How many shoppable procedure prices are published for Moses H. Cone Memorial Hospital, The?

Moses H. Cone Memorial Hospital, The in Greensboro, NC currently has 111 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Moses H. Cone Memorial Hospital, The's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Moses H. Cone Memorial Hospital, The's median negotiated commercial rate is 1.8× the regionally adjusted fair BaseRate benchmark.

What is Moses H. Cone Memorial Hospital, The's CMS Care Compare overall star rating?

CMS Care Compare assigns Moses H. Cone Memorial Hospital, The an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 760 Beds · rural Updated: 04/01/2026

Moses H. Cone Memorial Hospital, The

1200 N Elm St, Greensboro, NC 27401 · 111 Priced Procedures · 73% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.75×vs. Fair Market Price

Typical commercial prices here are +75% above the fair benchmark (1.75×) even after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 50% of the Time

File Completeness51

Price Logic92

Peer Alignment72

Clean Billing72

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.75× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 4,912), Moses H. Cone Memorial Hospital, The commands a 1.75× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#66 of 69 in NC · 94th State Percentile#2,924 of 3,385 in U.S. · 86th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.66× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 50% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 73% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (22.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.75× 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.
Commercial insurance median sits at 1.76× Fair BaseRate (1.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.75× 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.
Consolidated metro market (HHI 4,912) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.7× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.7× Medicare

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

Quantile Tail Spread+1% Upper Tail

Q25 1.66× · Q50 1.76× · 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

1.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.3× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.2× MedicareElevated

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

0.9× MedicareGood

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

50% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Moses H. Cone Memorial Hospital, The

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 111 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	—
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	—	$19,432	—
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	—	$19,087	—
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	—	$17,936	—
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	—	$8,223	—
Vaginal delivery (full package) CPT Code: `59400`	$2,651	$2,651	$2,680	1.0×
Trauma team activation HCPCS Code: `G0390`	$2,459	$2,459	$1,453	1.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,570	$1,570	$448	3.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,594	$1,594	$511	3.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,486	$1,486	$303	4.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,091	$1,091	$583	1.9×
MRI, lower back (no contrast) CPT Code: `72148`	$994	$994	$338	2.9×
MRI, brain (no contrast) CPT Code: `70551`	$969	$969	$343	2.8×
MRI, knee or other leg joint CPT Code: `73721`	$964	$964	$369	2.6×
Sleep study (overnight, in lab) CPT Code: `95810`	$949	$949	$1,021	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$844	$844	$258	3.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$795	$795	$169	4.7×
CT scan, head (with contrast) CPT Code: `70460`	$730	$730	$242	3.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$750	$750	$272	2.8×
CT scan, head (no contrast) CPT Code: `70450`	$679	$679	$160	4.2×
CT scan, sinuses CPT Code: `70486`	$684	$684	$166	4.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$667	$667	$168	4.0×
CT scan, pelvis CPT Code: `72192`	$521	$521	$163	3.2×
CT scan, chest (no contrast) CPT Code: `71250`	$492	$492	$167	2.9×
Blood transfusion CPT Code: `36430`	$418	$418	$498	0.8×
Ultrasound, pelvis CPT Code: `76856`	$377	$377	$130	2.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$377	$377	$134	2.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$341	$341	$132	2.6×
Injection procedure for pain management HCPCS Code: `G0260`	$335	$335	$855	0.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$290	$290	$86	3.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$304	$304	$126	2.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$220	$220	$148	1.5×
Neurobehavioral status check CPT Code: `96116`	$237	$237	$231	1.0×
X-ray, lower back CPT Code: `72110`	$181	$181	$112	1.6×
X-ray, shoulder CPT Code: `73030`	$131	$131	$92	1.4×
Speech therapy (language evaluation) CPT Code: `92507`	$120	$120	$86	1.4×
X-ray, ankle CPT Code: `73610`	$128	$128	$93	1.4×
X-ray, foot CPT Code: `73630`	$126	$126	$92	1.4×
X-ray, chest (two views) CPT Code: `71046`	$127	$127	$93	1.4×
X-ray, hand CPT Code: `73130`	$127	$127	$93	1.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$126	$126	$93	1.4×
X-ray, chest (single view) CPT Code: `71045`	$124	$124	$92	1.3×
X-ray, hip CPT Code: `73502`	$122	$122	$93	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$146	$146	$123	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$118	$118	$110	1.1×
X-ray, pelvis CPT Code: `72170`	$112	$112	$110	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$120	$120	$181	0.7×
Speech therapy (group session) CPT Code: `92508`	$85	$85	$27	3.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$81	$81	$64	1.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$92	$92	$123	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$81	$81	$166	0.5×
Typhoid vaccine HCPCS Code: `90675`	$230	$230	$347	0.7×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$118	$118	$203	0.6×
Blood test, vitamin D CPT Code: `82306`	$52	$54	$31	1.7×
Occupational therapy (self-care training) CPT Code: `97535`	$60	$60	$38	1.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$56	$56	$40	1.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$68	$68	$87	0.8×
Care planning with family CPT Code: `90887`	$73	$73	$107	0.7×
Pneumococcal vaccine HCPCS Code: `90732`	$83	$83	$140	0.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$36	$36	$14	2.6×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$47	$47	$27	1.7×
Physical therapy (gait training) CPT Code: `97116`	$41	$41	$33	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$42	$42	$34	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$42	$42	$35	1.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$40	$40	$35	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$43	$43	$38	1.1×
Orthotic fitting and training CPT Code: `97760`	$42	$42	$51	0.8×
Psychological testing evaluation CPT Code: `96136`	$62	$62	$128	0.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$53	$53	$111	0.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$59	$59	$185	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$54	$54	$201	0.3×
Psychological testing by technician CPT Code: `96138`	$62	$62	$395	0.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$41	$11	$6	1.8×
Culture, bacterial CPT Code: `87070`	$80	$16	$9	1.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$51	$14	$8	1.8×
Hepatitis C antibody test CPT Code: `86803`	$19	$26	$15	1.7×
Culture, blood CPT Code: `87040`	$124	$19	$11	1.7×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$30	$30	$20	1.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$36	$36	$38	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$38	$38	$56	0.7×
Group therapy session CPT Code: `90853`	$35	$35	$100	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$19	$6	$3	2.0×
Blood test, lipase CPT Code: `83690`	$44	$13	$7	1.9×
Blood test, calcium CPT Code: `82310`	$8	$9	$5	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$21	$9	$5	1.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$45	$18	$10	1.8×
Blood test, sodium CPT Code: `84295`	$22	$9	$5	1.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$34	$34	$19	1.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$28	$25	$14	1.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$34	$25	$14	1.8×
Blood test, vitamin B12 CPT Code: `82607`	$26	$28	$16	1.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$11	$7	$4	1.8×
Blood test, amylase CPT Code: `82150`	$13	$12	$7	1.7×
Blood test, basic metabolic panel CPT Code: `80048`	$98	$15	$9	1.7×
Blood test, liver function panel CPT Code: `80076`	$57	$15	$9	1.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$29	$30	$18	1.7×
Blood test, potassium CPT Code: `84132`	$11	$8	$5	1.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$103	$16	$11	1.5×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$30	$7	$5	1.4×
Prosthetic fitting and training CPT Code: `97761`	$32	$32	$45	0.7×
Blood test, hemoglobin CPT Code: `85018`	$13	$4	$3	1.3×
Extended office visit (prolonged) HCPCS Code: `G2212`	$23	$23	$33	0.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$15	$15	$25	0.6×
Hepatitis B vaccine HCPCS Code: `90744`	$22	$22	$37	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$28	$28	$48	0.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$28	$28	$49	0.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$22	$22	$39	0.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$13	$13	$25	0.5×
Blood antibody screen CPT Code: `86850`	$89	$21	$46	0.5×
Colorectal cancer screening HCPCS Code: `G0010`	$8	$8	$49	0.2×
Blood test, magnesium CPT Code: `83735`	$60	$12	$7	unverified

