How many shoppable procedure prices are published for Central Carolina Hospital?

Central Carolina Hospital in Sanford, NC currently has 86 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Central Carolina Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Central Carolina Hospital's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is Central Carolina Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Central Carolina Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 127 Beds · rural Updated: 7/1/2025

Central Carolina Hospital

1135 Carthage St, Sanford, NC 27330 · 86 Priced Procedures · 51% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.29×vs. Fair Market Price

Typical commercial prices here are +29% above the fair benchmark (1.29×) even after accounting for local nurse/doctor wages and patient complexity.

78/100 · Corroborated

78/100Self-Pay Cash Beats Insurance 9% of the Time

File Completeness51

Price Logic95

Peer Alignment70

Clean Billing75

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.29× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Central Carolina Hospital prices routine shoppable procedures near 1.4× Medicare (p50 1.16×) while skewing captive emergency, lab, and upper-quartile codes to 1.6× Medicare (p75 1.68×, +45% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#45 of 69 in NC · 63rd State Percentile#2,224 of 3,385 in U.S. · 65th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.90× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 9% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 51% patient recommendation (61/100 safety score)
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 (1.29× 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 (2.0×) & laboratory (4.7×) services average 1.14× higher multiples than routine shoppable care (1.4×)
Upper-quartile procedures (Q75 1.68×) jump +45% above the median procedure ratio (Q50 1.16×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.4× Medicare

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

Back-Door Captive & ER1.14× Divergence

1.6× Medicare

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

Quantile Tail Spread+45% Upper Tail

Q25 0.90× · Q50 1.16× · Q75 1.68×

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

1.4× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.8× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.7× MedicareWatchout

