Quick answers
- Does William W Backus Hospital have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at William W Backus Hospital. In a medical emergency, call 911.
- Where is William W Backus Hospital?
- 326 Washington St, Norwich, CT 06360, in New London County, Connecticut.
- What is the phone number of William W Backus Hospital?
- (860) 889-8331, as listed by Medicare (CMS).
- What is the Medicare star rating of William W Backus Hospital?
- 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
- Does Medicare reduce its payments to William W Backus Hospital for hospital-acquired conditions?
- No. For fiscal year 2026, CMS lists no Medicare payment reduction for William W Backus Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.7782; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).
Specialties and care areas[4][5][6]
- Emergency medicine
- Critical care
- Birthing center
- Surgery
- Psychiatry (Center for Mental Health)
- Medical oncology and infusion
- Birthing center / maternity care
- Cancer care
- Radiation therapy
- Cardiology
- Heart & Vascular Institute
- Gastroenterology (digestive health)
- Colorectal surgery
- Neurosciences
- Neurosurgery
- Orthopedic care
- Spine care
- Urology and kidney care (Tallwood Urology & Kidney Institute)
- Endocrinology, diabetes and metabolism
- Women's health / OB-GYN
- Arthritis and rheumatology
- Infectious disease
- Diagnostic imaging
- Interventional radiology
- Respiratory therapy
- Pulmonary rehabilitation
- Sleep care
- Pain management
- Palliative care
- Physical rehabilitation
- Medical and surgical weight loss (bariatrics)
- Wound care and hyperbaric oxygen therapy
- Primary care and family medicine
- Hospitalist medicine
- Senior services
- Congestive heart failure care
- Integrative medicine
- Nutritional counseling
- Anticoagulation clinic
- Hernia care
Conditions treated[6]
- Congestive heart failure
- Diabetes
- Inflammatory bowel diseases
- Duodenal ulcers
- Rectal disorders
- Bladder cancer
- Kidney cancer
- Prostate cancer
- Prostate problems
- Kidney disease
- Kidney stones
- Urinary tract infection
- Incontinence
- Overactive bladder
- Sexual dysfunction
- Rheumatoid arthritis
- Osteoarthritis
- Psoriatic arthritis
- Ankylosing spondylitis
- Inflammatory arthritis
- Gout
- Lupus
- Polymyalgia rheumatica
- Osteoporosis
- Sciatica
- Fractures
- HIV and sexually transmitted diseases
- Mental illness
Treatments[5][6]
- Chemotherapy
- Radiation therapy
- Intravenous therapy
- Intravenous immunoglobulin
- Hyperbaric oxygen therapy
- Wound care
- Physical therapy
- Occupational therapy
- Vestibular rehabilitation
- Pulmonary rehabilitation
- Respiratory therapy
- Oxygen therapy
- Smoking cessation
- Warfarin therapy
- Palliative care
- Joint injections
- Massage therapy
- Medication assisted treatment (MATCH)
- Nutritional counseling
- Medical weight loss
Procedures[5][6][8]
- Cardiac catheterization
- Pacemaker procedures
- Defibrillator placement
- Electrophysiology
- Echocardiogram
- Stress testing
- Vascular surgery
- Hip replacement
- Knee replacement
- Mako robotic-arm surgery
- Da Vinci robotic surgery
- Kyphoplasty
- Laminectomy
- Discectomy
- Spine fusion
- Spine surgery with Globus ExcelsiusGPS
- Bowel resection
- Polypectomy
- Surgical weight loss
- Angiography
- Abdominal aortic stent graft
- Arterial and venous thrombolysis
- Chemoembolization of tumors
- Radiofrequency ablation
- Uterine fibroid embolization
- Varicose vein ablation
- Ovarian vein ablation
- Gastrostomy and gastrojejunostomy
- MRI
- CT scan (multislice)
- PET/CT scan
- Nuclear medicine imaging
- Ultrasound
- Bone densitometry
- X-ray
Programs and centers[4][5][6][7]
- Trauma Center
- LIFE STAR air medical support facility
- Stroke Center
- Heart & Vascular Institute
- Cancer Institute
- Birthing Center
- Acute Spine Program
- Congestive heart failure program and support group
- Center for Mental Health
- Medication Assisted Treatment Close to Home (MATCH)
- Transition Lounge
- Therapeutic pet and therapeutic music programs
Emergency care (hospital website)[4]
| Emergency room | Yes |
|---|
Visiting and practical information
| Visiting | General visiting 8am-8pm daily; visitors under 16 need an adult; unit-specific rules for ED, surgery, labor & delivery[9] |
|---|---|
| Parking | For inpatient visits use Parking Lot 1 and the Main Entrance; surgery and labor & delivery visitors use the entrance by the ED[9] |
| Interpreters and languages | Interpretive Services link on the site; details are on the Hartford HealthCare interpretive services page (not opened)[5] |
