How many shoppable procedure prices are published for UMass Memorial Health - Harrington Hospital?

UMass Memorial Health - Harrington Hospital in Southbridge, MA currently has 113 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do UMass Memorial Health - Harrington Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, UMass Memorial Health - Harrington Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is UMass Memorial Health - Harrington Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns UMass Memorial Health - Harrington Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 129 Beds · urban Updated: 2026-04-03

UMass Memorial Health - Harrington Hospital

100 South Street, Southbridge, MA 01550 · 113 Priced Procedures · 64% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.10×vs. Fair Market Price

Typical commercial prices here are +10% above the fair benchmark (1.10×) even after accounting for local nurse/doctor wages and patient complexity.

67/100 · Caution

67/100Self-Pay Cash Beats Insurance 10% of the Time

File Completeness61

Price Logic90

Peer Alignment79

Clean Billing83

Real Cash Discount10

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 1.10× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

UMass Memorial Health - Harrington Hospital prices shoppable and inpatient services (1.2× to 1.1× Medicare, divergence 0.92×) in alignment with regional hospital peers (1.10× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#20 of 53 in MA · 35th State Percentile#1,678 of 3,385 in U.S. · 49th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.93× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 10% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (64/100 safety score) with 64% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (31.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.10× 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 1.02× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.19×) jump +17% above the median procedure ratio (Q50 1.02×)
Consolidated metro market (HHI 2,291) limits in-network hospital competition (Moderately Concentrated (1,500–2,500))

