How many shoppable procedure prices are published for North Adams Regional Hospital Corporation?

North Adams Regional Hospital Corporation in North Adams, MA currently has 97 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do North Adams Regional Hospital Corporation's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, North Adams Regional Hospital Corporation's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Federal Updated: 2026-03-25

North Adams Regional Hospital Corporation

71 Hospital Avenue, North Adams, MA 01247 · 97 Priced Procedures · 90% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.12×vs. Fair Market Price

Typical commercial prices here are +12% above the fair benchmark (1.12×) even after accounting for local nurse/doctor wages and patient complexity.

74/100 · Corroborated

74/100Self-Pay Cash Beats Insurance 8% of the Time

File Completeness66

Price Logic91

Peer Alignment78

Clean Billing89

Real Cash Discount38

High Quality · Fair Price

5-Star CMS clinical quality rating paired with 1.12× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 6,592), North Adams Regional Hospital Corporation commands a 1.12× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#24 of 53 in MA · 43rd State Percentile#1,753 of 3,385 in U.S. · 51st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.84× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 8% of shoppable procedures (38/100 Cash Honesty)
5-Star CMS clinical rating with 90% patient recommendation (93/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.12× 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.
Captive ER (1.7×) & laboratory (1.6×) services average 1.08× higher multiples than routine shoppable care (1.2×)
Upper-quartile procedures (Q75 1.32×) jump +21% above the median procedure ratio (Q50 1.09×)
Consolidated metro market (HHI 6,592) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER1.08× Divergence

1.3× Medicare

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

Quantile Tail Spread+21% Upper Tail

Q25 0.84× · Q50 1.09× · Q75 1.32×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.4× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

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

2.1× MedicareGood

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

8% Cash Edge · 38/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 93/100Good