| Patient portal | MyChartPLUS |
Recognition[8]
- Leapfrog Hospital "A" Safety Grade
- Joint Commission Gold Seal: Advanced Certification for Total Hip and Total Knee Replacement
- Healthgrades America's 100 Best Hospitals for Gastrointestinal Care (2024)
- Healthgrades Critical Care Excellence Award (2022-2024)
- Healthgrades Pulmonary Care Excellence Award (2022-2024)
- Healthgrades Gastrointestinal Care and GI Surgery Excellence Awards (2024)
Doctors and clinicians (867)
867 doctors and other clinicians list William W Backus Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
Main specialties
- Physician Assistant136
- Nurse Practitioner131
- Internal Medicine87
- Diagnostic Radiology74
- Cardiovascular Disease (Cardiology)43
- Family Practice32
- Emergency Medicine30
- Neurology29
- Orthopedic Surgery22
- Anesthesiology21
- Pathology21
- General Surgery16
Doctors with a page on this site (867)
- Aakash Bhargava, MDNeurology
- Aaron D. SmithPhysician Assistant
- Aaron Sasson, MDDiagnostic Radiology
- Aaron Silver, MDHospitalist
- Aasiya Ahmed, PAPhysician Assistant
- Abera H. Abay, MDGastroenterology
- Adam D. Goldstein, MDAnesthesiology
- Adam F. Niedelman, MDCardiovascular Disease (Cardiology)
- Adam J. Resnick, MDEmergency Medicine
- Adam Lindsay, MDOrthopedic Surgery
- Adam M. RisoPhysician Assistant
- Adam W. Green, MDOrthopedic Surgery
- Adel Muhanna, MDGastroenterology
- Adelina N. JakubaNurse Practitioner
- Adem L. CosgelPhysician Assistant
- Adriana S. GodfreyNurse Practitioner
- Agnes Z. Dardas, MDOrthopedic Surgery
- Ahmed Chaudhary, MDRadiation Oncology
- Aislinn A. MacmasterNurse Practitioner
- Ajit Kokkat, MDGastroenterology
- Akhilesh K. Jain, MDVascular Surgery
- Alana GonzalezNurse Practitioner
- Alaric J. Gee, DOPhysical Medicine and Rehabilitation
- Aldo M. Velasquez, PAPhysician Assistant
And 843 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- Windham Community Memorial Hospital14 mi · Willimantic, CT · Acute Care Hospital
- Lawrence & Memorial Hospital15 mi · New London, CT · Acute Care Hospital
- Westerly Hospital19 mi · Westerly, RI · Acute Care Hospital
- Day Kimball Hospital26 mi · Putnam, CT · Acute Care Hospital
- Manchester Memorial Hospital28 mi · Manchester, CT · Acute Care Hospital
Find the closest emergency room to where you are → · Compare ER wait times
Other hospitals near Norwich
- Natchaug Hospital17 mi · Mansfield Center, CT · Psychiatric Hospital
- Albert J Solnit Children's Center - South Campus27 mi · Middletown, CT · Psychiatric Hospital
Nursing homes, hospice, home health and dialysis nearby
Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.
Nursing homes
- Norwich Sub-Acute and Nursing0.8 mi · Norwich, CT · 4 of 5 stars
- Apple Rehab Uncasville4.0 mi · Uncasville, CT · 3 of 5 stars
- Greentree Manor Nursing and Rehabilitation Center11 mi · Waterford, CT · 1 of 5 stars
All nursing homes in the state →
Home health agencies
- Careco Medical Inc13 mi · Waterford, CT · 2 of 5 stars
- Yale New Haven Health - Health at Home Southeast13 mi · Waterford, CT · 3 of 5 stars
- Staff Mates Homecare19 mi · Hebron, CT
All home health agencies in the state →
Dialysis facilities
- DaVita Norwich Dialysis0.0 mi · Norwich, CT · 3 of 5 stars
- DaVita Windham Dialysis Center13 mi · North Windham, CT · 3 of 5 stars
- DaVita New London Dialysis14 mi · New London, CT · 4 of 5 stars
Outpatient surgery centers nearby
Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.
- Eastern Connecticut Endoscopy Center0.0 mi · Norwich, CT
- River Valley Asc, LLC0.0 mi · Norwich, CT
- Coastal Digestive Care Center, LLLC13 mi · Waterford, CT
Community care nearby
Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.
Community health centers
- UCFS Health Center - Norwich0.2 mi · Norwich, CT · Community health center
- UCFS Beyond Healthcare0.2 mi · Norwich, CT · Community health center
- Generations FHC - Norwich0.3 mi · Norwich, CT · Community health center
Clinics and urgent care
- American Current Care P.A.0.0 mi · Norwich, CT · Urgent care center
- American Current Care, P.A.0.0 mi · Norwich, CT · Urgent care center
- MHS Primary Care Inc23 mi · Old Saybrook, CT · Urgent care center
Pharmacies
- Greenville Drug Store Inc0.0 mi · Norwich, CT · Community/retail pharmacy
- Norwich Pharmacy LLC0.0 mi · Norwich, CT · Community/retail pharmacy
- The William W Backus Hospital0.0 mi · Norwich, CT · Community/retail pharmacy
Assisted living nearby
Licensed homes from the official state license list, by straight-line distance.