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+17% Upper Tail

Q25 0.93× · Q50 1.02× · Q75 1.19×

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

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.8× MedicareGood

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

0.7× MedicareGood

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

10% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 64/100Elevated

Procedure Prices at UMass Memorial Health - Harrington Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 113 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$30,957	$19,136	$19,087	1.0×
Total hip replacement CPT Code: `27130`	$57,400	$16,356	$13,413	1.2×
Total knee replacement CPT Code: `27447`	$56,215	$16,356	$13,523	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$17,834	$7,921	$8,223	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$21,055	$7,457	$6,109	1.2×
Breast lump removal CPT Code: `19120`	$13,476	$4,908	$3,875	1.3×
Inguinal hernia repair CPT Code: `49505`	$13,795	$4,488	$3,629	1.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$14,129	$4,374	$3,372	1.3×
Bunion correction surgery CPT Code: `28296`	$21,302	$4,208	$3,446	1.2×
Cataract surgery with lens implant CPT Code: `66984`	$21,003	$2,893	$2,540	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$5,165	$1,646	$1,021	1.6×
Colonoscopy with biopsy CPT Code: `45380`	$6,073	$1,506	$1,256	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$7,014	$1,166	$981	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$8,081	$1,155	$987	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,064	$696	$583	1.2×
Family therapy session CPT Code: `90847`	$659	$659	$173	3.8×
Rabies immune globulin HCPCS Code: `90375`	$20,215	$560	$322	1.7×
Blood transfusion CPT Code: `36430`	$740	$562	$498	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$550	$550	$181	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,479	$444	$448	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,257	$444	$511	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$971	$304	$272	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,478	$304	$303	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$3,889	$304	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$3,818	$304	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$3,889	$304	$369	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$292	$292	$86	unverified
Behavioral health assessment HCPCS Code: `H0001`	$263	$196	$157	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$860	$214	$185	1.2×
CT scan, head (with contrast) CPT Code: `70460`	$2,408	$223	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,735	$223	$258	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$224	$224	$201	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$208	$166	$123	1.3×
X-ray, chest (single view) CPT Code: `71045`	—	$185	$92	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$449	$167	$87	unverified
Group therapy session CPT Code: `90853`	$656	$128	$100	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$265	$137	$110	1.2×
X-ray, chest (two views) CPT Code: `71046`	$357	$113	$93	1.2×
X-ray, hip CPT Code: `73502`	$703	$113	$93	1.2×
X-ray, pelvis CPT Code: `72170`	$453	$133	$110	1.2×
X-ray, shoulder CPT Code: `73030`	$748	$111	$92	1.2×
X-ray, foot CPT Code: `73630`	$532	$111	$92	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$493	$111	$93	1.2×
X-ray, hand CPT Code: `73130`	$520	$111	$93	1.2×
X-ray, ankle CPT Code: `73610`	$550	$111	$93	1.2×
X-ray, lower back CPT Code: `72110`	$1,050	$133	$112	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,448	$133	$126	1.1×
Ultrasound, pelvis CPT Code: `76856`	$2,530	$133	$130	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,233	$133	$132	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,608	$133	$134	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,456	$138	$151	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,625	$133	$160	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$717	$122	$148	0.8×
CT scan, pelvis CPT Code: `72192`	$2,466	$133	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$2,610	$133	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,687	$133	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,740	$133	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,030	$133	$169	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$519	$81	$86	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$708	$102	$123	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$500	$104	$166	0.6×
Typhoid vaccine HCPCS Code: `90675`	$835	$336	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$336	$196	$203	1.0×
Drug screening test HCPCS Code: `G0480`	$253	$120	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$293	$133	$140	0.9×
Blood antibody screen CPT Code: `86850`	$134	$66	$46	1.4×
Flu vaccine injection HCPCS Code: `G0008`	$73	$59	$48	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$190	$75	$64	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$230	$21	$20	1.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$421	$28	$27	1.0×
Prosthetic fitting and training CPT Code: `97761`	$181	$45	$45	1.0×
Orthotic fitting and training CPT Code: `97760`	$225	$50	$51	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$200	$39	$40	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$120	$36	$38	0.9×
Physical therapy (gait training) CPT Code: `97116`	$178	$31	$33	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$115	$44	$56	0.8×
Care planning with family CPT Code: `90887`	$103	$66	$107	0.6×
Blood test, vitamin D CPT Code: `82306`	$251	$32	$31	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$174	$35	$38	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$179	$46	$111	0.4×
Blood test, calcium CPT Code: `82310`	$51	$6	$5	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$122	$15	$14	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$91	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$177	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$167	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$134	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$57	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$88	$7	$7	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$62	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$170	$16	$16	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$46	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$168	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$79	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$57	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$41	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$230	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$46	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$321	$18	$18	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$137	$36	$38	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$60	$33	$37	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$195	$31	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$239	$30	$34	0.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$46	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$32	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$56	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$31	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$49	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$156	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$91	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$107	$9	$9	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$52	$23	$25	0.9×
Behavioral health outpatient services HCPCS Code: `H2015`	$90	$13	$16	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$72	$23	$39	0.6×

Showing top 25 high-impact procedures of 113 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 31.5%

Audit a Bill or Quote at UMass Memorial Health - Harrington Hospital (Zero PHI Required)

CMS CCN: 220019

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $30,957

Insurer Median $19,136

1. Amount on Your Bill or Quote ($) Pre-filled with UMass Memorial Health - Harrington 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: $9,764 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $9,764

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (31.5% of gross = $9,764).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $30,957

Compare Prompt-Pay Cash Rate Against Remaining Deductible

UMass Memorial Health - Harrington Hospital's published 45 CFR § 180 self-pay cash rate is $30,957 (vs. $19,136 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$11,870 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($30,957) is $11,870 above the denoised Fair BaseRate ($19,087) and 2.2× the $14,117 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 (31.5% 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 Composite64/100

Would Recommend64%

Rated 9 or 10 (HCAHPS)63%

Median ER Wait215 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

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

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at UMass Memorial Health - Harrington Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-02-13·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (629 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 Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for UMass Memorial Health - Harrington Hospital.

Price Index: 1.21× regional baseline

Quality: 58/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

WellSense

+107.1%

Median Household Income$93,561U.S. Census ACS

Local Uninsured Share2.6%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 67/100 · Caution CMS CCN 220019

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 220019) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-03

Validated Rate Rows5,444 (CMS v3.0.0)

File Integrity DigestVerified · CCN 220019

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