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

PAM Rehabilitation Hospital of Dover in Dover, DE currently has 120 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, PAM Rehabilitation Hospital of Dover's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

Hospital Profile General Acute Care Hospital Updated: 2026-08-06

PAM Rehabilitation Hospital of Dover

1240 McKee Rd, Dover, DE 19904 · 120 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.19×vs. Fair Market Price

Typical commercial prices here are +19% above the fair benchmark (1.19×) even after accounting for local nurse/doctor wages and patient complexity.

60/100 · Caution

60/100Self-Pay Cash Beats Insurance 5% of the Time

File Completeness60

Price Logic96

Peer Alignment43

Clean Billing82

Real Cash Discount6

Premium Quality Tier

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

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

PAM Rehabilitation Hospital of Dover prices routine shoppable procedures near 5.8× Medicare (p50 1.16×) while skewing captive emergency, lab, and upper-quartile codes to 13.5× Medicare (p75 1.34×, +16% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#3 of 9 in DE · 22nd State Percentile#1,968 of 3,385 in U.S. · 58th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.98× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 5% 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)

Outpatient surgery & OR suites carry a 2.5× markup over Medicare rates
Captive ER (2.9×) & laboratory (2.6×) services average 2.33× higher multiples than routine shoppable care (5.8×)
Upper-quartile procedures (Q75 1.34×) jump +16% above the median procedure ratio (Q50 1.16×)
Consolidated metro market (HHI 2,500) limits in-network hospital competition (Moderately Concentrated (1,500–2,500))

Front-Door ShoppableElective / Imaging

5.8× Medicare

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

Back-Door Captive & ER2.33× Divergence

13.5× Medicare

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

Quantile Tail Spread+16% Upper Tail

Q25 0.98× · Q50 1.16× · Q75 1.34×

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

5.8× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

2.5× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.5× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.9× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.6× MedicareFair

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

1.1× MedicareGood

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

5% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at PAM Rehabilitation Hospital of Dover