- Elmbrook Village4.4 mi · Bozrah, CT
- Atria Crossroads Place13 mi · Waterford, CT
- Academy Point at Mystic14 mi · Mystic, CT
- The Cove Assisted Living14 mi · Mystic, CT
About the Medicare star rating
CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →
Medicare quality data
What William W Backus Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
| Summary star rating (all survey topics) | 3 of 5 stars |
|---|---|
| Overall rating of the hospital | 2 of 5 stars |
| Would recommend the hospital | 3 of 5 stars |
| Nurses communicated well | 3 of 5 stars |
| Doctors communicated well | 3 of 5 stars |
| Patients got help quickly from staff | 2 of 5 stars |
| Staff explained medicines | 3 of 5 stars |
| Information about recovery at home | 4 of 5 stars |
| Room and bathroom kept clean | 3 of 5 stars |
| Restfulness of Environment | 1 of 5 stars |
| Care Coordination | 2 of 5 stars |
| Symptoms After Stay | 2 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 61%National average: 72% |
| Would definitely recommend the hospital | 64%National average: 71% |
| Nurses “always” communicated well | 78%National average: 80% |
| Doctors “always” communicated well | 77%National average: 80% |
| “Always” got help as soon as they wanted | 54%National average: 64% |
| Staff “always” explained medicines before giving them | 59%National average: 62% |
| Were given information about recovery at home | 87%National average: 86% |
| Room and bathroom “always” clean | 69%National average: 73% |
| Completed surveys | 1,096Response rate: 23% |
Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.
Infections caught in the hospital
What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.
| Central line bloodstream infections (CLABSI) | 0.212No different from the national benchmark |
|---|---|
| Catheter-associated urinary tract infections (CAUTI) | 0.58No different from the national benchmark |
| Surgical site infections after colon surgery | 0Better than the national benchmark |
| MRSA bloodstream infections | 0Better than the national benchmark |
| Clostridioides difficile (C. diff) intestinal infections | 0.104Better than the national benchmark |
| Not reported to Medicare | Surgical site infections after abdominal hysterectomy |
Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.
Complications and deaths
What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
| Deaths within 30 days: heart attack patients | 11.5% |
|---|---|
| Deaths within 30 days: heart failure patients | 10.2% |
| Deaths within 30 days: pneumonia patients | 15.4% |
| Deaths within 30 days: COPD patients | 7.7% |
| Deaths within 30 days: stroke patients | 9.9% |
| Serious complications (patient safety indicator PSI-90) | 0.7No different from the national rate |
| Complications after hip or knee replacement | 5.8% |
| Not reported to Medicare | Deaths within 30 days: coronary bypass surgery (CABG) |
Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.
Return visits to the hospital (readmissions)
What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
| Returned to any hospital within 30 days (all patients) | 14.7% |
|---|---|
| Readmitted within 30 days: heart failure | 20.8% |
| Readmitted within 30 days: pneumonia | 18.2% |
| Readmitted within 30 days: COPD | 19.6% |
| Readmitted within 30 days: hip or knee replacement | 6.7% |
| Not reported to Medicare | Readmitted within 30 days: coronary bypass surgery |
| Too few cases to report | Readmitted within 30 days: heart attack |
Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.
Emergency room times and sepsis care
What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
| Emergency room volume (patients per year) | Very high (60,000 or more) |
|---|---|
| Average (median) time patients spent in the emergency room before leaving (OP-18b) | 181 minutesNational average: 162 minutes |
| Patients who left the emergency room before being seen (OP-22) | 1%National average: 2% |
| Sepsis patients who got all the recommended early care (SEP-1) | 63%National average: 66% |
Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
Medicare payment programs
Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for William W Backus Hospital, fiscal year 2026 (October 2025 to September 2026).
Show the Medicare payment program results
Hospital-Acquired Condition Reduction Program
What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.
CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.
| Medicare payment reduction, fiscal year 2026 | NoCMS lists no payment reduction for this hospital. |
|---|---|
| Total HAC Score | -0.7782Lower is better. Hospitals above the 75th percentile of all scores get the reduction. |
Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.
Hospital Readmissions Reduction Program
What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.
CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).
| Heart failure | 0.9777Fewer readmissions than expected |
|---|---|
| Pneumonia | 0.9075Fewer readmissions than expected |
| COPD (chronic lung disease) | 1.0696More readmissions than expected |
| Hip or knee replacement | 0.9374Fewer readmissions than expected |
| No result published | Heart attack; Coronary bypass surgery (CABG) (not reported, or too few cases) |
Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.
Hospital Value-Based Purchasing Program
What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.
CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.
| Total Performance Score | 31.17 out of 100Median of the 2,455 hospitals in the program: 29.50 |
|---|---|
| Clinical outcomes (deaths and complications) | 32.00 out of 100 |
| Person and community engagement (patient survey) | 21.00 out of 100 |
| Safety (infections and sepsis care) | 51.67 out of 100 |
| Efficiency and cost reduction (Medicare spending) | 20.00 out of 100 |
Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.
