How many shoppable procedure prices are published for Highsmith-Rainey Memorial Hospital?

Highsmith-Rainey Memorial Hospital in Fayetteville, NC currently has 105 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Highsmith-Rainey Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Highsmith-Rainey Memorial Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile General Acute Care Hospital

Highsmith-Rainey Memorial Hospital

150 Robeson Street, Fayetteville, NC 28301 · 105 Priced Procedures

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.93×vs. Fair Market Price

Typical commercial prices here are 7% below the fair benchmark (0.93×) after accounting for local nurse/doctor wages and patient complexity.

39/100 · Quarantined

39/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness100

Price Logic0

Peer Alignment0

Clean Billing0

Real Cash Discount100

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Highsmith-Rainey Memorial Hospital prices shoppable and inpatient services (1.0× to 1.0× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.93× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#21 of 69 in NC · 28th State Percentile#868 of 3,385 in U.S. · 25th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 7% below peer Fair BaseRate (0.93×)
Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (76/100 safety score) with 72% patient recommendation
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 1.2× markup over Medicare rates
Commercial insurance median sits at 0.94× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 8.7× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

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

Quantile Tail Spread+6% Upper Tail

Q25 0.79× · Q50 0.94× · Q75 1.00×

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

0.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.5× MedicareGood

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

1.2× MedicareGood

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

0% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 76/100Fair

Procedure Prices at Highsmith-Rainey Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 105 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`	—	$23,340	$30,775	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	—	$17,936	—
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$13,937	$19,432	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$5,633	$8,223	0.7×
Breast lump removal CPT Code: `19120`	$689	$3,957	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	$2,347	$3,618	$3,629	1.0×
Cataract surgery with lens implant CPT Code: `66984`	$2,712	$2,332	$2,540	0.9×
Trauma team activation HCPCS Code: `G0390`	$4,304	$1,389	$1,453	1.0×
Colonoscopy with biopsy CPT Code: `45380`	$1,600	$1,209	$1,256	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,338	$940	$981	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$1,325	$917	$987	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,375	$868	$1,021	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,659	$552	$583	0.9×
Blood transfusion CPT Code: `36430`	$706	$446	$498	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,610	$353	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,130	$353	$511	0.7×
Rabies immune globulin HCPCS Code: `90375`	$6,614	$286	$322	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$737	$241	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,807	$241	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$3,072	$241	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$3,277	$241	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$3,203	$241	$369	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$182	$179	$166	1.1×
Family therapy session CPT Code: `90847`	$158	$179	$173	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$216	$179	$181	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$117	$179	$185	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,642	$177	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,865	$177	$258	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	—	—	$201	—
Hepatitis B immune globulin HCPCS Code: `90371`	$298	$141	$151	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$113	$113	$86	1.3×
Group therapy session CPT Code: `90853`	$220	$103	$100	1.0×
X-ray, pelvis CPT Code: `72170`	$267	$106	$110	1.0×
X-ray, chest (single view) CPT Code: `71045`	$163	$88	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$327	$88	$92	1.0×
X-ray, foot CPT Code: `73630`	$299	$88	$92	1.0×
X-ray, lower back CPT Code: `72110`	$460	$106	$112	0.9×
X-ray, chest (two views) CPT Code: `71046`	$196	$88	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$527	$88	$93	0.9×
X-ray, hand CPT Code: `73130`	$279	$88	$93	0.9×
X-ray, hip CPT Code: `73502`	$232	$88	$93	0.9×
X-ray, ankle CPT Code: `73610`	$299	$88	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$580	$106	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$631	$109	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$583	$106	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$805	$106	$134	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$178	$83	$123	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$1,314	$106	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$1,297	$106	$163	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,333	$107	$167	0.6×
CT scan, sinuses CPT Code: `70486`	$1,358	$106	$166	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,559	$107	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,487	$106	$169	0.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$441	$576	$203	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,229	$326	$347	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$293	$334	$140	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$328	$293	$111	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$172	$75	$86	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$47	$93	$39	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$168	$99	$56	unverified
Blood antibody screen CPT Code: `86850`	$15	$53	$46	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$155	$60	$64	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$148	$70	$110	0.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$64	$20	$20	1.0×
Prosthetic fitting and training CPT Code: `97761`	$69	$40	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$104	$45	$51	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$203	$33	$38	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$88	$34	$40	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$137	$57	$87	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$277	$46	$148	0.3×
Screening mammogram (both breasts) CPT Code: `77067`	$229	$35	$123	0.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$23	$58	$25	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$122	$9	$9	1.0×
Blood test, vitamin D CPT Code: `82306`	$49	$31	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$5	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$9	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$48	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$22	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$55	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$11	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$11	$7	$7	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$28	$18	$18	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$54	$4	$4	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$10	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$24	$15	$15	1.0×
Culture, bacterial CPT Code: `87070`	$136	$9	$9	1.0×
Blood test, liver function panel CPT Code: `80076`	$14	$8	$9	0.9×
Speech therapy (group session) CPT Code: `92508`	$81	$24	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$84	$29	$33	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$129	$32	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$119	$32	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$90	$29	$35	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$50	$4	$5	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$138	$27	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$7	$2	$3	0.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	—	$11	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	—	$14	—
Blood test, amylase CPT Code: `82150`	—	—	$7	—
Blood test, vitamin B12 CPT Code: `82607`	—	—	$16	—
Blood test, ferritin (iron stores) CPT Code: `82728`	—	—	$14	—
Blood test, potassium CPT Code: `84132`	—	—	$5	—
Blood test, PSA (prostate screen) CPT Code: `84153`	—	—	$19	—
Blood test, sodium CPT Code: `84295`	—	—	$5	—
Blood test, complete blood count (CBC) CPT Code: `85025`	—	—	$8	—
Culture, blood CPT Code: `87040`	—	—	$11	—

Showing top 25 high-impact procedures of 105 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 Highsmith-Rainey Memorial Hospital (Zero PHI Required)

CMS CCN: 342014

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $23,340

1. Amount on Your Bill or Quote ($) Pre-filled with Highsmith-Rainey Memorial 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: $20,311 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $20,311

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 = $20,311).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Highsmith-Rainey Memorial Hospital'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 +$25,241 Above Fair BaseRate

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

Your bill ($56,016) is $25,241 above the denoised Fair BaseRate ($30,775) and 2.4× 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: 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 ↑

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Median Household Income$36,955U.S. Census ACS

Local Uninsured Share11.2%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 39/100 · Quarantined CMS CCN 342014

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 342014) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filemrf

Publication / Vintage2026-10 · 75.54 MB

Validated Rate Rows0 (CMS v2024)

File Integrity Digest13e1c5bf26ef1500a09d…

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