How many shoppable procedure prices are published for Frye Regional Medical Center?

Frye Regional Medical Center in Hickory, NC currently has 94 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Frye Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Frye Regional Medical Center's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Frye Regional Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Frye Regional Medical Center 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 Proprietary 226 Beds · rural Updated: 7/8/2026

Frye Regional Medical Center

420 N Center St, Hickory, NC 28601 · 94 Priced Procedures · 62% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.40×vs. Fair Market Price

Typical commercial prices here are +40% above the fair benchmark (1.40×) even after accounting for local nurse/doctor wages and patient complexity.

89/100 · Verified

89/100Self-Pay Cash Beats Insurance 10% of the Time

File Completeness85

Price Logic99

Peer Alignment78

Clean Billing83

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.40× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Frye Regional Medical Center prices routine shoppable procedures near 1.5× Medicare (p50 1.32×) while skewing captive emergency, lab, and upper-quartile codes to 1.6× Medicare (p75 1.78×, +35% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#55 of 69 in NC · 78th State Percentile#2,452 of 3,385 in U.S. · 72nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.93× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 10% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 62% patient recommendation (65/100 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 (1.40× 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 (2.2×) & laboratory (4.8×) services average 1.07× higher multiples than routine shoppable care (1.5×)
Upper-quartile procedures (Q75 1.78×) jump +35% above the median procedure ratio (Q50 1.32×)
Consolidated metro market (HHI 2,611) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER1.07× Divergence

1.6× Medicare

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

Quantile Tail Spread+35% Upper Tail

Q25 0.93× · Q50 1.32× · Q75 1.78×

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

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.3× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

2.2× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

4.8× MedicareWatchout

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

1.6× MedicareGood

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

10% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 65/100Fair

Procedure Prices at Frye Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 94 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$51,118	$22,405	$17,936	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$41,060	$21,755	$19,087	1.1×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$87,272	$20,986	$30,775	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$54,171	$13,055	$19,432	0.7×
Total knee replacement CPT Code: `27447`	$15,690	$10,025	$13,523	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$18,546	$9,283	$8,223	1.1×
Total hip replacement CPT Code: `27130`	$20,040	$7,554	$13,413	0.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$9,236	$4,325	$6,109	0.7×
Inguinal hernia repair CPT Code: `49505`	$7,790	$3,342	$3,629	0.9×
Breast lump removal CPT Code: `19120`	$6,324	$3,214	$3,875	0.8×
Bunion correction surgery CPT Code: `28296`	$7,115	$3,095	$3,446	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$5,084	$1,520	$3,372	0.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,575	$1,056	$583	1.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,778	$963	$1,021	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$1,683	$880	$987	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,940	$800	$511	1.6×
Colonoscopy with biopsy CPT Code: `45380`	$1,368	$762	$1,256	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,516	$731	$981	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$2,630	$617	$343	1.8×
Injection procedure for pain management HCPCS Code: `G0260`	$1,114	$639	$855	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$2,789	$599	$338	1.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,142	$556	$303	1.8×
MRI, knee or other leg joint CPT Code: `73721`	$2,463	$564	$369	1.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,432	$556	$448	1.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,378	$555	$258	unverified
Blood transfusion CPT Code: `36430`	$816	$411	$498	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$1,806	$408	$160	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$2,585	$430	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,246	$355	$168	2.1×
CT scan, sinuses CPT Code: `70486`	$1,286	$337	$166	2.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,856	$358	$167	unverified
CT scan, pelvis CPT Code: `72192`	$1,925	$317	$163	1.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,056	$329	$272	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,089	$249	$134	1.9×
Ultrasound, pelvis CPT Code: `76856`	$722	$179	$130	1.4×
X-ray, lower back CPT Code: `72110`	$816	$202	$112	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$655	$162	$126	1.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$597	$151	$132	1.1×
X-ray, shoulder CPT Code: `73030`	$501	$124	$92	1.3×
X-ray, pelvis CPT Code: `72170`	$418	$148	$110	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$486	$123	$93	1.3×
X-ray, ankle CPT Code: `73610`	$470	$118	$93	1.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$385	$138	$148	0.9×
X-ray, chest (two views) CPT Code: `71046`	$421	$111	$93	1.2×
X-ray, foot CPT Code: `73630`	$416	$109	$92	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$347	$131	$123	1.1×
X-ray, hand CPT Code: `73130`	$398	$100	$93	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$468	$118	$123	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$277	$120	$64	unverified
X-ray, hip CPT Code: `73502`	$475	$89	$93	1.0×
X-ray, chest (single view) CPT Code: `71045`	$293	$88	$92	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$96	$80	$35	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,371	$354	$347	1.0×
Drug screening test HCPCS Code: `G0480`	$45	$110	$116	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$56	$56	$19	2.9×
Blood test, vitamin D CPT Code: `82306`	$231	$55	$31	1.8×
Speech therapy (language evaluation) CPT Code: `92507`	$315	$78	$86	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$89	$51	$38	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$295	$75	$110	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$131	$52	$201	0.3×
Physical therapy (manual therapy) CPT Code: `97140`	$113	$66	$34	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$102	$6	$3	2.0×
Blood test, lipase CPT Code: `83690`	$127	$13	$7	1.9×
Blood test, clotting time (PTT) CPT Code: `85730`	$98	$11	$6	1.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$66	$18	$10	1.8×
Hepatitis C antibody test CPT Code: `86803`	$188	$27	$15	1.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$148	$25	$14	1.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$97	$49	$40	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$280	$71	$87	0.8×
Culture, bacterial CPT Code: `87070`	$199	$16	$9	1.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$24	$7	$4	1.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$48	$7	$4	1.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$124	$14	$8	1.8×
Blood test, amylase CPT Code: `82150`	$124	$12	$7	1.7×
Blood test, vitamin B12 CPT Code: `82607`	$124	$27	$16	1.7×
Blood test, basic metabolic panel CPT Code: `80048`	$150	$15	$9	1.7×
Orthotic fitting and training CPT Code: `97760`	$90	$37	$51	0.7×
Blood test, calcium CPT Code: `82310`	$44	$8	$5	1.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$43	$8	$5	1.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$187	$16	$11	1.5×
Blood test, hemoglobin CPT Code: `85018`	$44	$4	$3	1.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$102	$18	$14	1.3×
Blood test, potassium CPT Code: `84132`	$57	$5	$5	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$51	$20	$20	1.0×
Culture, blood CPT Code: `87040`	$168	$10	$11	0.9×
Physical therapy (gait training) CPT Code: `97116`	$80	$22	$33	0.7×
Occupational therapy (self-care training) CPT Code: `97535`	$71	$24	$38	0.6×
Blood antibody screen CPT Code: `86850`	$121	$21	$46	0.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$13	$15	$35	0.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$144	$25	$14	unverified
Blood test, liver function panel CPT Code: `80076`	$168	$15	$9	unverified
Blood test, magnesium CPT Code: `83735`	$80	$12	$7	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$131	$30	$18	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$78	$7	$5	unverified