Medicare spending per patient (MSPB)
What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.
CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.
| Medicare spending per patient, ratio | 0.97Below the national median hospital (1.00): Medicare spent less |
|---|
Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
ER wait times and Medicare ratings nearby
How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.
Prices
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 68 common services exactly as William W Backus Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean
- Hospital charge
- The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
- Cash price
- The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
- Insurance rates
- The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
- Hospital and doctor fees
- A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.
How to use hospital prices: estimates, financial assistance and your rights →
Show the prices of 68 common services
Office and emergency visits
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: OFFICE O/P NEW LOW 30 MIN | $205 | $205 | $111.79 – $151.93 |
New patient office visit (about 30–44 minutes): rates for 9 insurance plans
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: OFFICE O/P NEW MOD 45 MIN | $335 | $335 | $189.53 – $232.49 |
New patient office visit (about 45–59 minutes): rates for 9 insurance plans
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: OFFICE O/P NEW HI 60 MIN | $455 | $455 | $242.88 – $292.66 |
New patient office visit (about 60–74 minutes): rates for 9 insurance plans
| |||
| Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST LOW 30 | $370 | $370 | $135.42 – $205.56 |
Office consultation with a specialist (moderate): rates for 9 insurance plans
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST MOD 40 | $500 | $500 | $206.37 – $302.02 |
Office consultation with a specialist (moderate to high): rates for 9 insurance plans
| |||
| Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT LOW MDM | $241 | $241 | $95.73 – $111.03 |
Emergency room visit (moderate): rates for 3 insurance plans
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC EMERGENCY DEPARTMENT VISIT LEVEL 3 - ED | $2,167 | $2,167 | Not listed in the file |
Emergency room visit (moderate): rates for 1 insurance plan
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC EMERGENCY DEPARTMENT VISIT LEVEL 3 - URGENT CARE | $2,167 | $2,167 | Not listed in the file |
Emergency room visit (moderate): rates for 1 insurance plan
| |||
| Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT MOD MDM | $449 | $449 | $173.21 – $175.87 |
Emergency room visit (moderately high): rates for 3 insurance plans
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC EMERGENCY DEPARTMENT VISIT LEVEL 4 - ED | $3,483 | $3,483 | Not listed in the file |
Emergency room visit (moderately high): rates for 1 insurance plan
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier 0 In the file: HC EMERGENCY DEPARTMENT VISIT LEVEL 4 - ED | $3,483 | $3,483 | $170.52 – $6,645 |
Emergency room visit (moderately high): 10 of 17 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT HI MDM | $759 | $759 | $255.37 – $269.65 |
Emergency room visit (high): rates for 3 insurance plans
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC EMERGENCY DEPARTMENT VISIT LEVEL 5 - ED | $4,646 | $4,646 | Not listed in the file |
Emergency room visit (high): rates for 1 insurance plan
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier 0 In the file: HC EMERGENCY DEPARTMENT VISIT LEVEL 5 - ED | $4,646 | $4,646 | $243.37 – $6,645 |
Emergency room visit (high): 10 of 17 insurance plan rates
| |||
Lab tests
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL | $232 | $232 | $8.46 |
Basic metabolic panel (blood test): rates for 8 insurance plans
| |||
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · modifier 0 In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL | $232 | $232 | $8.04 – $11.63 |
Basic metabolic panel (blood test): rates for 10 insurance plans
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HC COMPREHENSIVE METABOLIC PANEL | $418 | $418 | $10.56 |
Comprehensive metabolic panel (blood test): rates for 8 insurance plans
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · modifier 0 In the file: HC COMPREHENSIVE METABOLIC PANEL | $418 | $418 | $10.03 – $14.53 |
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC LIPID PANEL - LIPID PANEL | $109 | $109 | $13.39 |
Cholesterol panel (lipid panel): rates for 8 insurance plans
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · modifier 0 In the file: HC LIPID PANEL - LIPID PANEL | $109 | $109 | $12.72 – $18.42 |
Cholesterol panel (lipid panel): rates for 10 insurance plans
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HC HEPATIC FUNCTION PANEL | $216 | $216 | $8.17 |
Liver function panel: rates for 8 insurance plans
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · modifier 0 In the file: HC HEPATIC FUNCTION PANEL | $216 | $216 | $7.76 – $11.23 |
Liver function panel: rates for 10 insurance plans
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $26 | $26 | $3.48 |
Urine test (manual, without microscope): rates for 8 insurance plans
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · modifier 0 In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $26 | $26 | $2.64 – $3.76 |
Urine test (manual, without microscope): rates for 10 insurance plans
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $19 | $19 | $2.25 |
Urine test (automated, without microscope): rates for 8 insurance plans
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · modifier 0 In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $19 | $19 | $2.14 – $3.09 |
Urine test (automated, without microscope): rates for 10 insurance plans
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC SQ, PSA, POST PROSTATECTOMY | $97 | $97 | $18.39 |
PSA (prostate specific antigen) blood test: rates for 8 insurance plans
