How many shoppable procedure prices are published for Blue Ridge Regional Hospital?

Blue Ridge Regional Hospital in Spruce Pine, NC currently has 106 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Blue Ridge Regional Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Blue Ridge Regional Hospital's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is Blue Ridge Regional Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Blue Ridge Regional Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 2026-03-01

Blue Ridge Regional Hospital

125 Hospital Drive, Spruce Pine, NC 28777 · 106 Priced Procedures · 69% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.20×vs. Fair Market Price

Typical commercial prices here are +20% above the fair benchmark (1.20×) even after accounting for local nurse/doctor wages and patient complexity.

59/100 · Caution

59/100Self-Pay Cash Beats Insurance 2% of the Time

File Completeness51

Price Logic85

Peer Alignment50

Clean Billing88

Real Cash Discount11

Premium Quality Tier

3-Star CMS clinical quality rating paired with 1.20× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Blue Ridge Regional Hospital prices shoppable and inpatient services (1.3× to 1.2× Medicare, divergence 0.92×) in alignment with regional hospital peers (1.20× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#43 of 69 in NC · 60th State Percentile#2,013 of 3,385 in U.S. · 59th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.02× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 2% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (66/100 safety score) with 69% 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 1.6× markup over Medicare rates
Commercial insurance median sits at 1.23× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.4× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 13.4× Medicare (16¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER0.92× Divergence

1.2× Medicare

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

Quantile Tail Spread+3% Upper Tail

Q25 1.02× · Q50 1.23× · Q75 1.27×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.7× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.7× MedicareFair

