How many shoppable procedure prices are published for Erlanger Murphy Medical Center?

Erlanger Murphy Medical Center in Murphy, NC currently has 121 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Erlanger Murphy Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Erlanger Murphy Medical Center's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

What is Erlanger Murphy Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Erlanger Murphy Medical Center an overall hospital quality rating of 4 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

Erlanger Murphy Medical Center

3990 East Us Highway 64 Alt, Murphy, NC 28906 · 121 Priced Procedures · 77% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

1.71×vs. Fair Market Price

Typical commercial prices here are +71% above the fair benchmark (1.71×) even after accounting for local nurse/doctor wages and patient complexity.

29/100 · Quarantined

29/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness55

Price Logic0

Peer Alignment0

Clean Billing0

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.71× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Erlanger Murphy Medical Center prices routine shoppable procedures near 3.3× Medicare (p50 1.50×) while skewing captive emergency, lab, and upper-quartile codes to 11.6× Medicare (p75 2.29×, +53% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#64 of 69 in NC · 91st State Percentile#2,895 of 3,385 in U.S. · 85th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.19× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 77% 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 (36.3% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 4.1× markup over Medicare rates
Captive ER (1.4×) & laboratory (1.3×) services average 3.52× higher multiples than routine shoppable care (3.3×)
Upper-quartile procedures (Q75 2.29×) jump +53% above the median procedure ratio (Q50 1.50×)
Unnegotiated chargemaster list prices average 12.7× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