Showing top 25 high-impact procedures of 111 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 22.6%

Audit a Bill or Quote at Moses H. Cone Memorial Hospital, The (Zero PHI Required)

CMS CCN: 340091

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 Moses H. Cone Memorial Hospital, The’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: $0 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $0

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (22.6% of gross = $0).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Moses H. Cone Memorial Hospital, The'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)

EIN: 560532302

Filing Period: 193806

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 (22.6% 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 Overall3/5 Stars (3/5)

Safety Composite69/100

Would Recommend73%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait222 min

Left ER Before Seen3%

30-Day Mortality vs U.S.better

Unplanned Readmissionbetter

Hip/Knee Complication Rate4.3%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

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 Moses H. Cone Memorial Hospital, The. Prior administrative notices do not necessarily reflect current compliance status.

2026-04-13·administrative_or_closure
Met Requirements
Recorded
2025-05-06·administrative_or_closure
Closure Notice
Recorded
2025-03-28·warning_notice
Warning Notice
Recorded
2023-04-25·administrative_or_closure
Closure Notice
Recorded
2023-01-18·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (787 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 Moses H. Cone Memorial Hospital, The.

Price Index: 0.86× regional baseline

Quality: 79/100 CMS composite

Median Household Income$66,027U.S. Census ACS

Local Uninsured Share9.0%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 77/100 · Corroborated CMS CCN 340091 EIN 560532302

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 340091) ↗ Verify IRS Form 990 (EIN 560532302) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage04/01/2026

Validated Rate Rows1,745 (CMS v3.0.0)

File Integrity DigestVerified · CCN 340091

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