How many shoppable procedure prices are published for PAM Health Rehabilitation Hospital of Georgetown?

PAM Health Rehabilitation Hospital of Georgetown in Georgetown, DE currently has 104 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do PAM Health Rehabilitation Hospital of Georgetown's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, PAM Health Rehabilitation Hospital of Georgetown's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

Hospital Profile General Acute Care Hospital Updated: 2025-09-11

PAM Health Rehabilitation Hospital of Georgetown

22303 Dupont Blvd, Georgetown, DE 19947 · 104 Priced Procedures

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.80×vs. Fair Market Price

Typical commercial prices here are 20% below the fair benchmark (0.80×) after accounting for local nurse/doctor wages and patient complexity.

63/100 · Caution

63/100Self-Pay Cash Beats Insurance 2% of the Time

File Completeness66

Price Logic92

Peer Alignment60

Clean Billing73

Real Cash Discount8

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

PAM Health Rehabilitation Hospital of Georgetown maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.80× Fair BaseRate) and emergency/ancillary services (0.9× Medicare, p75 0.94× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#1 of 9 in DE · 1st State Percentile#270 of 3,385 in U.S. · 7th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 20% below peer Fair BaseRate (0.80×)
Self-pay cash beats commercial insurance on 2% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (54/100 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)

Even at low-cost facilities (0.80× 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.
Captive ER (1.0×) & laboratory (1.7×) services average 1.29× higher multiples than routine shoppable care (0.7×)
Upper-quartile procedures (Q75 0.94×) jump +17% above the median procedure ratio (Q50 0.80×)
Consolidated metro market (HHI 2,500) limits in-network hospital competition (Moderately Concentrated (1,500–2,500))

Front-Door ShoppableElective / Imaging

0.7× Medicare

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

Back-Door Captive & ER1.29× Divergence

0.9× Medicare

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

Quantile Tail Spread+17% Upper Tail

Q25 0.54× · Q50 0.80× · Q75 0.94×

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

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.7× MedicareGood

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

1.1× MedicareGood

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

2% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at PAM Health Rehabilitation Hospital of Georgetown

