How many shoppable procedure prices are published for The McDowell Hospital?

The McDowell Hospital in Marion, NC currently has 120 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do The McDowell Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, The McDowell Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is The McDowell Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns The McDowell Hospital 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 33 Beds · rural Updated: 2026-03-01

The McDowell Hospital

430 Rankin Drive P O Box 730, Marion, NC 28752 · 120 Priced Procedures · 72% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

0.98×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (0.98×) after accounting for local nurse/doctor wages and patient complexity.

64/100 · Caution

64/100Self-Pay Cash Beats Insurance 3% of the Time

File Completeness66

Price Logic94

Peer Alignment50

Clean Billing89

Real Cash Discount8

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.98× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

The McDowell Hospital prices shoppable and inpatient services (1.4× to 1.0× Medicare, divergence 0.71×) in alignment with regional hospital peers (0.98× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#31 of 69 in NC · 43rd State Percentile#1,183 of 3,385 in U.S. · 34th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 2% below peer Fair BaseRate (0.98×)
Self-pay cash beats commercial insurance on 3% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (72/100 safety score) with 72% patient recommendation
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 1.8× markup over Medicare rates
Commercial insurance median sits at 0.99× Fair BaseRate (1.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.3× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.4× Medicare

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

Back-Door Captive & ER0.71× Divergence

1.0× Medicare

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

Quantile Tail Spread+4% Upper Tail

Q25 0.89× · Q50 0.99× · Q75 1.03×

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

1.4× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.6× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

