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

Rutherford Regional Medical Center in Rutherfordton, NC currently has 68 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

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

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

CMS Care Compare assigns Rutherford 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 119 Beds · rural Updated: 7/10/2026

Rutherford Regional Medical Center

288 South Ridgecrest Ave, Rutherfordton, NC 28139 · 68 Priced Procedures · 53% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.37×vs. Fair Market Price

Typical commercial prices here are +37% above the fair benchmark (1.37×) even after accounting for local nurse/doctor wages and patient complexity.

66/100 · Caution

66/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness60

Price Logic100

Peer Alignment54

Clean Billing56

Real Cash Discount50

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.37× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +139% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Rutherford Regional Medical Center prices routine shoppable procedures at 4.9× Medicare (median 0.94× Fair BaseRate) while upper-quartile commercial rates jump +139% to 2.25× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#51 of 69 in NC · 72nd State Percentile#2,403 of 3,385 in U.S. · 70th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.81× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
2-Star CMS clinical rating with 53% 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)

Outpatient surgery & OR suites carry a 6.1× markup over Medicare rates
Commercial insurance median sits at 0.94× Fair BaseRate (4.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.25×) jump +139% above the median procedure ratio (Q50 0.94×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

4.9× Medicare

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

Back-Door Captive & ER0.18× Divergence

0.9× Medicare

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

Quantile Tail Spread+139% Upper Tail

Q25 0.81× · Q50 0.94× · Q75 2.25×

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

4.9× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

6.1× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

5.3× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

7.1× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

6.5× MedicareWatchout

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

5.6× MedicareWatchout

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

0% Cash Edge · 50/100Elevated

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 65/100Fair

Procedure Prices at Rutherford 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 68 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$14,841	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$14,262	$19,432	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$13,685	$17,936	0.8×
Total hip replacement CPT Code: `27130`	—	$13,082	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$13,082	$13,523	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$12,296	$6,109	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$7,587	$3,372	2.3×
Inguinal hernia repair CPT Code: `49505`	—	$7,587	$3,629	2.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$5,902	$8,223	0.7×
Breast lump removal CPT Code: `19120`	—	$5,299	$3,875	1.4×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,748	$981	2.8×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,748	$987	2.8×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,748	$1,256	2.2×
MRI, lower back (no contrast) CPT Code: `72148`	—	$2,050	$338	6.1×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$2,050	$511	4.0×
MRI, brain (no contrast) CPT Code: `70551`	—	$2,050	$343	unverified
MRI, knee or other leg joint CPT Code: `73721`	—	$2,050	$369	unverified
CT scan, head (no contrast) CPT Code: `70450`	—	$1,314	$160	8.2×
CT scan, pelvis CPT Code: `72192`	—	$1,314	$163	8.1×
CT scan, chest (no contrast) CPT Code: `71250`	—	$1,314	$167	7.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$1,314	$168	7.8×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$1,314	$169	7.8×
CT scan, head (with contrast) CPT Code: `70460`	—	$1,314	$242	5.4×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$1,314	$258	5.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$1,314	$303	4.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$1,314	$448	2.9×
CT scan, sinuses CPT Code: `70486`	—	$1,314	$166	unverified
Blood transfusion CPT Code: `36430`	—	$922	$498	1.9×
Physical therapy (gait training) CPT Code: `97116`	—	$75	$33	2.3×
Physical therapy (manual therapy) CPT Code: `97140`	—	$75	$34	2.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$75	$35	2.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$75	$38	2.0×
Occupational therapy (self-care training) CPT Code: `97535`	—	$75	$38	2.0×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$72	$38	1.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$75	$40	1.9×
Prosthetic fitting and training CPT Code: `97761`	—	$72	$45	1.6×
Orthotic fitting and training CPT Code: `97760`	—	$72	$51	1.4×
Speech therapy (language evaluation) CPT Code: `92507`	—	$74	$86	0.9×
Drug screening test HCPCS Code: `G0480`	—	$96	$116	0.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$18	$14	1.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$3	$3	1.0×
Hepatitis C antibody test CPT Code: `86803`	—	$14	$15	0.9×
Blood test, vitamin D CPT Code: `82306`	—	$28	$31	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	—	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	—	$8	$9	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$7	$8	0.9×
Blood test, lipase CPT Code: `83690`	—	$6	$7	0.9×
Blood test, magnesium CPT Code: `83735`	—	$6	$7	0.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$17	$20	0.8×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$5	$6	0.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$9	$11	0.8×
Culture, blood CPT Code: `87040`	—	$9	$11	0.8×
Blood test, vitamin B12 CPT Code: `82607`	—	$13	$16	0.8×
Blood test, calcium CPT Code: `82310`	—	$4	$5	0.8×
Blood test, creatinine (kidney) CPT Code: `82565`	—	$4	$5	0.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	$8	$10	0.8×
Blood test, potassium CPT Code: `84132`	—	$4	$5	0.8×
Blood test, sodium CPT Code: `84295`	—	$4	$5	0.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	—	$15	$19	0.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	—	$11	$14	0.8×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$14	$18	0.8×
Culture, bacterial CPT Code: `87070`	—	$7	$9	0.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$3	$4	0.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$3	$4	0.8×
Blood test, amylase CPT Code: `82150`	—	$5	$7	0.7×
Blood test, hemoglobin CPT Code: `85018`	—	$2	$3	0.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$3	$5	0.6×
Blood antibody screen CPT Code: `86850`	—	$8	$46	0.2×

Showing top 25 high-impact procedures of 68 total

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

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

CMS CCN: 340013

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $14,841

1. Amount on Your Bill or Quote ($) Pre-filled with Rutherford 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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Rutherford Regional 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 +$16,531 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($35,618) is $16,531 above the denoised Fair BaseRate ($19,087) and 2.5× the $14,117 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: 300811171

Public IRS & CMS ownership records classify Rutherford 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 Recommend53%

Rated 9 or 10 (HCAHPS)59%

Median ER Wait141 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate2.2%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (376 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 Rutherford Regional Medical Center.

Price Index: 1.00× regional baseline

Quality: 56/100 CMS composite

Median Household Income$49,771U.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 66/100 · Caution CMS CCN 340013 EIN 300811171

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

MRF Portal Indexed (300811171_rutherford-regional-medical-center_standardcharges.csv.zip!300811171_rutherford-regional-medical-center_standardcharges.csv) Verify on CMS Medicare.gov (CCN 340013) ↗ Verify IRS Form 990 (EIN 300811171) ↗ CMS HCRIS Cost Reports ↗

Published MRF File300811171_rutherford-regional-medical-center_standardcharges.csv.zip!300811171_rutherford-regional-medical-center_standardcharges.csv

Publication / Vintage7/10/2026 · 2.07 MB

Validated Rate Rows329 (CMS v3.0.0)

File Integrity DigestVerified · CCN 340013

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