Scotland Memorial Hospital
500 Lauchwood Dr, Laurinburg, NC 28352 · 84 Priced Procedures · 69% Patient Recommendation
Typical commercial prices here are +4% above the fair benchmark (1.04×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.04× fair market pricing.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Scotland Memorial Hospital prices routine shoppable procedures near 1.2× Medicare (p50 0.91×) while skewing captive emergency, lab, and upper-quartile codes to 1.4× Medicare (p75 1.38×, +52% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.75× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 64% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (62/100 safety score) with 69% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (14.9% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
- Captive ER (1.2×) & laboratory (1.8×) services average 1.17× higher multiples than routine shoppable care (1.2×)
- Upper-quartile procedures (Q75 1.38×) jump +52% above the median procedure ratio (Q50 0.91×)
- Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
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 Scotland Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 84 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $38,676 | 2.0× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $32,152 | 1.8× |
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $22,653 | 0.7× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $12,771 | 0.7× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $7,404 | 0.9× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $833 | 0.8× |
| MRI, knee or other leg joint CPT Code: 73721 | $570 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $510 | 1.0× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $507 | 0.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $459 | unverified |
| CT scan, pelvis CPT Code: 72192 | $351 | 2.2× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $342 | 0.8× |
| Blood transfusion CPT Code: 36430 | $350 | 0.7× |
| CT scan, head (no contrast) CPT Code: 70450 | $342 | unverified |
| CT scan, sinuses CPT Code: 70486 | $296 | 1.8× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $313 | unverified |
| Rabies immune globulin HCPCS Code: 90375 | $254 | 0.8× |
| CT scan, chest (no contrast) CPT Code: 71250 | $278 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $247 | 1.5× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $210 | 1.2× |
| MRI, brain (no contrast) CPT Code: 70551 | $227 | 0.7× |
| MRI, lower back (no contrast) CPT Code: 72148 | $223 | 0.7× |
| Ultrasound, pelvis CPT Code: 76856 | $143 | 1.1× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $165 | 0.6× |
| X-ray, hand CPT Code: 73130 | $83 | 0.9× |
Audit a Bill or Quote at Scotland Memorial Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $11,556
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (14.9% of gross = $11,556).
Self-Pay Cash Rate ($38,676) Beats Your Bill
Scotland Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $38,676 (vs. $38,676 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your bill ($77,351) is $57,919 above the denoised Fair BaseRate ($19,432) and 5.5× the $14,044 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (14.9% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (456 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 Scotland Memorial Hospital.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
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.