Harris Regional Hospital
68 Hospital Rd, Sylva, NC 28779 · 66 Priced Procedures · 67% Patient Recommendation
Typical commercial prices here are +68% above the fair benchmark (1.68×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.68× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Harris Regional Hospital prices routine shoppable procedures at 4.1× Medicare (median 0.91× Fair BaseRate) while upper-quartile commercial rates jump +245% to 3.14× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.86× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
- CMS clinical safety score (64/100 safety score) with 67% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 5.1× markup over Medicare rates
- Commercial insurance median sits at 0.91× Fair BaseRate (4.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 3.14×) jump +245% above the median procedure ratio (Q50 0.91×)
- Unnegotiated chargemaster list prices average 3.8× Medicare (26¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Harris Regional Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 66 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $24,360 | 1.8× |
| Total knee replacement CPT Code: 27447 | $24,360 | 1.8× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $19,175 | unverified |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $14,955 | 0.8× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $14,371 | 0.7× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $12,279 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $12,279 | unverified |
| Breast lump removal CPT Code: 19120 | $9,044 | 2.3× |
| Cataract surgery with lens implant CPT Code: 66984 | $9,044 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $5,947 | 0.7× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $4,155 | 4.2× |
| Upper endoscopy with biopsy CPT Code: 43239 | $4,155 | 4.2× |
| Colonoscopy with biopsy CPT Code: 45380 | $4,155 | 3.3× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,956 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $2,956 | unverified |
| Injection procedure for pain management HCPCS Code: G0260 | $2,345 | 2.7× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,806 | 4.0× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,806 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,806 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,806 | unverified |
| Blood transfusion CPT Code: 36430 | $772 | 1.6× |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $121 | 3.0× |
| Prosthetic fitting and training CPT Code: 97761 | $121 | 2.7× |
| Orthotic fitting and training CPT Code: 97760 | $121 | 2.4× |
| Speech therapy (language evaluation) CPT Code: 92507 | $105 | 1.2× |
Audit a Bill or Quote at Harris Regional Hospital (Zero PHI Required)
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.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Harris 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.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your bill ($58,464) is $45,051 above the denoised Fair BaseRate ($13,413) and 4.5× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Harris 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Harris Regional Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-06-18·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (341 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Harris Regional Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.