How many shoppable procedure prices are published for University McDuffie County Regional Medical Center?

University McDuffie County Regional Medical Center in Thomson, GA currently has 94 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do University McDuffie County Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, University McDuffie County Regional Medical Center's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 25 Beds · urban Updated: 2026-07-01

University McDuffie County Regional Medical Center

2460 Washington Road, Thomson, GA 30824 · 94 Priced Procedures · 72% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.41×vs. Fair Market Price

Typical commercial prices here are +41% above the fair benchmark (1.41×) even after accounting for local nurse/doctor wages and patient complexity.

90/100 · Verified

90/100Self-Pay Cash Beats Insurance 90% of the Time

File Completeness100

Price Logic92

Peer Alignment76

Clean Billing82

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.41× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +47% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

University McDuffie County Regional Medical Center prices routine shoppable procedures at 2.4× Medicare (median 1.31× Fair BaseRate) while upper-quartile commercial rates jump +47% to 1.93× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#67 of 100 in GA · 66th State Percentile#2,469 of 3,385 in U.S. · 72nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.87× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 90% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 72% patient recommendation (73/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (37.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Commercial insurance median sits at 1.31× Fair BaseRate (2.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.93×) jump +47% above the median procedure ratio (Q50 1.31×)
Consolidated metro market (HHI 2,534) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.4× Medicare

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

Back-Door Captive & ER0.42× Divergence

1.0× Medicare

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

Quantile Tail Spread+47% Upper Tail

Q25 0.87× · Q50 1.31× · Q75 1.93×

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

2.4× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.4× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.8× MedicareGood

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

1.4× MedicareGood

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

90% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 73/100Fair

Procedure Prices at University McDuffie County Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 94 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`	$55,549	$40,654	$30,775	1.3×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$8,737	$24,796	$19,087	1.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$39,402	$24,275	$19,432	1.2×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$38,557	$22,187	$17,936	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$6,597	$9,951	$8,223	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$1,071	$2,782	$987	2.8×
Colonoscopy with biopsy CPT Code: `45380`	$1,073	$2,782	$1,256	2.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,468	$1,468	$1,021	1.4×
Blood transfusion CPT Code: `36430`	$702	$1,390	$498	2.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,197	$1,197	$583	2.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,747	$916	$448	2.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,698	$916	$511	1.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,419	$584	$303	1.9×
MRI, lower back (no contrast) CPT Code: `72148`	$1,319	$584	$338	1.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,036	$584	$343	1.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,169	$584	$369	1.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$533	$533	$272	2.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$474	$474	$132	3.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$448	$448	$134	3.3×
CT scan, head (with contrast) CPT Code: `70460`	$868	$438	$242	1.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$980	$438	$258	1.7×
Ultrasound, pelvis CPT Code: `76856`	$371	$371	$130	2.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$355	$355	$126	2.8×
X-ray, pelvis CPT Code: `72170`	$160	$262	$110	2.4×
X-ray, lower back CPT Code: `72110`	$343	$262	$112	2.3×
New patient office visit (30-44 min) CPT Code: `99203`	$121	$242	$110	2.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$133	$266	$123	2.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$246	$246	$148	1.7×
CT scan, head (no contrast) CPT Code: `70450`	$835	$262	$160	1.6×
CT scan, pelvis CPT Code: `72192`	$817	$262	$163	1.6×
CT scan, sinuses CPT Code: `70486`	$665	$262	$166	1.6×
CT scan, chest (no contrast) CPT Code: `71250`	$775	$262	$167	1.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$703	$262	$168	1.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$917	$262	$169	1.6×
X-ray, shoulder CPT Code: `73030`	$168	$216	$92	2.3×
X-ray, foot CPT Code: `73630`	$175	$216	$92	2.3×
X-ray, chest (two views) CPT Code: `71046`	$119	$216	$93	2.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$220	$216	$93	2.3×
X-ray, hand CPT Code: `73130`	$154	$216	$93	2.3×
X-ray, hip CPT Code: `73502`	$158	$216	$93	2.3×
X-ray, ankle CPT Code: `73610`	$209	$216	$93	2.3×
Screening mammogram (both breasts) CPT Code: `77067`	$217	$217	$123	1.8×
X-ray, chest (single view) CPT Code: `71045`	$95	$216	$92	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$118	$236	$87	unverified
Speech therapy (group session) CPT Code: `92508`	$130	$130	$27	4.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$147	$147	$64	2.3×
Physical therapy (manual therapy) CPT Code: `97140`	$83	$83	$34	2.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$80	$80	$38	2.1×
Speech therapy (language evaluation) CPT Code: `92507`	$104	$104	$86	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$90	$90	$201	0.4×
Typhoid vaccine HCPCS Code: `90675`	$787	$624	$347	1.8×
Pneumococcal vaccine HCPCS Code: `90732`	$212	$260	$140	1.9×
Drug screening test HCPCS Code: `G0480`	$153	$103	$116	0.9×
Physical therapy (gait training) CPT Code: `97116`	$55	$55	$33	1.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$58	$58	$35	1.7×
Occupational therapy (self-care training) CPT Code: `97535`	$62	$62	$38	1.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$142	$77	$56	1.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$55	$55	$40	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$50	$50	$38	1.3×
Orthotic fitting and training CPT Code: `97760`	$62	$62	$51	1.2×
Prosthetic fitting and training CPT Code: `97761`	$48	$48	$45	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	$48	$48	$49	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$63	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$30	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$27	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$38	$4	$4	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$30	$4	$4	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$147	$10	$11	0.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$54	$9	$10	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$101	$17	$19	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$131	$8	$9	0.9×
Culture, bacterial CPT Code: `87070`	$119	$8	$9	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$81	$14	$16	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$62	$7	$8	0.9×
Blood test, vitamin D CPT Code: `82306`	$79	$27	$31	0.9×
Hepatitis C antibody test CPT Code: `86803`	$121	$13	$15	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$67	$12	$14	0.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$80	$17	$20	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$33	$33	$48	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$33	$33	$49	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$50	$50	$86	0.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$98	$12	$14	0.9×
Blood test, amylase CPT Code: `82150`	$77	$6	$7	0.9×
Blood test, lipase CPT Code: `83690`	$77	$6	$7	0.9×
Blood test, magnesium CPT Code: `83735`	$45	$6	$7	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$69	$15	$18	0.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$52	$5	$6	0.8×
Culture, blood CPT Code: `87040`	$151	$9	$11	0.8×
Blood test, potassium CPT Code: `84132`	$35	$4	$5	0.8×
Blood test, sodium CPT Code: `84295`	$31	$4	$5	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$39	$4	$5	0.8×
Blood test, liver function panel CPT Code: `80076`	$106	$7	$9	0.8×
Blood test, hemoglobin CPT Code: `85018`	$23	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$111	$9	$46	0.2×

