How many shoppable procedure prices are published for Catholic Medical Center?

Catholic Medical Center in Manchester, NH currently has 121 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Catholic Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Catholic Medical Center's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

What is Catholic Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Catholic Medical Center 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 262 Beds · urban Updated: 2026-03-01

Catholic Medical Center

100 McGregor Street, Manchester, NH 03102 · 121 Priced Procedures · 69% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

1.66×vs. Fair Market Price

Typical commercial prices here are +66% above the fair benchmark (1.66×) even after accounting for local nurse/doctor wages and patient complexity.

65/100 · Caution

65/100Self-Pay Cash Beats Insurance 1% of the Time

File Completeness50

Price Logic92

Peer Alignment77

Clean Billing87

Real Cash Discount6

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.66× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 5,534), Catholic Medical Center commands a 1.66× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#13 of 16 in NH · 75th State Percentile#2,842 of 3,385 in U.S. · 83rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.32× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 1% of shoppable procedures (25/100 Cash Honesty)
4-Star CMS clinical rating with 69% patient recommendation (64/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (23.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
Commercial insurance median sits at 1.64× Fair BaseRate (2.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.88×) jump +15% above the median procedure ratio (Q50 1.64×)
Consolidated metro market (HHI 5,534) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.4× Medicare

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

Back-Door Captive & ER0.71× Divergence

1.7× Medicare

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

Quantile Tail Spread+15% Upper Tail

Q25 1.32× · Q50 1.64× · Q75 1.88×

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

2.4× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.0× MedicareGood

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

1.6× MedicareGood

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

1% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 64/100Elevated

Procedure Prices at Catholic Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 121 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`	—	$55,795	$30,775	1.8×
Total hip replacement CPT Code: `27130`	—	$37,285	$13,413	unverified
Total knee replacement CPT Code: `27447`	—	$37,285	$13,523	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$29,376	$19,087	1.5×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$27,674	$19,432	1.4×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$20,938	$17,936	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$13,465	$8,223	1.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$10,537	$6,109	1.7×
Trauma team activation HCPCS Code: `G0390`	$7,935	$7,935	$1,453	5.5×
Vaginal delivery (full package) CPT Code: `59400`	—	$4,936	$2,680	1.8×
C-section delivery (full package) CPT Code: `59510`	—	$4,936	$2,975	1.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,936	$3,372	1.5×
Bunion correction surgery CPT Code: `28296`	—	$4,936	$3,446	1.4×
Inguinal hernia repair CPT Code: `49505`	—	$4,936	$3,629	1.4×
Breast lump removal CPT Code: `19120`	—	$4,936	$3,875	1.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$9,929	$2,936	$1,021	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$4,513	$2,415	$583	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	$1,654	$1,256	1.3×
Cataract surgery with lens implant CPT Code: `66984`	—	$1,654	$2,540	0.7×
Blood transfusion CPT Code: `36430`	$1,541	$1,422	$498	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,351	$855	1.6×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,351	$981	1.4×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,351	$987	1.4×
Neurobehavioral status check CPT Code: `96116`	—	$1,225	$231	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,936	$1,119	$272	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$8,867	$1,069	$511	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$8,146	$1,070	$448	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$753	$753	$201	unverified
MRI, knee or other leg joint CPT Code: `73721`	$6,985	$715	$369	1.9×
MRI, brain (no contrast) CPT Code: `70551`	$6,250	$644	$343	1.9×
MRI, lower back (no contrast) CPT Code: `72148`	$5,644	$622	$338	1.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,500	$578	$258	2.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$506	$506	$123	4.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,443	$502	$148	3.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$6,211	$521	$303	1.7×
Rabies immune globulin HCPCS Code: `90375`	—	$527	$322	1.6×
New patient office visit (30-44 min) CPT Code: `99203`	$461	$461	$110	4.2×
CT scan, head (with contrast) CPT Code: `70460`	$3,370	$485	$242	2.0×
CT scan, sinuses CPT Code: `70486`	$2,356	$447	$166	unverified
CT scan, pelvis CPT Code: `72192`	$2,356	$418	$163	2.6×
CT scan, chest (no contrast) CPT Code: `71250`	$2,854	$420	$167	2.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,984	$421	$168	2.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,694	$425	$169	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$1,439	$415	$132	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$1,226	$414	$123	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,704	$387	$134	unverified
Ultrasound, pelvis CPT Code: `76856`	$1,657	$367	$130	unverified
CT scan, head (no contrast) CPT Code: `70450`	$3,287	$339	$160	2.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,400	$297	$126	2.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$470	$271	$64	4.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$236	$25	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$182	$182	$87	2.1×
X-ray, hip CPT Code: `73502`	$572	$192	$93	2.1×
X-ray, lower back CPT Code: `72110`	$846	$205	$112	1.8×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$193	$151	1.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$144	$144	$86	1.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$816	$148	$93	1.6×
