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 187 Beds · rural Updated: 4/1/2026

William W Backus Hospital

326 Washington St, Norwich, CT 06360 · 105 Priced Procedures · 61% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.92×vs. Fair Market Price

Typical commercial prices here are 8% below the fair benchmark (0.92×) after accounting for local nurse/doctor wages and patient complexity.

58/100 · Caution

58/100Self-Pay Cash Beats Insurance 5% of the Time

File Completeness60

Price Logic84

Peer Alignment58

Clean Billing69

Real Cash Discount6

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.92× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive

Uniform Value Leader

William W Backus Hospital maintains disciplined commercial pricing across both elective shoppable care (1.0× Medicare) and captive emergency/ancillary departments (1.0× Medicare). Patients and health plans benefit from predictable, below-benchmark rates (0.92× Fair BaseRate) without hidden ancillary cross-subsidization.

#9 of 21 in CT · 38th State Percentile#766 of 3,385 in U.S. · 22nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 8% below peer Fair BaseRate (0.92×)
Self-pay cash beats commercial insurance on 5% of shoppable procedures (25/100 Cash Honesty)
4-Star CMS clinical rating with 61% patient recommendation (66/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (25.3% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.92× 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.
Commercial insurance median sits at 0.96× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.11×) jump +16% above the median procedure ratio (Q50 0.96×)
Unnegotiated chargemaster list prices average 6.0× Medicare (18¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

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

Quantile Tail Spread+16% Upper Tail

Q25 0.48× · Q50 0.96× · Q75 1.11×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.3× MedicareGood