Showing top 25 high-impact procedures of 94 total

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

Audit a Bill or Quote at Frye Regional Medical Center (Zero PHI Required)

CMS CCN: 340116

CPT 322

Select Procedure to Audit:

Fair BaseRate™ $17,936

Medicare Rate $12,807

Self-Pay Cash $51,118

Insurer Median $22,405

1. Amount on Your Bill or Quote ($) Pre-filled with Frye Regional 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 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 $76,677 Paying Cash

Self-Pay Cash Rate ($51,118) Beats Your Bill

Frye Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $51,118 (vs. $22,405 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$109,859 Above Fair BaseRate

Negotiate Toward $17,936 Fair BaseRate ($12,807 Medicare)

Your bill ($127,795) is $109,859 above the denoised Fair BaseRate ($17,936) and 10.0× the $12,807 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)

EIN: 352547114

Public IRS & CMS ownership records classify Frye Regional Medical Center 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 Composite65/100

Would Recommend62%

Rated 9 or 10 (HCAHPS)63%

Median ER Wait174 min

Left ER Before Seen2%

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)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

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

2026-04-14·warning_notice
Warning Notice
Recorded
2025-09-26·administrative_or_closure
Closure Notice
Recorded
2025-06-27·warning_notice
Warning Notice
Recorded
2022-03-21·administrative_or_closure
Closure Notice
Recorded
2021-10-27·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (1,619 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 Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Frye Regional Medical Center.

Price Index: 0.76× regional baseline

Quality: 58/100 CMS composite

Median Household Income$64,544U.S. Census ACS

Local Uninsured Share11.8%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 89/100 · Verified CMS CCN 340116 EIN 352547114

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 340116) ↗ Verify IRS Form 990 (EIN 352547114) ↗ CMS HCRIS Cost Reports ↗

Published MRF File352547114_frye-regional-medical-center_standardcharges.csv

Publication / Vintage7/8/2026 · 2.67 MB

Validated Rate Rows1,939 (CMS v3.0.0)

File Integrity Digest30d9cf406b40e9c4f1da…

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