Procedure Prices at North Adams Regional Hospital Corporation

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 97 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$5,164	$8,223	0.6×
Sleep study (overnight, in lab) CPT Code: `95810`	$5,221	$1,104	$1,021	unverified
Trauma team activation HCPCS Code: `G0390`	$2,536	$1,001	$1,453	0.7×
Colonoscopy with biopsy CPT Code: `45380`	$3,310	$873	$1,256	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,622	$753	$511	1.5×
Upper endoscopy with biopsy CPT Code: `43239`	$2,171	$763	$987	0.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,540	$680	$981	0.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,161	$624	$448	1.4×
MRI, lower back (no contrast) CPT Code: `72148`	$3,384	$448	$338	1.3×
MRI, brain (no contrast) CPT Code: `70551`	$3,384	$448	$343	1.3×
MRI, knee or other leg joint CPT Code: `73721`	$3,384	$448	$369	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,093	$428	$583	0.7×
Breast lump removal CPT Code: `19120`	$428	$428	$3,875	0.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,272	$386	$258	1.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,354	$401	$303	1.3×
CT scan, head (with contrast) CPT Code: `70460`	$2,017	$325	$242	1.3×
CT scan, chest (no contrast) CPT Code: `71250`	$1,560	$278	$167	1.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,979	$277	$168	1.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,979	$271	$169	1.6×
CT scan, pelvis CPT Code: `72192`	$1,532	$251	$163	1.5×
CT scan, head (no contrast) CPT Code: `70450`	$1,515	$244	$160	1.5×
CT scan, sinuses CPT Code: `70486`	$1,515	$244	$166	1.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$363	$201	$185	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$282	$185	$181	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$826	$203	$272	0.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$685	$177	$126	1.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$827	$176	$134	1.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$491	$163	$148	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$364	$155	$123	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$244	$176	$123	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$262	$120	$110	1.1×
Ultrasound, pelvis CPT Code: `76856`	$859	$129	$130	1.0×
Family therapy session CPT Code: `90847`	$296	$134	$173	0.8×
X-ray, lower back CPT Code: `72110`	$670	$106	$112	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$193	$123	$166	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$177	$126	$87	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$509	$80	$93	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$398	$97	$132	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$94	$94	$201	0.5×
Blood transfusion CPT Code: `36430`	$895	$80	$498	0.2×
Typhoid vaccine HCPCS Code: `90675`	$1,420	$344	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$623	$173	$203	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$508	$138	$111	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	$642	$155	$140	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$86	$86	$10	8.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$295	$76	$56	1.4×
Speech therapy (language evaluation) CPT Code: `92507`	$275	$79	$86	0.9×
X-ray, hand CPT Code: `73130`	$385	$75	$93	0.8×
X-ray, ankle CPT Code: `73610`	$385	$75	$93	0.8×
X-ray, shoulder CPT Code: `73030`	$911	$71	$92	0.8×
X-ray, foot CPT Code: `73630`	$385	$71	$92	0.8×
X-ray, hip CPT Code: `73502`	$331	$69	$93	0.7×
X-ray, chest (two views) CPT Code: `71046`	$308	$67	$93	0.7×
Culture, bacterial CPT Code: `87070`	$62	$20	$9	2.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$166	$40	$25	1.6×
X-ray, chest (single view) CPT Code: `71045`	$308	$61	$92	0.7×
X-ray, pelvis CPT Code: `72170`	$322	$65	$110	0.6×
Blood test, magnesium CPT Code: `83735`	$84	$14	$7	2.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$159	$38	$19	2.0×
Blood test, vitamin D CPT Code: `82306`	$164	$39	$31	1.3×
Orthotic fitting and training CPT Code: `97760`	$111	$48	$51	0.9×
Prosthetic fitting and training CPT Code: `97761`	$84	$42	$45	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$100	$64	$86	0.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$90	$35	$38	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$89	$36	$40	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$90	$33	$38	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$114	$29	$34	0.9×
Group therapy session CPT Code: `90853`	$136	$45	$100	0.5×
Blood test, calcium CPT Code: `82310`	$45	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$44	$7	$5	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$87	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$21	$8	$6	1.3×
Blood test, amylase CPT Code: `82150`	$56	$9	$7	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$118	$18	$14	1.3×
Blood test, lipase CPT Code: `83690`	$60	$9	$7	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$56	$23	$18	1.3×
Culture, blood CPT Code: `87040`	$89	$14	$11	1.3×
Hepatitis C antibody test CPT Code: `86803`	$128	$19	$15	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$129	$20	$16	1.3×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$154	$37	$39	0.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$34	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$34	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$71	$10	$8	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$116	$17	$14	1.2×
Physical therapy (gait training) CPT Code: `97116`	$74	$30	$33	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$89	$34	$38	0.9×
Blood test, potassium CPT Code: `84132`	$40	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$42	$6	$5	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$25	$6	$5	1.2×
Blood test, basic metabolic panel CPT Code: `80048`	$78	$10	$9	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$97	$12	$11	1.1×
Blood test, liver function panel CPT Code: `80076`	$96	$9	$9	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$97	$30	$35	0.9×
Blood test, hemoglobin CPT Code: `85018`	$24	$3	$3	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$97	$23	$25	0.9×
Blood antibody screen CPT Code: `86850`	$80	$11	$46	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$211	$10	$64	0.2×

Showing top 25 high-impact procedures of 97 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at North Adams Regional Hospital Corporation (Zero PHI Required)

CMS CCN: 221304

CPT 392

Select Procedure to Audit:

Fair BaseRate™ $8,223

Medicare Rate $5,676

Self-Pay Cash Request Quote

Insurer Median $5,164

1. Amount on Your Bill or Quote ($) Pre-filled with North Adams Regional Hospital Corporation’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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask North Adams Regional Hospital Corporation's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$4,171 Above Fair BaseRate

Negotiate Toward $8,223 Fair BaseRate ($5,676 Medicare)

Your bill ($12,394) is $4,171 above the denoised Fair BaseRate ($8,223) and 2.2× the $5,676 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) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify North Adams Regional Hospital Corporation as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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 Overall5/5 Stars (5/5)

Safety Composite93/100

Would Recommend90%

Rated 9 or 10 (HCAHPS)86%

Median ER Wait153 min

Source: CMS Hospital Care Compare (126 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 North Adams Regional Hospital Corporation.

Price Index: 1.09× regional baseline

Quality: 82/100 CMS composite

Median Household Income$72,565U.S. Census ACS

Local Uninsured Share2.1%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 74/100 · Corroborated CMS CCN 221304

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 221304) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-25

Validated Rate Rows13,267 (CMS v3.0.0)

File Integrity DigestVerified · CCN 221304

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