3.3× Medicare

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

Back-Door Captive & ER3.52× Divergence

11.6× Medicare

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

Quantile Tail Spread+53% Upper Tail

Q25 1.19× · Q50 1.50× · Q75 2.29×

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

3.3× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

4.1× MedicareElevated

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.3× MedicareGood

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

1.1× MedicareGood

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

0% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 73/100Fair

Procedure Prices at Erlanger Murphy Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 121 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`	—	—	$30,775	—
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	—	$17,936	—
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$12,446	$19,087	0.7×
Breast lump removal CPT Code: `19120`	—	$5,935	$3,875	unverified
Bunion correction surgery CPT Code: `28296`	—	$5,029	$3,446	1.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$4,950	$8,223	0.6×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,869	$4,747	$1,021	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$3,535	$2,540	1.4×
C-section delivery (full package) CPT Code: `59510`	—	$3,350	$2,975	1.1×
Vaginal delivery (full package) CPT Code: `59400`	—	$3,031	$2,680	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,122	$3,009	$448	unverified
Trauma team activation HCPCS Code: `G0390`	—	$2,051	$1,453	1.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,467	$1,955	$303	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	$1,828	$1,256	1.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,613	$1,831	$511	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,853	$1,681	$583	unverified
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,453	$987	1.5×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,413	$981	1.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,449	$1,346	$258	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,562	$1,278	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,395	$1,219	$168	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,681	$1,236	$338	unverified
MRI, knee or other leg joint CPT Code: `73721`	$1,581	$1,236	$369	unverified
MRI, brain (no contrast) CPT Code: `70551`	$1,546	$1,190	$343	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,199	$1,145	$242	unverified
CT scan, pelvis CPT Code: `72192`	$1,221	$1,166	$163	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,073	$855	1.3×
CT scan, sinuses CPT Code: `70486`	$1,263	$1,075	$166	unverified
CT scan, head (no contrast) CPT Code: `70450`	$963	$915	$160	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,250	$834	$167	unverified
Blood transfusion CPT Code: `36430`	$1,181	$785	$498	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$839	$783	$272	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$917	$703	$134	unverified
Psychological testing by technician CPT Code: `96138`	—	$619	$395	1.6×
Ultrasound, pelvis CPT Code: `76856`	$818	$644	$130	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$650	$544	$132	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$597	$533	$126	unverified
Neurobehavioral status check CPT Code: `96116`	—	$483	$231	unverified
X-ray, lower back CPT Code: `72110`	$478	$408	$112	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$415	$295	$93	unverified
X-ray, chest (two views) CPT Code: `71046`	$321	$252	$93	2.7×
New patient office visit (30-44 min) CPT Code: `99203`	$270	$274	$110	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$270	$274	$123	unverified
X-ray, shoulder CPT Code: `73030`	$290	$222	$92	2.4×
X-ray, ankle CPT Code: `73610`	$274	$218	$93	2.3×
Group therapy session CPT Code: `90853`	$224	$227	$100	2.3×
X-ray, foot CPT Code: `73630`	$298	$200	$92	2.2×
X-ray, chest (single view) CPT Code: `71045`	$292	$193	$92	2.1×
X-ray, hand CPT Code: `73130`	$240	$194	$93	2.1×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$203	$151	1.3×
X-ray, pelvis CPT Code: `72170`	$223	$217	$110	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$224	$227	$181	unverified
Psychological testing evaluation CPT Code: `96136`	—	$200	$128	1.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$175	$178	$185	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$188	$19,432	0.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$274	$191	$64	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$206	$209	$87	unverified
X-ray, hip CPT Code: `73502`	$238	$138	$93	1.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$237	$150	$148	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$224	$150	$123	unverified
Care planning with family CPT Code: `90887`	—	$114	$107	1.1×
Review of medical records for care CPT Code: `90889`	—	$98	$114	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$112	$114	$166	0.7×
Family therapy session CPT Code: `90847`	$112	$114	$173	0.7×
Speech therapy (language evaluation) CPT Code: `92507`	$260	$138	$86	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$84	$35	2.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$187	$106	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$145	$102	$38	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$138	$89	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$174	$86	$40	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$108	$80	$38	unverified
Typhoid vaccine HCPCS Code: `90675`	—	$484	$347	1.4×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$203	$203	1.0×
Blood test, vitamin D CPT Code: `82306`	$540	$193	$31	unverified
Blood test, lipase CPT Code: `83690`	$275	$200	$7	unverified
Pneumococcal vaccine HCPCS Code: `90732`	—	$167	$140	1.2×
Drug screening test HCPCS Code: `G0480`	—	$136	$116	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$306	$155	$11	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$505	$180	$14	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$352	$173	$19	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$286	$147	$14	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$118	$111	1.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$390	$142	$18	unverified
Hepatitis C antibody test CPT Code: `86803`	$148	$143	$15	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$186	$114	$9	unverified
Blood test, liver function panel CPT Code: `80076`	$241	$120	$9	unverified
Blood test, amylase CPT Code: `82150`	$270	$125	$7	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$263	$122	$10	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$134	$115	$6	unverified
Culture, bacterial CPT Code: `87070`	$128	$122	$9	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$214	$77	$4	19.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$122	$55	$3	18.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$88	$66	$38	1.7×
Flu vaccine injection HCPCS Code: `G0008`	—	$72	$48	1.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$72	$49	1.5×
Colorectal cancer screening HCPCS Code: `G0010`	—	$72	$49	1.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$325	$65	$201	0.3×
Blood test, calcium CPT Code: `82310`	$115	$80	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$242	$90	$5	unverified
Blood test, vitamin B12 CPT Code: `82607`	$146	$73	$16	unverified
Blood test, potassium CPT Code: `84132`	$103	$97	$5	unverified
Blood test, magnesium CPT Code: `83735`	$136	$70	$7	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$175	$82	$8	unverified
Blood antibody screen CPT Code: `86850`	$114	$80	$46	unverified
Culture, blood CPT Code: `87040`	$113	$76	$11	unverified
Orthotic fitting and training CPT Code: `97760`	$97	$79	$51	unverified
Blood test, hemoglobin CPT Code: `85018`	$116	$42	$3	14.0×
Blood test, sodium CPT Code: `84295`	$107	$38	$5	7.6×
Speech therapy (group session) CPT Code: `92508`	—	$47	$27	1.7×
Physical therapy (gait training) CPT Code: `97116`	$95	$68	$33	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	—	$24	$14	1.7×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$28	$20	1.4×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$37	$27	1.4×
Hepatitis B vaccine HCPCS Code: `90744`	—	$41	$37	1.1×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$25	$25	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$38	$39	1.0×
Prosthetic fitting and training CPT Code: `97761`	$42	$43	$45	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$50	$56	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$60	$58	$5	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$65	$22	$4	5.5×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$30	$25	1.2×

Showing top 25 high-impact procedures of 121 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at Erlanger Murphy Medical Center (Zero PHI Required)

CMS CCN: 341328

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $35,391

1. Amount on Your Bill or Quote ($) Pre-filled with Erlanger Murphy 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: $83 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $83

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $83).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Erlanger Murphy Medical Center'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 Target: $30,775 Fair BaseRate

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

Your entered amount is at or below the modeled Fair BaseRate benchmark ($30,775).

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: national_nonprofit_median

Illustrative National Nonprofit Peer Median (36.3% of gross — request this hospital's exact FAP Look-Back AGB percentage)

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. Hospital-specific AGB look-back percentages are published in each facility’s written Financial Assistance Policy (FAP). This figure reflects the national nonprofit peer median benchmark.

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 Recommend77%

Rated 9 or 10 (HCAHPS)82%

Median ER Wait157 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 Erlanger Murphy Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-09-10·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (168 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

Median Household Income$51,496U.S. Census ACS

Local Uninsured Share14.8%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 29/100 · Quarantined CMS CCN 341328

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

MRF Portal Indexed (westcarolina) Verify on CMS Medicare.gov (CCN 341328) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filewestcarolina

Publication / Vintage2026-10 · 29.91 MB

Validated Rate Rows0 (CMS v2024)

File Integrity DigestVerified · CCN 341328

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.

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