Speare Memorial Hospital
16 Hospital Road, Plymouth, NH 03264 · 117 Priced Procedures · 72% Patient Recommendation
Typical commercial prices here are +191% above the fair benchmark (2.91×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 2.91× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Speare Memorial Hospital prices routine shoppable procedures at 4.2× Medicare (median 3.63× Fair BaseRate) while upper-quartile commercial rates jump +15% to 4.17× 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 2.33× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 41% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (73/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (53.2% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
- Commercial insurance median sits at 3.63× Fair BaseRate (4.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 4.17×) jump +15% above the median procedure ratio (Q50 3.63×)
- Consolidated metro market (HHI 6,176) 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 Speare Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 117 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| C-section delivery (full package) CPT Code: 59510 | $5,356 | unverified |
| Vaginal delivery (full package) CPT Code: 59400 | $4,898 | unverified |
| Rabies immune globulin HCPCS Code: 90375 | $3,314 | 10.3× |
| Total hip replacement CPT Code: 27130 | $3,157 | 0.2× |
| Total knee replacement CPT Code: 27447 | $3,156 | 0.2× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,217 | 4.9× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,131 | 4.2× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,530 | 0.3× |
| Cataract surgery with lens implant CPT Code: 66984 | $1,486 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $1,381 | 3.7× |
| Bunion correction surgery CPT Code: 28296 | $1,363 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $1,268 | 3.7× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,268 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,224 | 3.6× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,225 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,241 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $1,212 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,133 | 4.4× |
| Trauma team activation HCPCS Code: G0390 | $1,094 | 0.8× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,008 | 3.3× |
| CT scan, head (with contrast) CPT Code: 70460 | $945 | 3.9× |
| Breast lump removal CPT Code: 19120 | $959 | 0.2× |
| CT scan, sinuses CPT Code: 70486 | $866 | 5.2× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $868 | unverified |
| CT scan, pelvis CPT Code: 72192 | $813 | 5.0× |
Audit a Bill or Quote at Speare Memorial Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $4,598
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (53.2% of gross = $4,598).
Self-Pay Cash Rate ($5,356) Beats Your Bill
Speare Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $5,356 (vs. $5,356 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $2,975 Fair BaseRate ($2,473 Medicare)
Your bill ($8,638) is $5,663 above the denoised Fair BaseRate ($2,975) and 3.5× the $2,473 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (53.2% 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)Source: CMS Hospital Care Compare (175 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 Speare Memorial 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.