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · modifier 0 In the file: HC SQ, PSA, POST PROSTATECTOMY | $97 | $97 | $17.47 – $25.29 |
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC ASSAY OF THYROID STIMULATING HORMONE TSH | $101 | $101 | $16.80 |
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · modifier 0 In the file: HC ASSAY OF THYROID STIMULATING HORMONE TSH | $101 | $101 | $15.96 – $23.10 |
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC POCT BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $65 | $65 | $7.77 |
Complete blood count (CBC) with differential: rates for 8 insurance plans
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $47 | $47 | $7.77 |
Complete blood count (CBC) with differential: rates for 8 insurance plans
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · modifier 0 In the file: HC POCT BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $65 | $65 | $7.38 – $10.69 |
Complete blood count (CBC) with differential: rates for 10 insurance plans
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HC BLOOD COUNT COMPLETE AUTOMATED | $39 | $39 | $6.47 |
Complete blood count (CBC), automated: rates for 8 insurance plans
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · modifier 0 In the file: HC BLOOD COUNT COMPLETE AUTOMATED | $39 | $39 | $6.15 – $8.89 |
Complete blood count (CBC), automated: rates for 10 insurance plans
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC PROTHROMBIN TIME | $33 | $33 | $4.29 |
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · modifier 0 In the file: HC PROTHROMBIN TIME | $33 | $33 | $4.05 – $5.40 |
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $50 | $50 | $6.01 |
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD - LUPUS ANTICOAGULANT SCREEN W/ REFLEX | $50 | $50 | $6.01 |
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · modifier 0 In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $50 | $50 | $5.71 – $8.25 |
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
| |||
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier 0 In the file: HC CT HEAD/BRAIN W/O CONTRAST MATERIAL | $1,201 | $1,201 | $42.72 – $300.45 |
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier TC In the file: HC CT HEAD/BRAIN W/O CONTRAST MATERIAL | $1,201 | $1,201 | Not listed in the file |
CT scan of the head or brain, without contrast: rates for 1 insurance plan
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier 0 In the file: HC MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $2,504 | $2,504 | $142.57 – $1,050.82 |
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier TC In the file: HC MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $2,504 | $2,504 | Not listed in the file |
MRI of the brain, before and after contrast: rates for 1 insurance plan
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier 0 In the file: HC CHEST 2 VIEWS, RADIOLOGIC EXAM | $374 | $374 | $35.56 – $138.53 |
Chest X-ray, 2 views: 10 of 17 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier TC In the file: HC CHEST 2 VIEWS, RADIOLOGIC EXAM | $374 | $374 | Not listed in the file |
Chest X-ray, 2 views: rates for 1 insurance plan
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier 0 In the file: HC RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $567 | $567 | $42.72 – $174.84 |
X-ray of the lower spine, at least 4 views: 10 of 17 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier TC In the file: HC RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $567 | $567 | Not listed in the file |
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier 0 In the file: HC MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $1,437 | $1,437 | $97.51 – $605.87 |
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier TC In the file: HC MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $1,437 | $1,437 | Not listed in the file |
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier 0 In the file: HC CT PELVIS W/CONTRAST MATERIAL | $2,192 | $2,192 | $71.68 – $797.87 |
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier TC In the file: HC CT PELVIS W/CONTRAST MATERIAL | $2,192 | $2,192 | Not listed in the file |
CT scan of the pelvis, with contrast: rates for 1 insurance plan
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier 0 In the file: HC MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $1,619 | $1,619 | $97.51 – $695.29 |
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier TC In the file: HC MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $1,619 | $1,619 | Not listed in the file |
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier 0 In the file: HC CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $2,778 | $2,778 | $142.57 – $997.69 |
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier TC In the file: HC CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $2,778 | $2,778 | Not listed in the file |
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier 0 In the file: HC US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $378 | $378 | $42.72 – $340.69 |
Ultrasound of the abdomen, complete: 10 of 17 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier TC In the file: HC US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $378 | $378 | Not listed in the file |
Ultrasound of the abdomen, complete: rates for 1 insurance plan
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier 0 In the file: HC US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $420 | $420 | $42.72 – $383.81 |
Pregnancy ultrasound (after the first trimester): 10 of 17 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · modifier 26 In the file: OB US >= 14 WKS SNGL FETUS | $270 | $270 | $72.10 – $93.90 |
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier TC In the file: HC US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $420 | $420 | Not listed in the file |
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier 0 In the file: HC ULTRASOUND TRANSVAGINAL | $413 | $413 | $42.72 – $376.65 |
Transvaginal ultrasound: 10 of 17 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier TC In the file: HC ULTRASOUND TRANSVAGINAL | $413 | $413 | Not listed in the file |
