Frisbie Memorial Hospital
11 Whitehall Road, Rochester, NH 03867 · 122 Priced Procedures · 71% Patient Recommendation
Typical commercial prices here are +44% above the fair benchmark (1.44×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.44× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Frisbie Memorial Hospital prices routine shoppable procedures at 2.3× Medicare (median 1.19× Fair BaseRate) while upper-quartile commercial rates jump +61% to 1.91× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.99× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 2% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (73/100 safety score) with 71% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.9× markup over Medicare rates
- Commercial insurance median sits at 1.19× Fair BaseRate (2.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.91×) jump +61% above the median procedure ratio (Q50 1.19×)
- Unnegotiated chargemaster list prices average 16.3× Medicare (14¢ true HCRIS cost per $1 gross)
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 Frisbie Memorial 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 | $38,467 | 1.2× |
| Total hip replacement CPT Code: 27130 | $33,370 | unverified |
| Total knee replacement CPT Code: 27447 | $33,370 | unverified |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $26,059 | 1.3× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $23,515 | 1.2× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $19,107 | 1.1× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $10,015 | 1.2× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $9,927 | 1.6× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $4,189 | 7.2× |
| Vaginal delivery (full package) CPT Code: 59400 | $3,851 | 1.4× |
| C-section delivery (full package) CPT Code: 59510 | $3,851 | 1.3× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,851 | 1.1× |
| Bunion correction surgery CPT Code: 28296 | $3,851 | 1.1× |
| Inguinal hernia repair CPT Code: 49505 | $3,851 | 1.1× |
| Breast lump removal CPT Code: 19120 | $3,851 | 1.0× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $3,260 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $1,691 | 1.3× |
| Cataract surgery with lens implant CPT Code: 66984 | $1,691 | 0.7× |
| Blood transfusion CPT Code: 36430 | $1,553 | 3.1× |
| Injection procedure for pain management HCPCS Code: G0260 | $1,553 | 1.8× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,553 | 1.6× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,553 | 1.6× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,369 | 3.1× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,349 | 2.6× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,367 | 1.3× |
Audit a Bill or Quote at Frisbie Memorial Hospital (Zero PHI Required)
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.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Frisbie Memorial 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 ($92,321) is $61,546 above the denoised Fair BaseRate ($30,775) and 3.9× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Frisbie Memorial Hospital 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (162 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 Frisbie Memorial Hospital.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
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.