Showing top 25 high-impact procedures of 94 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 37.0%

Audit a Bill or Quote at University McDuffie County Regional Medical Center (Zero PHI Required)

CMS CCN: 110111

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $55,549

Insurer Median $40,654

1. Amount on Your Bill or Quote ($) Pre-filled with University McDuffie County Regional Medical Center’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 501(r) AGB Cap: $68,436 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $68,436

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (37.0% of gross = $68,436).

Step 2 · Cash vs. Insurance Arbitrage Save $129,613 Paying Cash

Self-Pay Cash Rate ($55,549) Beats Your Bill

University McDuffie County Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $55,549 (vs. $40,654 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$154,387 Above Fair BaseRate

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

Your bill ($185,162) is $154,387 above the denoised Fair BaseRate ($30,775) and 7.9× 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) 501(c)(3) Nonprofit Hospital

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

EIN: 454166209

Filing Period: 201408

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (37.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

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

CMS Overall4/5 Stars (4/5)

Safety Composite73/100

Would Recommend72%

Rated 9 or 10 (HCAHPS)78%

Median ER Wait141 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (124 completed HCAHPS patient surveys). 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

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for University McDuffie County Regional Medical Center.

Price Index: 1.34× regional baseline

Quality: 68/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna

+75.7%

Kaiser Permanente

+82.6%

Median Household Income$54,058U.S. Census ACS

Local Uninsured Share11.2%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 90/100 · Verified CMS CCN 110111 EIN 454166209

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 110111) ↗ Verify IRS Form 990 (EIN 454166209) ↗ CMS HCRIS Cost Reports ↗

Published MRF File454166209_piedmont-mcduffie-hospital_standardcharges.zip!454166209_piedmont-mcduffie-hospital_standardcharges.csv

Publication / Vintage2026-07-01 · 71.96 MB

Validated Rate Rows1,843 (CMS v3.0.0)

File Integrity Digest8d0cb02411a6b1908156…

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

University McDuffie County Regional Medical Center

Wide Procedure Spread · Upper-Quartile Skew Pricer

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at University McDuffie County Regional Medical Center

Audit a Bill or Quote at University McDuffie County Regional Medical Center (Zero PHI Required)

Statutory 501(r) AGB Cap Limits Bill to $68,436

Self-Pay Cash Rate ($55,549) Beats Your Bill

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

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

Clinical Quality, Patient Experience & Infection Benchmarks

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Notable Payer Contract Outliers (SVD Matrix Anomalies)

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