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

1.6× MedicareGood

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

9% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 61/100Elevated

Procedure Prices at Central Carolina Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 86 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$32,550	$18,396	$19,087	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$64,870	$15,995	$17,936	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$78,318	$15,494	$19,432	0.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$11,212	$7,933	$3,372	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$20,626	$7,446	$8,223	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$8,451	$5,444	$6,109	0.9×
Inguinal hernia repair CPT Code: `49505`	$8,962	$3,912	$3,629	1.1×
Breast lump removal CPT Code: `19120`	$6,248	$3,425	$3,875	0.9×
Cataract surgery with lens implant CPT Code: `66984`	$3,705	$2,205	$2,540	0.9×
Total knee replacement CPT Code: `27447`	$1,567	$1,567	$13,523	0.1×
Colonoscopy with biopsy CPT Code: `45380`	$2,630	$1,198	$1,256	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$3,094	$1,008	$981	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,147	$993	$1,021	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$3,503	$823	$987	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,055	$767	$511	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,262	$767	$583	unverified
MRI, knee or other leg joint CPT Code: `73721`	$2,903	$678	$369	1.8×
MRI, brain (no contrast) CPT Code: `70551`	$2,189	$511	$343	1.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,015	$520	$303	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,724	$443	$338	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,137	$438	$448	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,401	$353	$258	1.4×
CT scan, sinuses CPT Code: `70486`	$1,941	$301	$166	1.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,827	$284	$169	1.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,133	$265	$167	1.6×
Blood transfusion CPT Code: `36430`	$1,198	$280	$498	0.6×
CT scan, head (no contrast) CPT Code: `70450`	$1,066	$247	$160	1.5×
CT scan, pelvis CPT Code: `72192`	$1,504	$245	$163	1.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$798	$236	$272	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,266	$190	$134	1.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$318	$196	$87	unverified
Orthotic fitting and training CPT Code: `97760`	$69	$153	$51	3.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$297	$177	$64	unverified
X-ray, lower back CPT Code: `72110`	$801	$146	$112	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$563	$131	$110	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$622	$145	$126	1.2×
CT scan, head (with contrast) CPT Code: `70460`	$1,133	$167	$242	0.7×
X-ray, chest (two views) CPT Code: `71046`	$471	$109	$93	1.2×
X-ray, shoulder CPT Code: `73030`	$531	$104	$92	1.1×
X-ray, chest (single view) CPT Code: `71045`	$345	$98	$92	1.1×
X-ray, pelvis CPT Code: `72170`	$403	$103	$110	0.9×
Ultrasound, pelvis CPT Code: `76856`	$503	$118	$130	0.9×
X-ray, foot CPT Code: `73630`	$477	$86	$92	0.9×
X-ray, hand CPT Code: `73130`	$443	$86	$93	0.9×
X-ray, hip CPT Code: `73502`	$275	$86	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$466	$85	$93	0.9×
X-ray, ankle CPT Code: `73610`	$555	$84	$93	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$444	$106	$132	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$135	$84	$123	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$218	$101	$148	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,552	$103	$168	0.6×
Occupational therapy (self-care training) CPT Code: `97535`	$80	$125	$38	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$400	$93	$123	0.8×
Culture, bacterial CPT Code: `87070`	$324	$324	$9	unverified
Drug screening test HCPCS Code: `G0480`	$217	$217	$116	1.9×
Blood test, vitamin D CPT Code: `82306`	$201	$55	$31	1.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$98	$42	$35	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$86	$44	$38	1.2×
Blood test, potassium CPT Code: `84132`	$51	$51	$5	unverified
Culture, blood CPT Code: `87040`	$183	$23	$11	2.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$98	$37	$40	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$88	$6	$3	2.0×
Blood test, lipase CPT Code: `83690`	$134	$13	$7	1.9×
Blood test, clotting time (PTT) CPT Code: `85730`	$102	$11	$6	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$72	$9	$5	1.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$149	$18	$10	1.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$107	$25	$14	1.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$53	$7	$4	1.8×
Hepatitis C antibody test CPT Code: `86803`	$206	$26	$15	1.7×
Blood test, amylase CPT Code: `82150`	$74	$12	$7	1.7×
Blood test, magnesium CPT Code: `83735`	$84	$12	$7	1.7×
Blood test, basic metabolic panel CPT Code: `80048`	$221	$15	$9	1.7×
Blood test, liver function panel CPT Code: `80076`	$139	$15	$9	1.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$224	$30	$18	1.7×
Blood test, hemoglobin CPT Code: `85018`	$10	$4	$3	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$157	$21	$16	1.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$322	$13	$11	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$137	$14	$14	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$135	$8	$8	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$119	$16	$19	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$113	$26	$34	0.8×
Blood antibody screen CPT Code: `86850`	$139	$22	$46	0.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$27	$16	$35	0.5×
Physical therapy (gait training) CPT Code: `97116`	$53	$12	$33	0.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$110	$28	$201	0.1×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$84	$10	$5	unverified

Showing top 25 high-impact procedures of 86 total

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

Audit a Bill or Quote at Central Carolina Hospital (Zero PHI Required)

CMS CCN: 340020

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $32,550

Insurer Median $18,396

1. Amount on Your Bill or Quote ($) Pre-filled with Central Carolina 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 Save $48,825 Paying Cash

Self-Pay Cash Rate ($32,550) Beats Your Bill

Central Carolina Hospital's published 45 CFR § 180 self-pay cash rate is $32,550 (vs. $18,396 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$62,288 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($81,375) is $62,288 above the denoised Fair BaseRate ($19,087) and 5.8× the $14,117 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 Central Carolina 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 Composite61/100

Would Recommend51%

Rated 9 or 10 (HCAHPS)58%

Median ER Wait180 min

Left ER Before Seen3%

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 Central Carolina Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-09-26·administrative_or_closure
Closure Notice
Recorded
2025-06-27·warning_notice
Warning Notice
Recorded
2024-05-13·administrative_or_closure
Closure Notice
Recorded
2024-02-05·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (294 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 Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Central Carolina Hospital.

Price Index: 1.00× regional baseline

Quality: 51/100 CMS composite

Median Household Income$63,060U.S. Census ACS

Local Uninsured Share12.4%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 78/100 · Corroborated CMS CCN 340020

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 340020) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage7/1/2025

Validated Rate Rows928 (CMS v2.0.0)

File Integrity DigestVerified · CCN 340020

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