Transvaginal ultrasound: rates for 1 insurance plan
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier 0 In the file: HC DIAGNOSTIC MAMMOGRAPHY, INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED; UNILATERAL | $407 | $407 | $137.26 – $376.65 |
Diagnostic mammogram, one breast: rates for 10 insurance plans
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier TC In the file: HC DIAGNOSTIC MAMMOGRAPHY, INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED; UNILATERAL | $407 | $407 | $92.85 |
Diagnostic mammogram, one breast: rates for 8 insurance plans
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier 0 In the file: HC DIAGNOSTIC MAMMOGRAPHY, INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED; BILATERAL | $521 | $521 | $176.03 – $480.17 |
Diagnostic mammogram, both breasts: rates for 10 insurance plans
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier TC In the file: HC DIAGNOSTIC MAMMOGRAPHY, INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED; BILATERAL | $521 | $521 | $119.16 |
Diagnostic mammogram, both breasts: rates for 8 insurance plans
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 0 In the file: HC SCR MAMMO BI INCL CAD | $430 | $430 | $145.12 – $398.21 |
Screening mammogram, both breasts: rates for 10 insurance plans
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier TC In the file: HC SCR MAMMO BI INCL CAD | $430 | $430 | $98.25 |
Screening mammogram, both breasts: rates for 8 insurance plans
| |||
Heart tests and sleep study
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: HC EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN | $54,545 | $54,545 | Not listed in the file |
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · modifier 0 In the file: HC EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN | $54,545 | $54,545 | $10,681.60 – $81,065 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 17 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · modifier 0 In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $5,288 | $5,288 | $350.94 – $3,000 |
Sleep study (overnight, in a sleep lab): 10 of 17 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · modifier TC In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $5,288 | $5,288 | Not listed in the file |
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan
| |||
Physical therapy and mental health
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $123 | $123 | $30.48 |
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier 0 In the file: HC THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $123 | $123 | $190 – $357 |
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HC PT EVAL LOW COMPLEX 20 MIN | $413 | $413 | $102.51 |
Physical therapy evaluation (low complexity): rates for 8 insurance plans
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier 0 In the file: HC PT EVAL LOW COMPLEX 20 MIN | $413 | $413 | $190 – $357 |
Physical therapy evaluation (low complexity): rates for 10 insurance plans
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HC PT EVAL MOD COMPLEX 30 MIN | $413 | $413 | $102.51 |
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier 0 In the file: HC PT EVAL MOD COMPLEX 30 MIN | $413 | $413 | $190 – $357 |
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HC PT EVAL HIGH COMPLEX 45 MIN | $413 | $413 | $102.51 |
Physical therapy evaluation (high complexity): rates for 8 insurance plans
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier 0 In the file: HC PT EVAL HIGH COMPLEX 45 MIN | $413 | $413 | $190 – $357 |
Physical therapy evaluation (high complexity): rates for 10 insurance plans
| |||
| Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: PSYTX W PT 30 MINUTES | $270 | $270 | $49.16 – $174.95 |
Psychotherapy, 30 minutes: rates for 8 insurance plans
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · modifier 0 In the file: HC PSYCHOTHERAPY W/PT 30 MIN - SYSTEM | $287 | $287 | $105 – $189 |
Psychotherapy, 30 minutes: rates for 8 insurance plans
| |||
| Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PSYTX W PT 45 MINUTES | $355 | $355 | $73.74 – $231.23 |
Psychotherapy, 45 minutes: rates for 8 insurance plans
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · modifier 0 In the file: HC PSYCHOTHERAPY W/PT 45 MIN - SYSTEM | $380 | $380 | $105 – $315 |
Psychotherapy, 45 minutes: rates for 8 insurance plans
| |||
| Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: PSYTX W PT 60 MINUTES | $525 | $525 | $111.28 – $341.30 |
Psychotherapy, 60 minutes: rates for 8 insurance plans
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · modifier 0 In the file: HC PSYCHOTHERAPY W/PT 60 MIN - SYSTEM | $573 | $573 | $105 – $315 |
Psychotherapy, 60 minutes: rates for 8 insurance plans
| |||
| Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · modifier 0 In the file: HC FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT | $256 | $256 | $105 – $285 |
Family psychotherapy, without the patient: rates for 8 insurance plans
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY PSYTX W/PT 50 MIN | $400 | $400 | $93.88 – $260.40 |
Family psychotherapy, with the patient: rates for 9 insurance plans
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · modifier 0 In the file: HC FAMILY PSYCHOTHERAPY W/PT PRESENT 50 MIN - SYSTEM | $426 | $426 | $105 – $285 |
Family psychotherapy, with the patient: rates for 8 insurance plans
| |||
| Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: GROUP PSYCHOTHERAPY | $95 | $95 | $28.68 – $64.76 |
Group psychotherapy: rates for 9 insurance plans
| |||
| Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · modifier 0 In the file: HC GROUP PSYCHOTHERAPY - SYSTEM | $275 | $275 | $79 – $189 |
Group psychotherapy: rates for 8 insurance plans
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION | Not listed in the file | Not listed in the file | Not listed in the file |
Removal of breast growth (open surgery): rates for 1 insurance plan
| |||
