How many shoppable procedure prices are published for Southcoast Hospitals Group?

Southcoast Hospitals Group in Fall River, MA currently has 101 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Southcoast Hospitals Group's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Southcoast Hospitals Group's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Southcoast Hospitals Group's CMS Care Compare overall star rating?

CMS Care Compare assigns Southcoast Hospitals Group 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 - Private 635 Beds · urban Updated: 12/15/2025

Southcoast Hospitals Group

363 Highland Avenue, Fall River, MA 02720 · 101 Priced Procedures · 69% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Near Fair BaseRate Benchmark

0.98×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (0.98×) after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 46% of the Time

File Completeness66

Price Logic87

Peer Alignment78

Clean Billing81

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.98× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Southcoast Hospitals Group prices shoppable and inpatient services (1.2× to 1.1× Medicare, divergence 0.92×) in alignment with regional hospital peers (0.98× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#5 of 53 in MA · 7th State Percentile#1,165 of 3,385 in U.S. · 34th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 2% below peer Fair BaseRate (0.98×)
Self-pay cash beats commercial insurance on 46% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 69% patient recommendation (71/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (33.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
Commercial insurance median sits at 1.00× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.98× 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 7.5× Medicare (18¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER0.92× Divergence

1.1× Medicare

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

Quantile Tail Spread+7% Upper Tail

Q25 0.94× · Q50 1.00× · Q75 1.07×

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

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.2× MedicareFair

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

0.9× MedicareGood

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

46% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 71/100Fair

Procedure Prices at Southcoast Hospitals Group

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 101 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`	$47,983	$30,190	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$17,675	$18,288	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$27,484	$17,635	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$42,999	$16,870	$17,936	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$9,110	$7,540	$8,223	0.9×
Trauma team activation HCPCS Code: `G0390`	$5,662	$1,571	$1,453	1.1×
Injection procedure for pain management HCPCS Code: `G0260`	$941	$847	$855	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$779	$658	$583	1.1×
Blood transfusion CPT Code: `36430`	$840	$535	$498	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,077	$437	$448	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,457	$441	$511	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$414	$299	$272	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$747	$299	$303	1.0×
Rabies immune globulin HCPCS Code: `90375`	$2,331	$291	$322	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$1,448	$299	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$1,142	$299	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$1,642	$299	$369	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$313	$313	$110	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$270	$244	$201	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$235	$235	$87	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$255	$255	$123	unverified
CT scan, head (with contrast) CPT Code: `70460`	$728	$220	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$882	$220	$258	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$251	$193	$166	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$251	$193	$181	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$251	$193	$185	1.0×
X-ray, shoulder CPT Code: `73030`	$76	$108	$92	1.2×
X-ray, foot CPT Code: `73630`	$90	$108	$92	1.2×
X-ray, hip CPT Code: `73502`	$122	$109	$93	1.2×
X-ray, lower back CPT Code: `72110`	$177	$131	$112	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$585	$139	$160	0.9×
X-ray, chest (single view) CPT Code: `71045`	$117	$108	$92	1.2×
X-ray, pelvis CPT Code: `72170`	$157	$129	$110	1.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$736	$139	$151	0.9×
X-ray, chest (two views) CPT Code: `71046`	$127	$108	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$162	$108	$93	1.2×
X-ray, hand CPT Code: `73130`	$129	$108	$93	1.2×
X-ray, ankle CPT Code: `73610`	$71	$108	$93	1.2×
Group therapy session CPT Code: `90853`	$145	$112	$100	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$187	$133	$126	1.1×
Ultrasound, pelvis CPT Code: `76856`	$197	$133	$130	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$243	$133	$132	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$252	$133	$134	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$255	$119	$148	0.8×
CT scan, pelvis CPT Code: `72192`	$747	$131	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$655	$131	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$758	$131	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$376	$131	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$742	$131	$169	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$165	$81	$86	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$255	$99	$123	0.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$387	$387	$203	unverified
Typhoid vaccine HCPCS Code: `90675`	$899	$324	$347	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$185	$185	$111	unverified
Drug screening test HCPCS Code: `G0480`	$205	$118	$116	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$100	$100	$56	unverified
Blood antibody screen CPT Code: `86850`	$54	$63	$46	1.4×
Flu vaccine injection HCPCS Code: `G0008`	$115	$55	$48	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$86	$73	$64	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$115	$55	$49	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	$115	$55	$49	1.1×
Prosthetic fitting and training CPT Code: `97761`	$57	$48	$45	1.1×
Orthotic fitting and training CPT Code: `97760`	$63	$54	$51	1.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$70	$70	$86	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$45	$39	$38	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$63	$41	$40	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$63	$37	$38	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$60	$60	$39	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$93	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$184	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$105	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$197	$9	$9	1.0×
Blood test, vitamin D CPT Code: `82306`	$149	$31	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$34	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$32	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$27	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$25	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$60	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$55	$14	$14	1.0×
Physical therapy (gait training) CPT Code: `97116`	$63	$33	$33	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$63	$37	$38	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$17	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$42	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$31	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$30	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$20	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$59	$19	$19	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$67	$14	$14	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$108	$34	$35	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$77	$32	$34	0.9×
Blood test, sodium CPT Code: `84295`	$21	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$18	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$50	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$30	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$51	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$51	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$38	$9	$9	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$73	$17	$18	0.9×
Speech therapy (group session) CPT Code: `92508`	$73	$25	$27	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$18	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$15	$2	$3	0.7×

Showing top 25 high-impact procedures of 101 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 33.6%

Audit a Bill or Quote at Southcoast Hospitals Group (Zero PHI Required)

CMS CCN: 220074

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $47,983

Insurer Median $30,190

1. Amount on Your Bill or Quote ($) Pre-filled with Southcoast Hospitals Group’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: $32,245 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $32,245

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (33.6% of gross = $32,245).

Step 2 · Cash vs. Insurance Arbitrage Save $47,984 Paying Cash

Self-Pay Cash Rate ($47,983) Beats Your Bill

Southcoast Hospitals Group's published 45 CFR § 180 self-pay cash rate is $47,983 (vs. $30,190 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$65,192 Above Fair BaseRate

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

Your bill ($95,967) is $65,192 above the denoised Fair BaseRate ($30,775) and 4.1× 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)

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 (33.6% 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 Composite71/100

Would Recommend69%

Rated 9 or 10 (HCAHPS)68%

Median ER Wait201 min

Left ER Before Seen4%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate2.5%

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

Source: CMS Hospital Care Compare (1,273 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 Southcoast Hospitals Group.

Price Index: 0.90× regional baseline

Quality: 73/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna

+68.4%

Median Household Income$84,198U.S. Census ACS

Local Uninsured Share3.0%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 82/100 · Corroborated CMS CCN 220074

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 220074) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage12/15/2025

Validated Rate Rows3,509 (CMS v3.0.0)

File Integrity DigestVerified · CCN 220074

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