How many shoppable procedure prices are published for Atrium Health Anson?

Atrium Health Anson in Wadesboro, NC currently has 127 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Atrium Health Anson's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Atrium Health Anson's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 15 Beds · urban Updated: 2025-12-01

Atrium Health Anson

2301 Us Highway 74 West, Wadesboro, NC 28170 · 127 Priced Procedures · 71% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.92×vs. Fair Market Price

Typical commercial prices here are 8% below the fair benchmark (0.92×) after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 58% of the Time

File Completeness61

Price Logic92

Peer Alignment56

Clean Billing92

Real Cash Discount100

Regional Value Leader

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

Atrium Health Anson prices routine shoppable procedures near 0.7× Medicare (p50 0.80×) while skewing captive emergency, lab, and upper-quartile codes to 1.3× Medicare (p75 1.11×, +39% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#18 of 69 in NC · 24th State Percentile#794 of 3,385 in U.S. · 23rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 8% below peer Fair BaseRate (0.92×)
Self-pay cash beats commercial insurance on 58% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (70/100 safety score) with 71% 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 (0.92× 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 (1.6×) & laboratory (4.1×) services average 1.86× higher multiples than routine shoppable care (0.7×)
Upper-quartile procedures (Q75 1.11×) jump +39% above the median procedure ratio (Q50 0.80×)
Unnegotiated chargemaster list prices average 14.3× Medicare (16¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.7× Medicare