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 120 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$9,687	$9,687	$17,936	0.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$9,794	$7,346	$511	14.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$8,264	$6,198	$448	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$6,305	$4,729	$338	14.0×
MRI, brain (no contrast) CPT Code: `70551`	$6,305	$4,729	$343	unverified
MRI, knee or other leg joint CPT Code: `73721`	$6,305	$4,729	$369	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$6,137	$4,603	$258	17.8×
CT scan, head (with contrast) CPT Code: `70460`	$5,509	$4,132	$242	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$5,349	$4,012	$303	unverified
C-section delivery (full package) CPT Code: `59510`	—	$2,914	$2,975	1.0×
Breast lump removal CPT Code: `19120`	—	$2,817	$3,875	unverified
CT scan, head (no contrast) CPT Code: `70450`	$3,566	$2,674	$160	16.7×
CT scan, pelvis CPT Code: `72192`	$3,566	$2,674	$163	16.4×
CT scan, sinuses CPT Code: `70486`	$3,566	$2,674	$166	16.1×
CT scan, chest (no contrast) CPT Code: `71250`	$3,566	$2,674	$167	16.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,566	$2,674	$168	15.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,566	$2,674	$169	15.8×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,613	$2,680	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$2,599	$3,629	unverified
Bunion correction surgery CPT Code: `28296`	—	$2,568	$3,446	0.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$2,408	$3,372	0.7×
Upper endoscopy with biopsy CPT Code: `43239`	$2,503	$1,878	$987	unverified
Trauma team activation HCPCS Code: `G0390`	—	$1,747	$1,453	1.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$1,771	$2,540	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$1,629	$1,222	$123	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	$992	$1,256	0.8×
Psychological testing by technician CPT Code: `96138`	$1,234	$925	$395	2.3×
Injection procedure for pain management HCPCS Code: `G0260`	—	$925	$855	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$861	$1,021	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,131	$848	$134	unverified
Ultrasound, pelvis CPT Code: `76856`	$1,131	$848	$130	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,064	$798	$583	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$772	$981	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$969	$726	$132	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$979	$734	$126	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$715	$536	$272	unverified
Behavioral health residential care HCPCS Code: `H0011`	—	$452	$364	1.2×
X-ray, chest (two views) CPT Code: `71046`	$550	$412	$93	4.4×
X-ray, pelvis CPT Code: `72170`	$558	$419	$110	3.8×
Psychological testing evaluation CPT Code: `96136`	$560	$420	$128	3.3×
X-ray, hip CPT Code: `73502`	$468	$351	$93	3.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$404	$303	$93	3.3×
Neurobehavioral status check CPT Code: `96116`	—	$283	$231	1.2×
X-ray, shoulder CPT Code: `73030`	$733	$305	$92	unverified
X-ray, hand CPT Code: `73130`	$348	$261	$93	2.8×
Residential mental health treatment HCPCS Code: `H2036`	—	$260	$406	0.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$349	$262	$64	unverified
X-ray, chest (single view) CPT Code: `71045`	$309	$231	$92	2.5×
X-ray, foot CPT Code: `73630`	$397	$230	$92	2.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$200	$185	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$190	$181	1.0×
Blood transfusion CPT Code: `36430`	$715	$199	$498	0.4×
X-ray, lower back CPT Code: `72110`	$260	$195	$112	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$197	$143	$86	1.7×
X-ray, ankle CPT Code: `73610`	$204	$153	$93	1.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$169	$148	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$143	$123	1.2×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$164	$151	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$166	$166	1.0×
Family therapy session CPT Code: `90847`	—	$166	$173	1.0×
Speech therapy (group session) CPT Code: `92508`	$252	$183	$27	unverified
New patient office visit (30-44 min) CPT Code: `99203`	—	$124	$110	1.1×
Behavioral health assessment HCPCS Code: `H0001`	—	$142	$157	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$147	$201	0.7×
Physical therapy (manual therapy) CPT Code: `97140`	$130	$91	$34	2.7×
Physical therapy (gait training) CPT Code: `97116`	$112	$81	$33	2.5×
Prosthetic fitting and training CPT Code: `97761`	$106	$80	$45	1.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$100	$87	1.1×
Care planning with family CPT Code: `90887`	—	$94	$107	0.9×
Group therapy session CPT Code: `90853`	—	$80	$100	0.8×
Orthotic fitting and training CPT Code: `97760`	$184	$97	$51	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$586	$439	$11	39.9×
Typhoid vaccine HCPCS Code: `90675`	—	$398	$347	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$449	$337	$9	37.4×
Blood test, liver function panel CPT Code: `80076`	$375	$281	$9	31.2×
Culture, blood CPT Code: `87040`	$334	$250	$11	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$236	$177	$140	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$234	$176	$14	unverified
Blood test, hemoglobin CPT Code: `85018`	$190	$143	$3	47.7×
Blood test, vitamin B12 CPT Code: `82607`	$216	$162	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$212	$159	$14	unverified
Blood test, lipase CPT Code: `83690`	$191	$143	$7	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$220	$165	$18	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$157	$118	$6	19.7×
Drug screening test HCPCS Code: `G0480`	—	$125	$116	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$147	$110	$10	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$104	$78	$3	26.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$112	$78	$35	2.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$112	$78	$38	2.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$112	$78	$40	1.9×
Blood test, amylase CPT Code: `82150`	$130	$97	$7	unverified
Blood test, magnesium CPT Code: `83735`	$130	$97	$7	unverified
Blood test, potassium CPT Code: `84132`	$114	$85	$5	unverified
Blood test, sodium CPT Code: `84295`	$114	$85	$5	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$136	$102	$8	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$130	$97	$5	unverified
Blood antibody screen CPT Code: `86850`	$83	$63	$46	1.4×
Blood test, calcium CPT Code: `82310`	$78	$59	$5	unverified
Culture, bacterial CPT Code: `87070`	$86	$65	$9	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$104	$77	$38	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$47	$35	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$72	$49	$38	1.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$61	$49	1.2×
Colorectal cancer screening HCPCS Code: `G0010`	—	$61	$49	1.2×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$41	$33	1.2×
Flu vaccine injection HCPCS Code: `G0008`	—	$61	$48	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$32	$27	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$23	$20	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$15	$14	1.1×
Hepatitis C antibody test CPT Code: `86803`	—	$16	$15	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	—	$20	$19	1.1×
Blood test, vitamin D CPT Code: `82306`	—	$32	$31	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	—	$6	$5	1.2×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$4	$4	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$4	$4	1.0×
Community mental health services HCPCS Code: `H0038`	—	$16	$16	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$18	$25	0.7×
Hepatitis B vaccine HCPCS Code: `90744`	—	$24	$37	0.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$16	$25	0.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$8	$39	0.2×

Showing top 25 high-impact procedures of 120 total

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

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

CMS CCN: 083027

CPT 322

Select Procedure to Audit:

Fair BaseRate™ $17,936

Medicare Rate $12,807

Self-Pay Cash $9,687

Insurer Median $9,687

1. Amount on Your Bill or Quote ($) Pre-filled with PAM Rehabilitation Hospital of Dover’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: $9,687

Compare Prompt-Pay Cash Rate Against Remaining Deductible

PAM Rehabilitation Hospital of Dover's published 45 CFR § 180 self-pay cash rate is $9,687 (vs. $9,687 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $17,936 Fair BaseRate

Negotiate Toward $17,936 Fair BaseRate ($12,807 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($17,936).

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)

EIN: 320518669

Public IRS & CMS ownership records classify PAM Rehabilitation Hospital of Dover 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 Rehabilitation Hospital of Dover.

Price Index: 1.54× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna

-69.7%

Median Household Income$66,885U.S. Census ACS

Local Uninsured Share7.5%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 60/100 · Caution CMS CCN 083027 EIN 320518669

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

MRF Portal Indexed (320518669_pam-squared-at-dover-llc_standardcharges.csv) Verify on CMS Medicare.gov (CCN 083027) ↗ Verify IRS Form 990 (EIN 320518669) ↗ CMS HCRIS Cost Reports ↗

Published MRF File320518669_pam-squared-at-dover-llc_standardcharges.csv

Publication / Vintage2026-08-06 · 56.36 MB

Validated Rate Rows2,043 (CMS v3.0.0)

File Integrity DigestVerified · CCN 083027

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