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

1.4× MedicareGood

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

2% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 66/100Fair

Procedure Prices at Blue Ridge Regional Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 106 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	—	$14,000	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$14,000	$13,523	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$9,586	$9,586	$448	21.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$8,180	$8,180	$511	16.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$7,710	$7,710	$303	25.4×
Rabies immune globulin HCPCS Code: `90375`	$6,570	$6,570	$322	20.4×
MRI, lower back (no contrast) CPT Code: `72148`	$5,913	$5,913	$338	17.5×
MRI, knee or other leg joint CPT Code: `73721`	$5,848	$5,848	$369	15.8×
MRI, brain (no contrast) CPT Code: `70551`	$5,781	$5,781	$343	16.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$5,732	$5,732	$258	22.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$5,198	$3,372	1.5×
Bunion correction surgery CPT Code: `28296`	—	$5,198	$3,446	1.5×
Inguinal hernia repair CPT Code: `49505`	—	$5,198	$3,629	1.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,198	$6,109	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,888	$4,888	$1,021	4.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$4,268	$4,268	$169	25.3×
CT scan, head (with contrast) CPT Code: `70460`	$4,273	$4,273	$242	17.7×
CT scan, head (no contrast) CPT Code: `70450`	$3,960	$3,960	$160	24.8×
CT scan, sinuses CPT Code: `70486`	$3,960	$3,960	$166	23.9×
Breast lump removal CPT Code: `19120`	—	$3,875	$3,875	1.0×
CT scan, pelvis CPT Code: `72192`	$3,824	$3,824	$163	23.5×
CT scan, chest (no contrast) CPT Code: `71250`	$3,824	$3,824	$167	22.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,824	$3,824	$168	22.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$3,756	$3,756	$151	24.9×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,675	$981	2.7×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,675	$987	2.7×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,675	$1,256	2.1×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,675	$2,540	1.1×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,675	$2,680	1.0×
C-section delivery (full package) CPT Code: `59510`	—	$2,675	$2,975	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,604	$2,604	$583	4.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,946	$1,946	$134	14.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,608	$1,608	$272	5.9×
Ultrasound, pelvis CPT Code: `76856`	$1,552	$1,552	$130	11.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,254	$1,254	$126	10.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,244	$1,244	$132	9.4×
X-ray, hip CPT Code: `73502`	$1,110	$1,110	$93	11.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$983	$983	$93	10.6×
Blood transfusion CPT Code: `36430`	$971	$971	$498	unverified
X-ray, lower back CPT Code: `72110`	$842	$842	$112	7.5×
X-ray, chest (two views) CPT Code: `71046`	$655	$655	$93	7.0×
X-ray, pelvis CPT Code: `72170`	$652	$652	$110	5.9×
X-ray, foot CPT Code: `73630`	$530	$530	$92	5.8×
X-ray, hand CPT Code: `73130`	$530	$530	$93	5.7×
X-ray, ankle CPT Code: `73610`	$530	$530	$93	5.7×
X-ray, shoulder CPT Code: `73030`	$511	$511	$92	5.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$523	$523	$123	4.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$436	$436	$87	5.0×
New patient office visit (30-44 min) CPT Code: `99203`	$436	$436	$110	4.0×
Speech therapy (language evaluation) CPT Code: `92507`	$290	$290	$86	3.4×
X-ray, chest (single view) CPT Code: `71045`	$308	$308	$92	3.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$190	$190	$64	3.0×
Physical therapy (gait training) CPT Code: `97116`	$122	$122	$33	3.7×
Occupational therapy (self-care training) CPT Code: `97535`	$138	$138	$38	3.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$100	$100	$14	7.1×
Physical therapy (manual therapy) CPT Code: `97140`	$122	$122	$34	3.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$138	$138	$40	3.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$131	$131	$38	3.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$127	$127	$38	3.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$106	$106	$35	3.0×
Orthotic fitting and training CPT Code: `97760`	$117	$117	$51	2.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$484	$103	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$474	$85	$123	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$99	$99	$201	0.5×
Typhoid vaccine HCPCS Code: `90675`	$3,678	$3,678	$347	10.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$1,363	$1,363	$203	6.7×
Pneumococcal vaccine HCPCS Code: `90732`	$1,062	$1,062	$140	7.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$772	$772	$111	7.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$725	$725	$25	29.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$436	$436	$56	7.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$271	$271	$39	6.9×
Hepatitis B vaccine HCPCS Code: `90744`	$246	$246	$37	6.6×
Flu vaccine injection HCPCS Code: `G0008`	$129	$129	$48	2.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$129	$129	$49	2.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$76	$76	$86	0.9×
Drug screening test HCPCS Code: `G0480`	—	$76	$116	0.7×
Blood test, vitamin D CPT Code: `82306`	—	$38	$31	1.2×
Colorectal cancer screening HCPCS Code: `G0010`	$149	$48	$49	1.0×
Blood test, calcium CPT Code: `82310`	—	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	—	$7	$5	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$8	$6	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	$13	$10	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	—	$18	$14	1.3×
Blood test, lipase CPT Code: `83690`	—	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	—	$9	$7	1.3×
Hepatitis C antibody test CPT Code: `86803`	—	$19	$15	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	—	$24	$19	1.3×
Blood test, vitamin B12 CPT Code: `82607`	—	$20	$16	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$10	$8	1.3×
Culture, bacterial CPT Code: `87070`	—	$11	$9	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$17	$14	1.2×
Blood test, potassium CPT Code: `84132`	$107	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$155	$6	$5	1.2×
Culture, blood CPT Code: `87040`	—	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$21	$18	1.2×
Blood test, amylase CPT Code: `82150`	—	$8	$7	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	—	$10	$9	1.1×
Blood test, liver function panel CPT Code: `80076`	—	$10	$9	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$11	$11	$11	1.0×
Blood test, hemoglobin CPT Code: `85018`	$71	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$78	$5	$5	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$61	$15	$35	0.4×
Blood antibody screen CPT Code: `86850`	—	$15	$46	0.3×

Showing top 25 high-impact procedures of 106 total

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

Audit a Bill or Quote at Blue Ridge Regional Hospital (Zero PHI Required)

CMS CCN: 341329

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $14,000

1. Amount on Your Bill or Quote ($) Pre-filled with Blue Ridge Regional Hospital’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 Blue Ridge Regional Hospital'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 +$20,187 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($33,600) is $20,187 above the denoised Fair BaseRate ($13,413) and 2.6× the $13,117 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 Blue Ridge Regional Hospital 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

CMS Overall3/5 Stars (3/5)

Safety Composite66/100

Would Recommend69%

Rated 9 or 10 (HCAHPS)75%

Median ER Wait121 min

Left ER Before Seen0%

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

CMS Price Transparency Administrative Enforcement Log

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

2025-05-07·administrative_or_closure
Met Requirements
Recorded
2024-05-20·administrative_or_closure
Closure Notice
Recorded
2024-02-14·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (238 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 Blue Ridge Regional Hospital.

Price Index: 1.10× regional baseline

Quality: 58/100 CMS composite

Median Household Income$58,089U.S. Census ACS

Local Uninsured Share10.0%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 59/100 · Caution CMS CCN 341329

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 341329) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-01

Validated Rate Rows2,873 (CMS v3.0.0)

File Integrity DigestVerified · CCN 341329

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