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · modifier 0 In the file: REMOVAL OF BREAST LESION | Not listed in the file | Not listed in the file | $1,600.10 – $10,156 |
Removal of breast growth (open surgery): 10 of 20 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Inpatient or outpatient In the file: TOTAL HIP ARTHROPLASTY | $7,400 | $7,400 | $2,124.11 – $3,592.75 |
Total hip replacement: rates for 9 insurance plans
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY | Not listed in the file | Not listed in the file | Not listed in the file |
Total hip replacement: rates for 1 insurance plan
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · modifier 0 In the file: TOTAL HIP ARTHROPLASTY | Not listed in the file | Not listed in the file | $5,246.70 – $34,000 |
Total hip replacement: 10 of 20 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Inpatient or outpatient In the file: TOTAL KNEE ARTHROPLASTY | $7,390 | $7,390 | $2,121.29 – $3,848.79 |
Total knee replacement: rates for 9 insurance plans
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY | Not listed in the file | Not listed in the file | Not listed in the file |
Total knee replacement: rates for 1 insurance plan
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier 0 In the file: TOTAL KNEE ARTHROPLASTY | Not listed in the file | Not listed in the file | $5,246.70 – $34,000 |
Total knee replacement: 10 of 20 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: SHO ARTHRS SRG DECOMPRESSION | $975 | $975 | $272.12 – $1,657.84 |
Shoulder arthroscopy: shaving of shoulder bone: rates for 9 insurance plans
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: KNEE ARTHROSCOPY/SURGERY | $3,175 | $3,175 | $850.53 – $1,575.05 |
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 9 insurance plans
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY | Not listed in the file | Not listed in the file | Not listed in the file |
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · modifier 0 In the file: KNEE ARTHROSCOPY/SURGERY | Not listed in the file | Not listed in the file | $1,337.15 – $11,969 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 20 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD DIAGNOSTIC BRUSH WASH | $690 | $690 | $189.56 – $626.71 |
Upper GI endoscopy (diagnostic): rates for 9 insurance plans
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $3,288 | $3,288 | Not listed in the file |
Upper GI endoscopy (diagnostic): rates for 1 insurance plan
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH | Not listed in the file | Not listed in the file | Not listed in the file |
Upper GI endoscopy (diagnostic): rates for 1 insurance plan
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: HC EDG TRANSORAL BIOPSY SINGLE/MULTIPLE | $3,288 | $3,288 | Not listed in the file |
Upper GI endoscopy with biopsy: rates for 1 insurance plan
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE | Not listed in the file | Not listed in the file | Not listed in the file |
Upper GI endoscopy with biopsy: rates for 1 insurance plan
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier 0 In the file: HC EDG TRANSORAL BIOPSY SINGLE/MULTIPLE | $3,288 | $3,288 | $370.65 – $10,156 |
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY FLX DX W/WO COLLJ SPECIMENS | $3,225 | $3,225 | Not listed in the file |
Colonoscopy (diagnostic): rates for 1 insurance plan
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY | Not listed in the file | Not listed in the file | Not listed in the file |
Colonoscopy (diagnostic): rates for 1 insurance plan
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 0 In the file: HC COLONOSCOPY FLX DX W/WO COLLJ SPECIMENS | $3,225 | $3,225 | $380.04 – $10,156 |
Colonoscopy (diagnostic): 10 of 17 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $4,214 | $4,214 | Not listed in the file |
Colonoscopy with biopsy: rates for 1 insurance plan
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY | Not listed in the file | Not listed in the file | Not listed in the file |
Colonoscopy with biopsy: rates for 1 insurance plan
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier 0 In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $4,214 | $4,214 | $489.02 – $10,156 |
Colonoscopy with biopsy: 10 of 17 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: HC COLSC FLX PROX SPLENIC FLXR RMVL LES SNARE TQ | $4,214 | $4,214 | Not listed in the file |
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL | Not listed in the file | Not listed in the file | Not listed in the file |
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier 0 In the file: HC COLSC FLX PROX SPLENIC FLXR RMVL LES SNARE TQ | $4,214 | $4,214 | $489.02 – $10,156 |
Colonoscopy with removal of polyps (snare): 10 of 17 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: HC CRCTAL SRN-NOHRSK | $3,225 | $3,225 | Not listed in the file |
Screening colonoscopy (not high risk): rates for 1 insurance plan
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · modifier 0 In the file: HC CRCTAL SRN-NOHRSK | $3,225 | $3,225 | $380.04 – $10,156 |
Screening colonoscopy (not high risk): 10 of 17 insurance plan rates
| |||
| Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAPAROSCOPIC CHOLECYSTECTOMY | $3,820 | $3,820 | $1,030.17 – $1,644.15 |
Gallbladder removal by laparoscope: rates for 9 insurance plans
| |||
| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY | Not listed in the file | Not listed in the file | Not listed in the file |
Gallbladder removal by laparoscope: rates for 1 insurance plan
| |||
| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · modifier 0 In the file: LAPAROSCOPIC CHOLECYSTECTOMY | Not listed in the file | Not listed in the file | $2,470.59 – $14,364 |
Gallbladder removal by laparoscope: 10 of 20 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: PRP I/HERN INIT REDUC >5 YR | $3,040 | $3,040 | $766.53 – $1,158.59 |
Groin (inguinal) hernia repair, age 5 or older: rates for 9 insurance plans
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR | Not listed in the file | Not listed in the file | Not listed in the file |
