How many shoppable procedure prices are published for Ecu Health North Hospital?

Ecu Health North Hospital in Roanoke Rapids, NC currently has 93 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Ecu Health North Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Ecu Health North Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Ecu Health North Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Ecu Health North 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 100 Beds · rural Updated: 2026-04-01

Ecu Health North Hospital

250 Smith Church Road, Roanoke Rapids, NC 27870 · 93 Priced Procedures · 49% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Near Fair BaseRate Benchmark

0.99×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (0.99×) after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 49% of the Time

File Completeness66

Price Logic96

Peer Alignment64

Clean Billing73

Real Cash Discount98

Regional Value Leader

2-Star CMS clinical quality rating paired with 0.99× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Ecu Health North Hospital prices shoppable and inpatient services (1.0× to 1.2× Medicare, divergence 1.20×) in alignment with regional hospital peers (0.99× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#34 of 69 in NC · 47th State Percentile#1,245 of 3,385 in U.S. · 36th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.81× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 49% of shoppable procedures (98/100 Cash Honesty)
2-Star CMS clinical rating with 49% patient recommendation (54/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (55.8% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
Captive ER (1.4×) & laboratory (2.5×) services average 1.20× higher multiples than routine shoppable care (1.0×)
Upper-quartile procedures (Q75 1.13×) jump +18% above the median procedure ratio (Q50 0.96×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.20× Divergence

1.2× Medicare

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

Quantile Tail Spread+18% Upper Tail

Q25 0.81× · Q50 0.96× · Q75 1.13×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.9× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.5× MedicareFair

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

1.0× MedicareGood

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

49% Cash Edge · 98/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 54/100Elevated

Procedure Prices at Ecu Health North Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 93 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`	$83,280	$24,941	$30,775	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$42,587	$15,645	$19,432	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$25,671	$15,300	$19,087	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$26,612	$14,060	$17,936	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$14,899	$7,265	$8,223	0.9×
Rabies immune globulin HCPCS Code: `90375`	$2,962	$2,962	$322	9.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,911	$1,911	$151	12.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,326	$1,043	$1,021	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$610	$562	$583	1.0×
Blood transfusion CPT Code: `36430`	$368	$448	$498	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,360	$366	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,462	$366	$511	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$688	$248	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,579	$248	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,984	$248	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$3,088	$248	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$3,969	$248	$369	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$158	$208	$201	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,868	$182	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,475	$182	$258	0.7×
X-ray, pelvis CPT Code: `72170`	$354	$109	$110	1.0×
X-ray, chest (single view) CPT Code: `71045`	$251	$90	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$591	$90	$92	1.0×
X-ray, foot CPT Code: `73630`	$602	$90	$92	1.0×
X-ray, lower back CPT Code: `72110`	$671	$109	$112	1.0×
X-ray, chest (two views) CPT Code: `71046`	$277	$90	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$530	$90	$93	1.0×
X-ray, hand CPT Code: `73130`	$499	$90	$93	1.0×
X-ray, hip CPT Code: `73502`	$308	$90	$93	1.0×
X-ray, ankle CPT Code: `73610`	$633	$90	$93	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,604	$109	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$1,864	$109	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,460	$109	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,729	$109	$134	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$320	$85	$123	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$769	$102	$148	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$1,444	$109	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$2,254	$109	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$1,066	$109	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,771	$109	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,964	$109	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,411	$109	$169	0.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$1,535	$1,535	$203	7.6×
Pneumococcal vaccine HCPCS Code: `90732`	$939	$939	$140	6.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$768	$768	$111	6.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$384	$384	$56	6.9×
Typhoid vaccine HCPCS Code: `90675`	$2,612	$334	$347	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$235	$235	$37	6.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$228	$228	$39	5.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$174	$174	$25	7.0×
Blood antibody screen CPT Code: `86850`	$112	$54	$46	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$92	$61	$64	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$347	$74	$86	0.9×
Orthotic fitting and training CPT Code: `97760`	$38	$45	$51	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$108	$17	$14	1.2×
Prosthetic fitting and training CPT Code: `97761`	$108	$39	$45	0.9×
Blood test, vitamin D CPT Code: `82306`	$69	$37	$31	unverified
Blood test, lipase CPT Code: `83690`	$127	$9	$7	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$113	$10	$8	1.3×
Culture, bacterial CPT Code: `87070`	$124	$11	$9	1.2×
Blood test, calcium CPT Code: `82310`	$46	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$59	$6	$5	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$120	$12	$10	1.2×
Blood test, potassium CPT Code: `84132`	$36	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$49	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	$150	$18	$15	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$75	$19	$16	1.2×
Culture, blood CPT Code: `87040`	$100	$13	$11	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$15	$7	$6	1.2×
Blood test, amylase CPT Code: `82150`	$118	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$27	$8	$7	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$161	$10	$9	1.1×
Blood test, liver function panel CPT Code: `80076`	$236	$10	$9	1.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$114	$20	$18	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$75	$20	$19	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$192	$11	$11	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$130	$32	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$71	$31	$38	0.8×
Blood test, hemoglobin CPT Code: `85018`	$10	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$50	$5	$5	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$53	$12	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$317	$23	$27	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$120	$34	$40	0.8×
Physical therapy (gait training) CPT Code: `97116`	$57	$28	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$103	$31	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$142	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$128	$27	$34	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$84	$14	$35	0.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$17	$17	$86	0.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$142	$17	$14	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$72	$4	$3	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$45	$5	$4	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$58	$5	$4	unverified

Showing top 25 high-impact procedures of 93 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 55.8%

Audit a Bill or Quote at Ecu Health North Hospital (Zero PHI Required)

CMS CCN: 340151

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $83,280

Insurer Median $24,941

1. Amount on Your Bill or Quote ($) Pre-filled with Ecu Health North 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 501(r) AGB Cap: $82,968 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $82,968

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (55.8% of gross = $82,968).

Step 2 · Cash vs. Insurance Arbitrage Save $65,435 Paying Cash

Self-Pay Cash Rate ($83,280) Beats Your Bill

Ecu Health North Hospital's published 45 CFR § 180 self-pay cash rate is $83,280 (vs. $24,941 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$117,940 Above Fair BaseRate

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

Your bill ($148,715) is $117,940 above the denoised Fair BaseRate ($30,775) and 6.3× 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)

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 (55.8% 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 Overall2/5 Stars (2/5)

Safety Composite54/100

Would Recommend49%

Rated 9 or 10 (HCAHPS)55%

Median ER Wait202 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.1%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (359 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 Ecu Health North Hospital.

Price Index: 1.00× regional baseline

Quality: 39/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-66.3%

Median Household Income$45,071U.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 80/100 · Corroborated CMS CCN 340151

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 340151) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows4,948 (CMS v3.0.0)

File Integrity DigestVerified · CCN 340151

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