How many shoppable procedure prices are published for Hill Hospital of Sumter County?

Hill Hospital of Sumter County in York, AL currently has 138 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Hill Hospital of Sumter County's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Hill Hospital of Sumter County's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 33 Beds · rural Updated: 4/10/2026

Hill Hospital of Sumter County

751 Derby Drive, York, AL 36925 · 138 Priced Procedures

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.90×vs. Fair Market Price

Typical commercial prices here are 10% below the fair benchmark (0.90×) after accounting for local nurse/doctor wages and patient complexity.

72/100 · Corroborated

72/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness85

Price Logic90

Peer Alignment60

Clean Billing66

Real Cash Discount50

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Hill Hospital of Sumter County maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.88× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.98× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#27 of 52 in AL · 50th State Percentile#614 of 3,385 in U.S. · 18th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 10% below peer Fair BaseRate (0.90×)
Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
CMS clinical safety score (79/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Captive ER (1.3×) & laboratory (1.6×) services average 1.11× higher multiples than routine shoppable care (0.9×)
Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 6.1× Medicare (15¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.9× Medicare

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

Back-Door Captive & ER1.11× Divergence

1.0× Medicare

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

Quantile Tail Spread+11% Upper Tail

Q25 0.79× · Q50 0.88× · Q75 0.98×

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

0.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

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

1.1× MedicareGood

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

0% Cash Edge · 50/100Elevated

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 79/100Fair

Procedure Prices at Hill Hospital of Sumter County

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 138 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$20,698	$30,775	0.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$13,760	$19,087	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$13,287	$19,432	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$12,816	$17,936	0.7×
Total hip replacement CPT Code: `27130`	—	$11,065	$13,413	0.8×
Total knee replacement CPT Code: `27447`	—	$11,065	$13,523	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,464	$8,223	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,210	$6,109	0.9×
C-section delivery (full package) CPT Code: `59510`	—	$4,185	$2,975	1.4×
Vaginal delivery (full package) CPT Code: `59400`	—	$3,484	$2,680	1.3×
Breast lump removal CPT Code: `19120`	—	$3,375	$3,875	0.9×
Inguinal hernia repair CPT Code: `49505`	—	$3,086	$3,629	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$2,820	$3,372	0.8×
Bunion correction surgery CPT Code: `28296`	—	$2,820	$3,446	0.8×
Cataract surgery with lens implant CPT Code: `66984`	—	$1,989	$2,540	0.8×
Trauma team activation HCPCS Code: `G0390`	—	$1,149	$1,453	0.8×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,031	$1,256	0.8×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$840	$257	3.3×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$840	$269	3.1×
Behavioral health day treatment HCPCS Code: `H0010`	—	$840	$343	unverified
Behavioral health residential care HCPCS Code: `H0011`	—	$840	$364	unverified
Behavioral health day program HCPCS Code: `H2012`	—	$840	$100	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$801	$981	0.8×
Upper endoscopy with biopsy CPT Code: `43239`	—	$782	$987	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$740	$1,021	0.7×
Injection procedure for pain management HCPCS Code: `G0260`	—	$608	$855	0.7×
Residential mental health treatment HCPCS Code: `H2036`	—	$489	$406	1.2×
Blood transfusion CPT Code: `36430`	—	—	$498	—
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$471	$583	0.8×
Behavioral health assessment HCPCS Code: `H0001`	—	$422	$157	unverified
Mental health services (assessment) HCPCS Code: `H0031`	—	$422	$140	unverified
Psychological testing by technician CPT Code: `96138`	—	$385	$395	1.0×
Rabies immune globulin HCPCS Code: `90375`	—	$280	$322	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$301	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$301	$511	0.6×
Care planning with family CPT Code: `90887`	—	$242	$107	unverified
Residential substance abuse treatment HCPCS Code: `H2035`	—	$195	$88	2.2×
Neurobehavioral status check CPT Code: `96116`	—	$186	$231	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$206	$272	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$206	$303	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	—	$206	$338	0.6×
MRI, brain (no contrast) CPT Code: `70551`	—	$206	$343	0.6×
MRI, knee or other leg joint CPT Code: `73721`	—	$206	$369	0.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$213	$148	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	—	—	$201	—
Behavioral health living support HCPCS Code: `H2019`	—	$195	$34	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$153	$166	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$138	$151	0.9×
Family therapy session CPT Code: `90847`	—	$153	$173	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$153	$181	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$153	$185	0.8×
CT scan, head (with contrast) CPT Code: `70460`	—	$151	$242	0.6×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$151	$258	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	—	$172	$123	unverified
Mental health services (therapy) HCPCS Code: `H0032`	—	$108	$65	1.7×
Review of medical records for care CPT Code: `90889`	—	$108	$114	0.9×
Psychological testing evaluation CPT Code: `96136`	—	$115	$128	0.9×
Group therapy session CPT Code: `90853`	—	$88	$100	0.9×
X-ray, pelvis CPT Code: `72170`	—	$90	$110	0.8×
