Windham Community Memorial Hospital
Windham Community Memorial Hospital in Willimantic, CT charges 2.7x the Medicare reimbursement rate on average across 16 analyzed procedures at this nonprofit facility.
Willimantic, CT 06226 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
B
Good
Avg markup vs Medicare
2.72x
Charge / Medicare rate
Max markup
3.81x
Worst procedure
Procedures analyzed
16
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $31,253 | $15,627 | — | 3.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $23,939 | $11,969 | — | 3.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $34,281 | $17,141 | — | 3.3x |
| CELLULITIS WITHOUT MCC | 603 | $27,817 | $13,908 | — | 3.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $25,174 | $12,587 | — | 3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $23,151 | $11,575 | — | 2.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $29,739 | $14,869 | — | 2.7x |
| RENAL FAILURE WITH CC | 683 | $22,519 | $11,260 | — | 2.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $27,597 | $13,799 | — | 2.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $34,211 | $17,106 | — | 2.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $30,216 | $15,108 | — | 2.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $28,895 | $14,447 | — | 2.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $30,953 | $15,477 | — | 2.3x |
| RENAL FAILURE WITH MCC | 682 | $36,044 | $18,022 | — | 2.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $38,025 | $19,013 | — | 2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $39,604 | $19,802 | — | 1.9x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use