Cooley Dickinson Hospital Inc,The
30 Locust Street, Northampton, MA 01061 · 80 Priced Procedures · 74% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.01×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.01× fair market pricing.
Aligned Regional Benchmark Peer
Cooley Dickinson Hospital Inc,The prices shoppable and inpatient services (1.2× to 1.2× Medicare, divergence 1.00×) in alignment with regional hospital peers (1.01× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.89× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 48% of shoppable procedures (99/100 Cash Honesty)
- 2-Star CMS clinical rating with 74% patient recommendation (62/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (55.3% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
- Commercial insurance median sits at 0.98× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 1.4× Medicare — verify per-unit billing on itemized statements
- Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
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 Cooley Dickinson Hospital Inc,The
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 80 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Colonoscopy with biopsy CPT Code: 45380 | $1,400 | 1.1× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,113 | 1.1× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,083 | 1.1× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $651 | 1.1× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $494 | 3.3× |
| Blood transfusion CPT Code: 36430 | $519 | 1.0× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $424 | 0.9× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $424 | 0.8× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $287 | 1.1× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $287 | 0.9× |
| MRI, lower back (no contrast) CPT Code: 72148 | $287 | 0.8× |
| MRI, brain (no contrast) CPT Code: 70551 | $287 | 0.8× |
| MRI, knee or other leg joint CPT Code: 73721 | $259 | 0.7× |
| Screening mammogram (both breasts) CPT Code: 77067 | $221 | 1.8× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $211 | 0.8× |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $146 | 1.7× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $153 | 1.2× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $161 | 0.8× |
| X-ray, pelvis CPT Code: 72170 | $126 | 1.1× |
| X-ray, chest (single view) CPT Code: 71045 | $105 | 1.1× |
| X-ray, shoulder CPT Code: 73030 | $105 | 1.1× |
| X-ray, foot CPT Code: 73630 | $105 | 1.1× |
| X-ray, chest (two views) CPT Code: 71046 | $105 | 1.1× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $105 | 1.1× |
| X-ray, hand CPT Code: 73130 | $105 | 1.1× |
Audit a Bill or Quote at Cooley Dickinson Hospital Inc,The (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,105
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (55.3% of gross = $1,105).
Self-Pay Cash Rate ($1,498) Beats Your Bill
Cooley Dickinson Hospital Inc,The's published 45 CFR § 180 self-pay cash rate is $1,498 (vs. $1,400 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $1,256 Fair BaseRate ($1,223 Medicare)
Your bill ($1,997) is $741 above the denoised Fair BaseRate ($1,256) and 1.6× the $1,223 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (55.3% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Cooley Dickinson Hospital Inc,The. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-09-02·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (594 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
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 Cooley Dickinson Hospital Inc,The.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
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.