How many shoppable procedure prices are published for Copley Hospital?

Copley Hospital in Morrisville, VT currently has 100 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Copley Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Copley Hospital's median negotiated commercial rate is 2.7× the regionally adjusted fair BaseRate benchmark.

What is Copley Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Copley Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 4/22/2026

Copley Hospital

528 Washington Highway, Morrisville, VT 05661 · 100 Priced Procedures · 83% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

2.69×vs. Fair Market Price

Typical commercial prices here are +169% above the fair benchmark (2.69×) even after accounting for local nurse/doctor wages and patient complexity.

69/100 · Caution

69/100Self-Pay Cash Beats Insurance 68% of the Time

File Completeness51

Price Logic63

Peer Alignment62

Clean Billing77

Real Cash Discount99

High-Markup · Check Safety

5-Star CMS clinical quality rating paired with 2.69× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +54% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Copley Hospital prices routine shoppable procedures at 3.6× Medicare (median 2.52× Fair BaseRate) while upper-quartile commercial rates jump +54% to 3.89× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#11 of 11 in VT · 90th State Percentile#3,295 of 3,385 in U.S. · 97th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.00× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 68% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 83% patient recommendation (80/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (46.3% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (2.69× 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 2.52× Fair BaseRate (3.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.89×) jump +54% above the median procedure ratio (Q50 2.52×)
Consolidated metro market (HHI 2,509) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

3.6× Medicare

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

Back-Door Captive & ER0.50× Divergence

1.8× Medicare

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

Quantile Tail Spread+54% Upper Tail

Q25 1.00× · Q50 2.52× · Q75 3.89×

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

3.6× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

5.0× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

5.2× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

6.1× MedicareWatchout

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

1.4× MedicareGood

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

68% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 80/100Good

Procedure Prices at Copley Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 100 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
MRI, brain (with and without contrast) CPT Code: `70553`	$4,185	$4,185	$511	unverified
Total hip replacement CPT Code: `27130`	$3,904	$3,904	$13,413	0.3×
C-section delivery (full package) CPT Code: `59510`	$3,906	$2,660	$2,975	0.9×
Total knee replacement CPT Code: `27447`	$2,654	$2,654	$13,523	0.2×
Rabies immune globulin HCPCS Code: `90375`	$2,562	$2,562	$322	unverified
Vaginal delivery (full package) CPT Code: `59400`	$3,449	$2,411	$2,680	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$2,460	$2,250	$338	6.7×
MRI, brain (no contrast) CPT Code: `70551`	$2,218	$2,029	$343	5.9×
MRI, knee or other leg joint CPT Code: `73721`	$2,218	$2,029	$369	5.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,133	$1,741	$448	3.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,498	$1,498	$6,109	0.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,545	$1,412	$258	5.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,544	$1,433	$303	4.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,309	$1,192	$167	7.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,206	$1,176	$242	4.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,251	$1,145	$160	7.2×
CT scan, sinuses CPT Code: `70486`	$1,251	$1,145	$166	6.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,251	$1,145	$169	6.8×
Bunion correction surgery CPT Code: `28296`	$2,066	$1,110	$3,446	0.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,544	$956	$272	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$804	$804	$151	5.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$802	$802	$134	unverified
Blood transfusion CPT Code: `36430`	$739	$721	$498	1.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$717	$699	$148	unverified
CT scan, pelvis CPT Code: `72192`	$682	$665	$163	4.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$682	$665	$168	4.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$682	$568	$126	4.5×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,622	$564	$1,021	0.6×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,062	$584	$3,372	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,023	$550	$1,256	0.4×
Inguinal hernia repair CPT Code: `49505`	$1,056	$570	$3,629	0.2×
Breast lump removal CPT Code: `19120`	$909	$546	$3,875	0.1×
X-ray, lower back CPT Code: `72110`	$682	$547	$112	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$682	$501	$132	3.8×
X-ray, hip CPT Code: `73502`	$516	$516	$93	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$598	$514	$123	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$897	$482	$987	0.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$858	$461	$981	0.5×
Ultrasound, pelvis CPT Code: `76856`	$411	$366	$130	2.8×
X-ray, pelvis CPT Code: `72170`	$682	$370	$110	unverified
X-ray, chest (two views) CPT Code: `71046`	$365	$340	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$365	$325	$93	unverified
X-ray, shoulder CPT Code: `73030`	$365	$328	$92	unverified
X-ray, ankle CPT Code: `73610`	$365	$308	$93	unverified
X-ray, foot CPT Code: `73630`	$365	$328	$92	unverified
X-ray, hand CPT Code: `73130`	$365	$246	$93	2.6×
X-ray, chest (single view) CPT Code: `71045`	$365	$236	$92	2.6×
Speech therapy (language evaluation) CPT Code: `92507`	$222	$216	$86	2.5×
Injection procedure for pain management HCPCS Code: `G0260`	$215	$210	$855	0.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$137	$123	$123	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$270	$146	$201	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$420	$164	$583	0.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$96	$94	$38	2.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$126	$115	$64	1.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$90	$88	$35	2.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$111	$98	$40	2.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$94	$91	$87	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$116	$111	$110	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$122	$119	$38	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$93	$83	$34	2.4×
Occupational therapy (self-care training) CPT Code: `97535`	$86	$81	$38	2.1×
Orthotic fitting and training CPT Code: `97760`	$116	$106	$51	2.1×
Typhoid vaccine HCPCS Code: `90675`	$963	$963	$347	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$369	$360	$140	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$310	$302	$111	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$145	$145	$19	7.6×
Culture, bacterial CPT Code: `87070`	$112	$112	$9	12.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$107	$107	$11	9.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$116	$116	$18	6.4×
Blood test, basic metabolic panel CPT Code: `80048`	$80	$80	$9	8.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$78	$78	$10	7.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$98	$98	$14	7.0×
Hepatitis C antibody test CPT Code: `86803`	$100	$100	$15	6.7×
Blood test, vitamin D CPT Code: `82306`	$120	$120	$31	3.9×
Blood test, liver function panel CPT Code: `80076`	$66	$66	$9	7.3×
Physical therapy (gait training) CPT Code: `97116`	$81	$78	$33	2.4×
Blood antibody screen CPT Code: `86850`	$146	$96	$46	2.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$136	$116	$56	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$50	$50	$6	8.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$57	$57	$8	7.1×
Blood test, amylase CPT Code: `82150`	$48	$48	$7	6.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$70	$70	$14	5.0×
Blood test, vitamin B12 CPT Code: `82607`	$70	$70	$16	4.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$42	$42	$5	8.4×
Blood test, magnesium CPT Code: `83735`	$58	$58	$7	8.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$110	$60	$86	0.7×
Blood test, hemoglobin CPT Code: `85018`	$23	$23	$3	7.7×
Blood test, potassium CPT Code: `84132`	$38	$38	$5	7.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$38	$38	$5	7.6×
Culture, blood CPT Code: `87040`	$57	$57	$11	5.2×
Hepatitis B vaccine HCPCS Code: `90744`	$68	$66	$37	1.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$94	$76	$39	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$30	$30	$4	7.5×
Blood test, calcium CPT Code: `82310`	$34	$34	$5	6.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$26	$26	$4	6.5×
Blood test, lipase CPT Code: `83690`	$42	$42	$7	6.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$66	$66	$3	unverified
Blood test, sodium CPT Code: `84295`	$27	$27	$5	5.4×
Extended office visit (prolonged) HCPCS Code: `G2212`	$36	$33	$33	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$40	$30	$48	0.6×