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

Back-Door Captive & ER1.86× Divergence

1.3× Medicare

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

Quantile Tail Spread+39% Upper Tail

Q25 0.54× · Q50 0.80× · Q75 1.11×

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

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.1× MedicareElevated

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

1.6× MedicareGood

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

58% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 70/100Fair

Procedure Prices at Atrium Health Anson

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 127 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`	—	$44,284	$30,775	1.4×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$26,717	$19,432	1.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$25,811	$19,087	1.4×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$22,712	$17,936	1.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,509	$8,223	1.2×
Breast lump removal CPT Code: `19120`	$4,632	$4,632	$3,875	1.2×
C-section delivery (full package) CPT Code: `59510`	—	$2,466	$2,975	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$2,207	$2,680	0.8×
Trauma team activation HCPCS Code: `G0390`	$4,619	$1,312	$1,453	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$1,117	$6,109	0.2×
Blood transfusion CPT Code: `36430`	$738	$738	$498	1.5×
Injection procedure for pain management HCPCS Code: `G0260`	$917	$687	$855	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,183	$526	$1,021	0.5×
Cataract surgery with lens implant CPT Code: `66984`	—	$521	$2,540	0.2×
Colonoscopy with biopsy CPT Code: `45380`	—	$464	$1,256	0.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$475	$3,372	0.1×
Inguinal hernia repair CPT Code: `49505`	—	$375	$3,629	0.1×
Rabies immune globulin HCPCS Code: `90375`	$2,768	$292	$322	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,217	$274	$448	0.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,659	$298	$511	0.6×
Upper endoscopy with biopsy CPT Code: `43239`	—	$297	$987	0.3×
MRI, lower back (no contrast) CPT Code: `72148`	$2,013	$232	$338	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,922	$235	$369	0.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,156	$194	$272	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,942	$162	$258	0.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,875	$172	$303	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$1,765	$187	$343	0.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,780	$208	$583	0.4×
Hepatitis B immune globulin HCPCS Code: `90371`	$841	$140	$151	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$94	$148	$166	0.9×
Neurobehavioral status check CPT Code: `96116`	$353	$154	$231	0.7×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$174	$981	0.2×
Screening mammogram (both breasts) CPT Code: `77067`	$320	$94	$123	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,350	$115	$167	0.7×
CT scan, head (with contrast) CPT Code: `70460`	$1,520	$139	$242	0.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$110	$158	$181	unverified
New patient office visit (30-44 min) CPT Code: `99203`	—	$109	$110	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$665	$106	$134	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$443	$112	$148	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$122	$123	unverified
Care planning with family CPT Code: `90887`	$109	$83	$107	0.8×
Ultrasound, pelvis CPT Code: `76856`	$644	$95	$130	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$545	$86	$132	0.7×
CT scan, pelvis CPT Code: `72192`	$1,390	$104	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$1,145	$105	$166	0.6×
CT scan, head (no contrast) CPT Code: `70450`	$1,269	$101	$160	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,504	$104	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,514	$104	$169	0.6×
Typhoid vaccine HCPCS Code: `90675`	$757	$329	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$280	$183	$203	unverified
Drug screening test HCPCS Code: `G0480`	$141	$141	$116	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	$182	$141	$140	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$195	$103	$111	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$107	$75	$56	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$79	$87	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$473	$75	$126	0.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$64	$45	$39	1.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$59	$46	$49	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$70	$70	$185	0.4×
Blood test, lipase CPT Code: `83690`	$141	$9	$7	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$38	$5	$4	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$188	$17	$14	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$157	$17	$14	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$104	$23	$19	1.2×
Blood test, vitamin D CPT Code: `82306`	$225	$37	$31	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$159	$19	$16	1.2×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$137	$28	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$104	$20	$20	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$34	$35	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$31	$33	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$77	$12	$14	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$101	$34	$40	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$95	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$122	$26	$34	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$90	$27	$38	0.7×
Orthotic fitting and training CPT Code: `97760`	$76	$35	$51	0.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$42	$24	$38	0.6×
Speech therapy (language evaluation) CPT Code: `92507`	$177	$44	$86	0.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$299	$37	$93	0.4×
X-ray, lower back CPT Code: `72110`	$430	$42	$112	0.4×
Psychological testing evaluation CPT Code: `96136`	$115	$47	$128	0.4×
Blood test, calcium CPT Code: `82310`	$62	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$53	$6	$5	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$137	$12	$10	1.2×
Blood test, potassium CPT Code: `84132`	$39	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$42	$6	$5	1.2×
Blood test, amylase CPT Code: `82150`	$130	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$73	$8	$7	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$177	$10	$9	1.1×
Blood test, liver function panel CPT Code: `80076`	$199	$10	$9	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$245	$11	$11	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$17	$25	0.7×
Speech therapy (group session) CPT Code: `92508`	$152	$11	$27	0.4×
X-ray, hip CPT Code: `73502`	$230	$34	$93	0.4×
X-ray, shoulder CPT Code: `73030`	$279	$31	$92	0.3×
X-ray, chest (two views) CPT Code: `71046`	$232	$31	$93	0.3×
X-ray, hand CPT Code: `73130`	$267	$30	$93	0.3×
Group therapy session CPT Code: `90853`	$101	$25	$100	0.3×
Family therapy session CPT Code: `90847`	$28	$28	$173	0.2×
Psychological testing by technician CPT Code: `96138`	$95	$47	$395	0.1×
Hepatitis B vaccine HCPCS Code: `90744`	$22	$41	$37	unverified
Flu vaccine injection HCPCS Code: `G0008`	$61	$45	$48	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$59	$46	$49	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$40	$4	$3	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$46	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$135	$10	$8	1.3×
Culture, bacterial CPT Code: `87070`	$171	$11	$9	1.2×
Hepatitis C antibody test CPT Code: `86803`	$175	$18	$15	1.2×
Culture, blood CPT Code: `87040`	$150	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$187	$21	$18	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$70	$7	$6	1.2×
Blood test, hemoglobin CPT Code: `85018`	$48	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$68	$5	$5	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$35	$24	$25	1.0×
Physical therapy (gait training) CPT Code: `97116`	$83	$20	$33	0.6×
Prosthetic fitting and training CPT Code: `97761`	$40	$23	$45	0.5×
Blood antibody screen CPT Code: `86850`	$113	$15	$46	0.3×
X-ray, ankle CPT Code: `73610`	$275	$29	$93	0.3×
X-ray, foot CPT Code: `73630`	$262	$24	$92	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$291	$12	$64	0.2×
X-ray, pelvis CPT Code: `72170`	$201	$20	$110	0.2×
X-ray, chest (single view) CPT Code: `71045`	$187	$16	$92	0.2×
Mental health services (assessment) HCPCS Code: `H0031`	—	$19	$140	0.1×
Behavioral health assessment HCPCS Code: `H0001`	—	$19	$157	0.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$80	$23	$201	0.1×
Occupational therapy (self-care training) CPT Code: `97535`	$82	$32	$38	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$2	$2	$86	0.0×

Showing top 25 high-impact procedures of 127 total

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

Audit a Bill or Quote at Atrium Health Anson (Zero PHI Required)

CMS CCN: 340084

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $44,284

1. Amount on Your Bill or Quote ($) Pre-filled with Atrium Health Anson’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 Atrium Health Anson'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 +$75,507 Above Fair BaseRate

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

Your bill ($106,282) is $75,507 above the denoised Fair BaseRate ($30,775) and 4.5× 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 Atrium Health Anson 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 Composite70/100

Would Recommend71%

Rated 9 or 10 (HCAHPS)82%

Median ER Wait116 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Atrium Health Anson. Prior administrative notices do not necessarily reflect current compliance status.

2025-06-26·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (50 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

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Atrium Health Anson.

Price Index: 1.11× regional baseline

Quality: 56/100 CMS composite

Median Household Income$44,245U.S. Census ACS

Local Uninsured Share13.3%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 80/100 · Corroborated CMS CCN 340084

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 340084) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-12-01

Validated Rate Rows11,126 (CMS v3.0.0)

File Integrity DigestVerified · CCN 340084

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