X-ray, lower back CPT Code: `72110`	—	$90	$112	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$90	$126	0.7×
Ultrasound, pelvis CPT Code: `76856`	—	$90	$130	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$90	$132	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$90	$134	0.7×
CT scan, head (no contrast) CPT Code: `70450`	—	$90	$160	0.6×
CT scan, pelvis CPT Code: `72192`	—	$90	$163	0.6×
CT scan, sinuses CPT Code: `70486`	—	$90	$166	0.5×
CT scan, chest (no contrast) CPT Code: `71250`	—	$90	$167	0.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$90	$168	0.5×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$90	$169	0.5×
Speech therapy (language evaluation) CPT Code: `92507`	—	—	$86	unverified
New patient office visit (30-44 min) CPT Code: `99203`	—	—	$110	—
Office visit, established patient (30-39 min) CPT Code: `99214`	—	—	$123	—
Office visit, established patient (20-29 min) CPT Code: `99213`	—	—	$87	—
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	—	$320	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$176	$203	0.9×
Drug screening test HCPCS Code: `G0480`	—	$114	$116	1.0×
X-ray, chest (single view) CPT Code: `71045`	—	$75	$92	0.8×
X-ray, shoulder CPT Code: `73030`	—	$75	$92	0.8×
X-ray, foot CPT Code: `73630`	—	$75	$92	0.8×
X-ray, chest (two views) CPT Code: `71046`	—	$75	$93	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$75	$93	0.8×
X-ray, hand CPT Code: `73130`	—	$75	$93	0.8×
X-ray, hip CPT Code: `73502`	—	$75	$93	0.8×
X-ray, ankle CPT Code: `73610`	—	$75	$93	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$43	$25	1.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$42	$25	1.7×
Hepatitis B vaccine HCPCS Code: `90744`	—	$43	$37	1.2×
Speech therapy (group session) CPT Code: `92508`	—	$31	$27	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$43	$39	1.1×
Blood antibody screen CPT Code: `86850`	—	$45	$46	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$51	$64	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$43	$56	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$43	$111	0.4×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$16	$14	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	—	$9	$9	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$19	$20	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$40	$49	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	—	$40	$49	0.8×
Hepatitis C antibody test CPT Code: `86803`	—	$14	$15	0.9×
Culture, blood CPT Code: `87040`	—	$10	$11	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	—	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	—	$38	unverified
Physical therapy (gait training) CPT Code: `97116`	—	—	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	—	—	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	—	$40	—
Occupational therapy (self-care training) CPT Code: `97535`	—	—	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	—	—	$38	unverified
Orthotic fitting and training CPT Code: `97760`	—	$61	$51	unverified
Prosthetic fitting and training CPT Code: `97761`	—	$52	$45	unverified
Flu vaccine injection HCPCS Code: `G0008`	—	—	$48	—
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$51	$35	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$11	$11	1.0×
Blood test, sodium CPT Code: `84295`	—	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	—	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	—	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	—	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	—	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	—	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	—	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	—	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$4	$4	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	—	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	—	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$13	$14	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	—	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	—	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	—	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	—	$2	$3	0.7×

Showing top 25 high-impact procedures of 138 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Hill Hospital of Sumter County (Zero PHI Required)

CMS CCN: 010138

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $20,698

1. Amount on Your Bill or Quote ($) Pre-filled with Hill Hospital of Sumter County’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 274% of 2026 FPL

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.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Hill Hospital of Sumter County's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$18,900 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($49,675) is $18,900 above the denoised Fair BaseRate ($30,775) and 2.1× the $23,504 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) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Hill Hospital of Sumter County 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.

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

Safety Composite79/100

Median ER Wait140 min

Left ER Before Seen2%

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Hill Hospital of Sumter County. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-16·administrative_or_closure
Closure Notice
Recorded
2025-02-27·cmp_monetary_penalty
CMP Notice
Recorded
2024-07-12·cap_corrective_action
CAP Request
Recorded
2023-06-12·cap_corrective_action
CAP Request
Recorded

Source: CMS Hospital Care Compare. 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

Regional Value & Quality Leader

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

Price Index: 0.66× regional baseline

Quality: 55/100 CMS composite

Median Household Income$37,981U.S. Census ACS

Local Uninsured Share9.2%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 72/100 · Corroborated CMS CCN 010138

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 010138) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filehillhospital

Publication / Vintage4/10/2026 · 28.40 MB

Validated Rate Rows756 (CMS v3.0.0)

File Integrity Digest6446106f7f933d1055be…

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