Showing top 25 high-impact procedures of 100 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 46.3%

Audit a Bill or Quote at Copley Hospital (Zero PHI Required)

CMS CCN: 471305

CPT 70553

Select Procedure to Audit:

Fair BaseRate™ $511

Medicare Rate $356

Self-Pay Cash $4,185

Insurer Median $4,185

1. Amount on Your Bill or Quote ($) Pre-filled with Copley 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: $2,424 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $2,424

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (46.3% of gross = $2,424).

Step 2 · Cash vs. Insurance Arbitrage Save $1,046 Paying Cash

Self-Pay Cash Rate ($4,185) Beats Your Bill

Copley Hospital's published 45 CFR § 180 self-pay cash rate is $4,185 (vs. $4,185 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$4,720 Above Fair BaseRate

Negotiate Toward $511 Fair BaseRate ($356 Medicare)

Your bill ($5,231) is $4,720 above the denoised Fair BaseRate ($511) and 14.7× the $356 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: 030179423

Filing Period: 193404

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 (46.3% 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 Overall5/5 Stars (5/5)

Safety Composite80/100

Would Recommend83%

Rated 9 or 10 (HCAHPS)81%

Median ER Wait136 min

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.1%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

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 Copley Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-11-06·administrative_or_closure
Closure Notice
Recorded
2025-09-26·warning_notice
Warning Notice
Recorded
2023-06-08·administrative_or_closure
Closure Notice
Recorded
2023-04-18·cap_corrective_action
CAP Request
Recorded
2023-01-04·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (184 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

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Copley Hospital.

Price Index: 1.10× regional baseline

Quality: 81/100 CMS composite

Median Household Income$69,897U.S. Census ACS

Local Uninsured Share6.1%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 69/100 · Caution CMS CCN 471305 EIN 030179423

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 471305) ↗ Verify IRS Form 990 (EIN 030179423) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage4/22/2026

Validated Rate Rows856 (CMS v3.0.0)

File Integrity DigestVerified · CCN 471305

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