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan
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| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier 0 In the file: PRP I/HERN INIT REDUC >5 YR | Not listed in the file | Not listed in the file | $1,463.18 – $10,156 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 20 insurance plan rates
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| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE | Not listed in the file | Not listed in the file | Not listed in the file |
Prostate biopsy: rates for 1 insurance plan
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| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · modifier 0 In the file: BIOPSY OF PROSTATE | Not listed in the file | Not listed in the file | $819.40 – $10,156 |
Prostate biopsy: 10 of 20 insurance plan rates
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| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient In the file: LAPS SURG PRST8ECT RPBIC RAD | $6,725 | $6,725 | $2,198.44 – $4,334.02 |
Prostate removal by laparoscope (radical prostatectomy): rates for 9 insurance plans
| |||
| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPS SURG PRST8ECT RPBIC RAD | Not listed in the file | Not listed in the file | Not listed in the file |
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan
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| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · modifier 0 In the file: LAPS SURG PRST8ECT RPBIC RAD | Not listed in the file | Not listed in the file | $4,344.03 – $20,588 |
Prostate removal by laparoscope (radical prostatectomy): 10 of 20 insurance plan rates
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| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: HYSTEROSCOPY BIOPSY | $1,315 | $1,315 | $354.86 – $738.49 |
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans
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| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY | Not listed in the file | Not listed in the file | Not listed in the file |
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan
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| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · modifier 0 In the file: HYSTEROSCOPY BIOPSY | Not listed in the file | Not listed in the file | $1,322.90 – $10,156 |
Hysteroscopy with biopsy of the uterus lining: 10 of 20 insurance plan rates
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| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: NJX INTERLAMINAR LMBR/SAC | $635 | $635 | $155.49 – $622.64 |
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans
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| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HC NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL | $1,712 | $1,712 | Not listed in the file |
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier 0 In the file: HC NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL | $1,712 | $1,712 | $361.45 – $10,156 |
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates
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| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY | Not listed in the file | Not listed in the file | Not listed in the file |
Carpal tunnel release: rates for 1 insurance plan
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| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier 0 In the file: CARPAL TUNNEL SURGERY | Not listed in the file | Not listed in the file | $798.01 – $10,156 |
Carpal tunnel release: 10 of 20 insurance plan rates
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Hospital stays (whole stay, MS-DRG)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $52,761.70 | $52,761.70 | $8,967.08 – $32,384 |
Hip or knee replacement (major joint of the leg), without major complications: 10 of 18 insurance plan rates
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| Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC | $62,991.14 | $62,991.14 | $8,967.08 – $25,400 |
Neck (cervical) spinal fusion, without complications: 10 of 18 insurance plan rates
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| Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $37,598.98 | $37,598.98 | $8,967.08 – $25,400 |
Uterus and ovary surgery (not for cancer), without complications: 10 of 18 insurance plan rates
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Source: William W Backus Hospital’s standard charges file (hartfordhealthcare.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →
Found through the price transparency link on the hospital’s website (hartfordhealthcare.org), because the hospital has no cms-hpt.txt file; both are required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.
Hospital information
| Hospital type | Acute Care Hospital |
|---|---|
| Address | 326 Washington St, Norwich, CT 06360 |
| County | New London County |
| State | Connecticut |
| Phone | (860) 889‑8331 |
| Emergency services | Yes |
| Ownership | Voluntary non-profit - Other |
| Medicare overall rating | 4 of 5 stars |
| Birthing-friendly designation | Yes (meets CMS criteria) |
| CMS Certification Number | 070024 |
| Name in Medicare records | WILLIAM W BACKUS HOSPITAL |
| Profile level | Medicare data + hospital website |
| Name on the hospital’s website | Backus Hospital |
| Official website | hartfordhealthcare.org |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this hospital
- U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances
From the hospital’s website
Numbers match the citations above. Checked 2026-10-30.
- Backus Hospital — hartfordhealthcare.org
- Home | backushospital.org | Backus Hospital | CT — backushospital.org
- A- Z List of Services | backushospital.org | Backus Hospital | CT — backushospital.org
- Trauma Center | backushospital.org | Backus Hospital | CT — backushospital.org
- Awards & Accreditations | Hartford HealthCare | CT — hartfordhealthcare.org
- For Visitors | backushospital.org | Backus Hospital | CT — backushospital.org