X-ray, hand CPT Code: `73130`	$1,130	$148	$93	1.6×
X-ray, ankle CPT Code: `73610`	$977	$145	$93	1.6×
X-ray, shoulder CPT Code: `73030`	$858	$135	$92	1.5×
X-ray, foot CPT Code: `73630`	$855	$131	$92	1.4×
X-ray, chest (two views) CPT Code: `71046`	$999	$116	$93	1.2×
X-ray, chest (single view) CPT Code: `71045`	$747	$86	$92	0.9×
X-ray, pelvis CPT Code: `72170`	$488	$99	$110	0.9×
Psychological testing evaluation CPT Code: `96136`	—	$83	$128	0.6×
Psychological testing by technician CPT Code: `96138`	—	$83	$395	0.2×
Drug screening test HCPCS Code: `G0480`	$827	$827	$116	7.1×
Typhoid vaccine HCPCS Code: `90675`	—	$468	$347	1.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$281	$203	1.4×
Pneumococcal vaccine HCPCS Code: `90732`	—	$195	$140	1.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$139	$111	1.3×
Flu vaccine injection HCPCS Code: `G0008`	$109	$109	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$109	$109	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$109	$109	$49	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$140	$77	$35	2.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$224	$33	$20	1.6×
Hepatitis B vaccine HCPCS Code: `90744`	—	$49	$37	1.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$58	$56	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$488	$78	$86	0.9×
Blood test, vitamin D CPT Code: `82306`	$332	$51	$31	1.6×
Prosthetic fitting and training CPT Code: `97761`	$166	$42	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$224	$47	$51	0.9×
Blood test, calcium CPT Code: `82310`	$64	$9	$5	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$88	$9	$5	1.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$212	$33	$38	0.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$61	$7	$4	1.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$68	$7	$4	1.8×
Blood test, lipase CPT Code: `83690`	$138	$12	$7	1.7×
Blood test, magnesium CPT Code: `83735`	$108	$12	$7	1.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$146	$17	$10	1.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$209	$32	$19	1.7×
Blood test, basic metabolic panel CPT Code: `80048`	$109	$15	$9	1.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$128	$5	$3	1.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$109	$10	$6	1.7×
Hepatitis C antibody test CPT Code: `86803`	$201	$25	$15	1.7×
Culture, bacterial CPT Code: `87070`	$197	$15	$9	1.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$229	$23	$14	1.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$176	$23	$14	1.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$181	$18	$11	1.6×
Culture, blood CPT Code: `87040`	$198	$18	$11	1.6×
Blood test, vitamin B12 CPT Code: `82607`	$182	$26	$16	1.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$43	$39	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$13	$8	1.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$282	$29	$18	1.6×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$34	$25	1.4×
Behavioral health living support HCPCS Code: `H2019`	—	$40	$34	1.2×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$34	$38	0.9×
Blood test, potassium CPT Code: `84132`	$77	$8	$5	1.6×
Blood test, sodium CPT Code: `84295`	$64	$8	$5	1.6×
Blood test, amylase CPT Code: `82150`	$122	$11	$7	1.6×
Blood test, liver function panel CPT Code: `80076`	$127	$14	$9	1.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$76	$7	$5	1.4×
Blood test, hemoglobin CPT Code: `85018`	$84	$4	$3	1.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$217	$13	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$25	$27	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$198	$36	$40	0.9×
Physical therapy (gait training) CPT Code: `97116`	$179	$29	$33	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$182	$33	$38	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$202	$29	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$204	$28	$34	0.8×
Blood antibody screen CPT Code: `86850`	$462	$17	$46	0.4×

Showing top 25 high-impact procedures of 121 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 23.1%

Audit a Bill or Quote at Catholic Medical Center (Zero PHI Required)

CMS CCN: 300034

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $55,795

1. Amount on Your Bill or Quote ($) Pre-filled with Catholic Medical Center’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: $30,866 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $30,866

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (23.1% of gross = $30,866).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Catholic Medical Center'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 +$103,133 Above Fair BaseRate

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

Your bill ($133,908) is $103,133 above the denoised Fair BaseRate ($30,775) and 5.7× 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: 993123201

Filing Period: 194603

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 (23.1% 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 Recommend69%

Rated 9 or 10 (HCAHPS)70%

Median ER Wait216 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 Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Catholic Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-06·administrative_or_closure
Met Requirements
Recorded
2024-02-01·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (723 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 Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Catholic Medical Center.

Price Index: 0.97× regional baseline

Quality: 66/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna

-61.2%

Humana

-58.3%

AmeriHealth

-47.5%

Tufts Health Plan

+106.3%

Median Household Income$100,436U.S. Census ACS

Local Uninsured Share6.0%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 65/100 · Caution CMS CCN 300034 EIN 993123201

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 300034) ↗ Verify IRS Form 990 (EIN 993123201) ↗ CMS HCRIS Cost Reports ↗

Published MRF File99-3123201_CATHOLIC-MEDICAL-CENTER_standardcharges.json

Publication / Vintage2026-03-01 · 219.34 MB

Validated Rate Rows3,192 (CMS v3.0.0)

File Integrity DigestVerified · CCN 300034

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