Elliot Hospital
1 Elliot Way, Manchester, NH 03103 · 122 Priced Procedures · 79% Patient Recommendation
Typical commercial prices here are +19% above the fair benchmark (1.19×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.19× fair market pricing.
Consolidated System Premium Pricer
Operating in a concentrated regional market (CBSA HHI 5,534), Elliot Hospital commands a 1.19× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.03× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 46% of shoppable procedures (99/100 Cash Honesty)
- 2-Star CMS clinical rating with 79% patient recommendation (73/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (21.9% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.19× 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 (1.3×) & laboratory (2.7×) services average 1.23× higher multiples than routine shoppable care (1.3×)
- Even at low-cost facilities (1.19× 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.
- Consolidated metro market (HHI 5,534) 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 Elliot Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 122 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $31,751 | 1.0× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $19,869 | 1.0× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $19,571 | 1.0× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $18,241 | 1.0× |
| Total hip replacement CPT Code: 27130 | $16,483 | 1.2× |
| Total knee replacement CPT Code: 27447 | $16,483 | 1.2× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $8,816 | 1.1× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $7,762 | 1.3× |
| Breast lump removal CPT Code: 19120 | $5,027 | 1.3× |
| Inguinal hernia repair CPT Code: 49505 | $4,597 | 1.3× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $4,201 | 1.2× |
| Bunion correction surgery CPT Code: 28296 | $4,201 | 1.2× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,963 | 1.2× |
| Trauma team activation HCPCS Code: G0390 | $1,711 | 1.2× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,536 | 1.2× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,194 | 1.2× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,164 | 1.2× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,103 | 1.1× |
| Injection procedure for pain management HCPCS Code: G0260 | $906 | 1.1× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $702 | 1.2× |
| Psychological testing by technician CPT Code: 96138 | $574 | 1.5× |
| Blood transfusion CPT Code: 36430 | $566 | 1.1× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $448 | 1.0× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $448 | 0.9× |
| Rabies immune globulin HCPCS Code: 90375 | $374 | 1.2× |
Audit a Bill or Quote at Elliot Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $16,658
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (21.9% of gross = $16,658).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Elliot Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($76,202) is $45,427 above the denoised Fair BaseRate ($30,775) and 3.2× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (21.9% 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 Elliot Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-04-16·administrative_or_closure
Met Requirements
Recorded - 2022-07-27·administrative_or_closure
Closure Notice
Recorded - 2021-09-29·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (525 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 Elliot Hospital.
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.