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

0.8× MedicareGood

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

5% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 66/100Fair

Procedure Prices at William W Backus Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 105 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$79,886	$79,886	$30,775	2.6×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$72,332	$9,169	$19,087	0.5×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$52,762	$9,169	$19,432	0.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$33,799	$8,967	$8,223	1.1×
Total hip replacement CPT Code: `27130`	$7,400	$5,247	$13,413	0.4×
Total knee replacement CPT Code: `27447`	$7,390	$5,247	$13,523	0.4×
Trauma team activation HCPCS Code: `G0390`	$4,790	$4,790	$1,453	3.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$3,820	$2,471	$6,109	0.4×
Breast lump removal CPT Code: `19120`	—	$1,600	$3,875	0.4×
Inguinal hernia repair CPT Code: `49505`	$3,040	$1,463	$3,629	0.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,175	$1,337	$3,372	0.4×
Bunion correction surgery CPT Code: `28296`	—	$1,337	$3,446	0.4×
Rabies immune globulin HCPCS Code: `90375`	$693	$693	$322	2.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,504	$687	$511	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,778	$589	$448	1.3×
Colonoscopy with biopsy CPT Code: `45380`	$4,214	$489	$1,256	0.4×
MRI, brain (no contrast) CPT Code: `70551`	$1,486	$424	$343	1.2×
MRI, knee or other leg joint CPT Code: `73721`	$1,619	$448	$369	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	$1,437	$414	$338	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$3,225	$380	$981	0.4×
Upper endoscopy with biopsy CPT Code: `43239`	$3,288	$371	$987	0.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$5,288	$351	$1,021	0.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,239	$294	$258	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,445	$268	$242	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,278	$292	$303	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$380	$220	$185	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,289	$223	$583	0.4×
Speech therapy (language evaluation) CPT Code: `92507`	$314	$190	$86	2.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$521	$192	$148	1.3×
CT scan, sinuses CPT Code: `70486`	$1,255	$201	$166	1.2×
CT scan, pelvis CPT Code: `72192`	$1,033	$194	$163	1.2×
CT scan, chest (no contrast) CPT Code: `71250`	$1,690	$194	$167	1.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,037	$194	$168	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,045	$195	$169	1.2×
Family therapy session CPT Code: `90847`	$413	$181	$173	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$549	$188	$181	1.0×
Orthotic fitting and training CPT Code: `97760`	$206	$206	$51	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$430	$159	$123	1.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$406	$156	$132	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$378	$151	$134	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,201	$172	$160	1.1×
Blood transfusion CPT Code: `36430`	$981	$180	$498	0.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$143	$143	$38	3.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$161	$161	$40	unverified
Prosthetic fitting and training CPT Code: `97761`	$174	$174	$45	unverified
Physical therapy (gait training) CPT Code: `97116`	$123	$123	$33	3.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$140	$140	$38	3.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$123	$123	$35	3.5×
Ultrasound, pelvis CPT Code: `76856`	$348	$147	$130	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$205	$123	$110	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$368	$128	$166	0.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$114	$114	$151	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$122	$122	$86	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$88	$88	$38	2.3×
X-ray, hip CPT Code: `73502`	$522	$92	$93	1.0×
X-ray, lower back CPT Code: `72110`	$567	$97	$112	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$316	$89	$201	0.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,057	$98	$272	0.4×
Typhoid vaccine HCPCS Code: `90675`	$399	$399	$347	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$135	$135	$111	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$138	$52	$34	1.5×
Extended office visit (prolonged) HCPCS Code: `G2212`	$115	$49	$33	1.5×
Colorectal cancer screening HCPCS Code: `G0010`	$59	$59	$49	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$147	$65	$56	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$440	$72	$93	0.8×
X-ray, hand CPT Code: `73130`	$406	$71	$93	0.8×
X-ray, ankle CPT Code: `73610`	$410	$70	$93	0.8×
X-ray, foot CPT Code: `73630`	$383	$65	$92	0.7×
X-ray, shoulder CPT Code: `73030`	$383	$64	$92	0.7×
Group therapy session CPT Code: `90853`	$185	$60	$100	0.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$71	$34	$25	1.4×
X-ray, chest (two views) CPT Code: `71046`	$374	$59	$93	0.6×
Blood test, vitamin D CPT Code: `82306`	$247	$30	$31	1.0×
X-ray, chest (single view) CPT Code: `71045`	$285	$44	$92	0.5×
X-ray, pelvis CPT Code: `72170`	$309	$51	$110	0.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$230	$51	$126	0.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$418	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$31	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$31	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$152	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$32	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$108	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$77	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$46	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$79	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$29	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$24	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$56	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$50	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$84	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$97	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$101	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$126	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$86	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$109	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$86	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$232	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$216	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$72	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$33	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$26	$2	$3	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$59	$19	$48	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$59	$19	$49	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$232	$24	$64	0.4×
Blood antibody screen CPT Code: `86850`	$59	$15	$46	0.3×

Showing top 25 high-impact procedures of 105 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 25.3%

Audit a Bill or Quote at William W Backus Hospital (Zero PHI Required)

CMS CCN: 070024

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $79,886

Insurer Median $79,886

1. Amount on Your Bill or Quote ($) Pre-filled with William W Backus 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: $20,243 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $20,243

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (25.3% of gross = $20,243).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $79,886

Compare Prompt-Pay Cash Rate Against Remaining Deductible

William W Backus Hospital's published 45 CFR § 180 self-pay cash rate is $79,886 (vs. $79,886 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$49,111 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($79,886) is $49,111 above the denoised Fair BaseRate ($30,775) and 3.4× the $23,504 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: 060250773

Filing Period: 195112

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 (25.3% 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 Composite66/100

Would Recommend61%

Rated 9 or 10 (HCAHPS)59%

Median ER Wait166 min

Left ER Before Seen1%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate3.7%

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 (928 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 Pareto Frontier (Price + Quality)

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

Price Index: 0.65× regional baseline

Quality: 68/100 CMS composite

Median Household Income$65,848U.S. Census ACS

Local Uninsured Share7.0%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 58/100 · Caution CMS CCN 070024 EIN 060250773

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 070024) ↗ Verify IRS Form 990 (EIN 060250773) ↗ CMS HCRIS Cost Reports ↗

Published MRF File060250773_the_william_w_backus_hospital_standardcharges.csv

Publication / Vintage4/1/2026 · 40.93 MB

Validated Rate Rows1,284 (CMS v3.0.0)

File Integrity DigestVerified · CCN 070024

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