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 104 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Blood transfusion CPT Code: `36430`	$1,846	$1,846	$498	3.7×
Bunion correction surgery CPT Code: `28296`	—	$848	$3,446	0.2×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$597	$1,021	0.6×
Cataract surgery with lens implant CPT Code: `66984`	—	$517	$2,540	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$527	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	—	$505	$3,629	0.1×
Breast lump removal CPT Code: `19120`	—	$502	$3,875	0.1×
Behavioral health residential care HCPCS Code: `H0011`	—	$452	$364	1.2×
Colonoscopy with biopsy CPT Code: `45380`	$4,872	$415	$1,256	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$349	$349	$64	5.5×
Upper endoscopy with biopsy CPT Code: `43239`	$3,801	$360	$987	0.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,693	$298	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,693	$314	$511	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$3,728	$326	$981	0.3×
Residential mental health treatment HCPCS Code: `H2036`	—	$260	$406	0.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$167	$185	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$821	$171	$258	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,059	$180	$303	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$1,059	$193	$343	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$1,059	$188	$338	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$1,059	$200	$369	0.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,221	$188	$583	0.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$152	$148	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$445	$123	$123	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$147	$181	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$151	$151	$201	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$123	$123	1.0×
Behavioral health assessment HCPCS Code: `H0001`	—	$142	$157	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,059	$148	$272	0.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$87	$87	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	—	$107	$110	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$501	$111	$134	0.8×
CT scan, pelvis CPT Code: `72192`	$501	$131	$163	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$501	$131	$167	0.8×
CT scan, sinuses CPT Code: `70486`	$501	$126	$166	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$501	$128	$169	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$501	$127	$168	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$821	$146	$242	0.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$501	$106	$132	0.8×
Ultrasound, pelvis CPT Code: `76856`	$501	$101	$130	0.8×
Care planning with family CPT Code: `90887`	—	$82	$107	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$501	$83	$126	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$501	$104	$160	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$100	$166	0.6×
Family therapy session CPT Code: `90847`	—	$99	$173	0.6×
Pneumococcal vaccine HCPCS Code: `90732`	$435	$435	$140	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$193	$193	$20	9.7×
Drug screening test HCPCS Code: `G0480`	$1,144	$112	$116	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$279	$77	$86	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$45	$35	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$144	$38	$40	0.9×
Orthotic fitting and training CPT Code: `97760`	$179	$47	$51	0.9×
Community mental health services HCPCS Code: `H0038`	—	$16	$16	1.0×
Prosthetic fitting and training CPT Code: `97761`	$151	$41	$45	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$136	$34	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$130	$33	$38	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$33	$38	0.9×
Psychological testing evaluation CPT Code: `96136`	—	$40	$128	0.3×
Blood test, calcium CPT Code: `82310`	$52	$5	$5	1.0×
Blood test, lipase CPT Code: `83690`	$69	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$67	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$48	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$48	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$40	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$78	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$60	$6	$6	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$184	$18	$19	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$151	$15	$16	0.9×
Blood test, vitamin D CPT Code: `82306`	$296	$29	$31	0.9×
X-ray, hip CPT Code: `73502`	$372	$46	$93	0.5×
X-ray, lower back CPT Code: `72110`	$501	$50	$112	0.4×
Blood test, glucose (blood sugar) CPT Code: `82947`	$39	$4	$4	1.0×
Hepatitis C antibody test CPT Code: `86803`	$143	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$134	$13	$14	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$136	$13	$14	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$372	$38	$93	0.4×
X-ray, hand CPT Code: `73130`	$372	$36	$93	0.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$106	$10	$11	0.9×
Culture, blood CPT Code: `87040`	$103	$10	$11	0.9×
Physical therapy (gait training) CPT Code: `97116`	$125	$30	$33	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$168	$16	$18	0.9×
X-ray, ankle CPT Code: `73610`	$372	$35	$93	0.4×
X-ray, shoulder CPT Code: `73030`	$372	$34	$92	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$32	$3	$3	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$51	$5	$5	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$97	$10	$10	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$85	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$82	$8	$9	0.9×
Culture, bacterial CPT Code: `87070`	$86	$8	$9	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$138	$30	$35	0.9×
Speech therapy (group session) CPT Code: `92508`	$148	$23	$27	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$43	$4	$5	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$129	$27	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$24	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$14	$25	0.6×
X-ray, foot CPT Code: `73630`	$372	$33	$92	0.4×
X-ray, chest (two views) CPT Code: `71046`	$372	$32	$93	0.3×
Blood test, amylase CPT Code: `82150`	$65	$6	$7	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$8	$25	0.3×
X-ray, chest (single view) CPT Code: `71045`	$372	$25	$92	0.3×
Group therapy session CPT Code: `90853`	—	$27	$100	0.3×
X-ray, pelvis CPT Code: `72170`	$501	$27	$110	0.2×
Blood antibody screen CPT Code: `86850`	$229	$10	$46	0.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$8	$39	0.2×

Showing top 25 high-impact procedures of 104 total

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

Audit a Bill or Quote at PAM Health Rehabilitation Hospital of Georgetown (Zero PHI Required)

CMS CCN: 083028

CPT 36430

Select Procedure to Audit:

Fair BaseRate™ $498

Medicare Rate $451

Self-Pay Cash $1,846

Insurer Median $1,846

1. Amount on Your Bill or Quote ($) Pre-filled with PAM Health Rehabilitation Hospital of Georgetown’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 Published Cash: $1,846

Compare Prompt-Pay Cash Rate Against Remaining Deductible

PAM Health Rehabilitation Hospital of Georgetown's published 45 CFR § 180 self-pay cash rate is $1,846 (vs. $1,846 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$1,348 Above Fair BaseRate

Negotiate Toward $498 Fair BaseRate ($451 Medicare)

Your bill ($1,846) is $1,348 above the denoised Fair BaseRate ($498) and 4.1× the $451 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 PAM Health Rehabilitation Hospital of Georgetown 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 ↑

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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for PAM Health Rehabilitation Hospital of Georgetown.

Price Index: 1.21× regional baseline

Quality: 54/100 CMS composite

Median Household Income$68,529U.S. Census ACS

Local Uninsured Share15.8%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 63/100 · Caution CMS CCN 083028

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 083028) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-09-11

Validated Rate Rows701 (CMS v3.0.0)

File Integrity DigestVerified · CCN 083028

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