5.0× MedicareWatchout

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

1.3× MedicareGood

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

3% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 72/100Fair

Procedure Prices at The McDowell Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 120 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`	—	$26,838	$30,775	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,606	$19,432	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$17,539	$19,087	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,243	$17,936	0.9×
Total knee replacement CPT Code: `27447`	—	$14,400	$13,523	1.1×
Total hip replacement CPT Code: `27130`	—	$14,400	$13,413	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$10,692	$2,540	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$9,586	$9,586	$448	21.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,926	$8,223	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$8,180	$8,180	$511	16.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$7,710	$7,710	$303	25.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$7,270	$3,372	2.2×
Inguinal hernia repair CPT Code: `49505`	—	$7,270	$3,629	unverified
Rabies immune globulin HCPCS Code: `90375`	$6,570	$6,570	$322	20.4×
MRI, lower back (no contrast) CPT Code: `72148`	$5,913	$5,913	$338	17.5×
MRI, knee or other leg joint CPT Code: `73721`	$5,848	$5,848	$369	15.8×
MRI, brain (no contrast) CPT Code: `70551`	$5,781	$5,781	$343	16.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$5,732	$5,732	$258	22.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,445	$6,109	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,888	$4,888	$1,021	4.8×
Bunion correction surgery CPT Code: `28296`	—	$4,452	$3,446	1.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$4,268	$4,268	$169	25.3×
CT scan, head (with contrast) CPT Code: `70460`	$4,273	$4,273	$242	17.7×
CT scan, head (no contrast) CPT Code: `70450`	$3,960	$3,960	$160	24.8×
CT scan, sinuses CPT Code: `70486`	$3,960	$3,960	$166	23.9×
Breast lump removal CPT Code: `19120`	—	$3,954	$3,875	1.0×
CT scan, pelvis CPT Code: `72192`	$3,824	$3,824	$163	23.5×
CT scan, chest (no contrast) CPT Code: `71250`	$3,824	$3,824	$167	22.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,824	$3,824	$168	22.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$3,756	$3,756	$151	24.9×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,847	$987	2.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,847	$1,256	2.3×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,847	$981	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$2,800	$2,680	1.0×
C-section delivery (full package) CPT Code: `59510`	—	$2,800	$2,975	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,293	$855	2.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,059	$2,059	$583	3.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,946	$1,946	$134	14.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,608	$1,608	$272	5.9×
Ultrasound, pelvis CPT Code: `76856`	$1,552	$1,552	$130	11.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,244	$1,244	$132	9.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,190	$1,190	$126	9.4×
Blood transfusion CPT Code: `36430`	$1,175	$1,175	$498	unverified
X-ray, hip CPT Code: `73502`	$1,055	$1,055	$93	11.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$934	$934	$93	10.0×
X-ray, lower back CPT Code: `72110`	$842	$842	$112	7.5×
X-ray, chest (two views) CPT Code: `71046`	$655	$655	$93	7.0×
X-ray, pelvis CPT Code: `72170`	$619	$619	$110	5.6×
Family therapy session CPT Code: `90847`	$625	$625	$173	3.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$625	$625	$181	3.5×
X-ray, chest (single view) CPT Code: `71045`	$557	$557	$92	6.1×
X-ray, foot CPT Code: `73630`	$530	$530	$92	5.8×
X-ray, hand CPT Code: `73130`	$530	$530	$93	5.7×
X-ray, ankle CPT Code: `73610`	$530	$530	$93	5.7×
X-ray, shoulder CPT Code: `73030`	$511	$511	$92	5.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$525	$525	$185	2.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$436	$436	$87	5.0×
New patient office visit (30-44 min) CPT Code: `99203`	$436	$436	$110	4.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$424	$424	$166	2.6×
Group therapy session CPT Code: `90853`	$303	$303	$100	3.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$213	$213	$64	3.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$170	$170	$201	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$484	$107	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$474	$88	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$3,678	$3,678	$347	10.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$1,363	$1,363	$203	6.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$772	$772	$111	7.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$725	$725	$25	29.0×
Pneumococcal vaccine HCPCS Code: `90732`	$606	$606	$140	4.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$436	$436	$56	7.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$304	$304	$39	7.8×
Hepatitis B vaccine HCPCS Code: `90744`	$246	$246	$37	6.6×
Flu vaccine injection HCPCS Code: `G0008`	$160	$160	$48	3.3×
Colorectal cancer screening HCPCS Code: `G0010`	$155	$155	$49	3.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$129	$129	$49	2.6×
Drug screening test HCPCS Code: `G0480`	—	$118	$116	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$406	$76	$86	0.9×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$27	$27	1.0×
Prosthetic fitting and training CPT Code: `97761`	—	$40	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$133	$44	$51	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$38	$38	$86	0.4×
Blood test, basic metabolic panel CPT Code: `80048`	—	$9	$9	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	—	$9	$9	1.0×
Blood test, vitamin D CPT Code: `82306`	—	$31	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	—	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	—	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	—	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	—	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	—	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	—	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	—	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$107	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	—	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$155	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$4	$4	1.0×
Hepatitis C antibody test CPT Code: `86803`	—	$15	$15	1.0×
Culture, blood CPT Code: `87040`	—	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	—	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$20	$20	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$17	$18	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$24	$27	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$12	$14	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$117	$34	$40	0.8×
Physical therapy (gait training) CPT Code: `97116`	$116	$28	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$116	$32	$38	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$32	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$86	$31	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$120	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$113	$27	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$71	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$67	$12	$35	0.3×
Blood antibody screen CPT Code: `86850`	—	$10	$46	0.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$11	$11	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	—	$6	$6	unverified

Showing top 25 high-impact procedures of 120 total

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

Audit a Bill or Quote at The McDowell Hospital (Zero PHI Required)

CMS CCN: 340087

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $26,838

1. Amount on Your Bill or Quote ($) Pre-filled with The McDowell 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 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 The McDowell 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 +$33,636 Above Fair BaseRate

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

Your bill ($64,411) is $33,636 above the denoised Fair BaseRate ($30,775) and 2.7× 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) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify The McDowell 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.

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 Overall4/5 Stars (4/5)

Safety Composite72/100

Would Recommend72%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait148 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

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 (272 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 The McDowell Hospital.

Price Index: 1.00× regional baseline

Quality: 69/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-50.5%

CareSource

+88.1%

Median Household Income$55,527U.S. Census ACS

Local Uninsured Share11.7%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 64/100 · Caution CMS CCN 340087

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 340087) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-01

Validated Rate Rows4,040 (CMS v3.0.0)

File Integrity DigestVerified · CCN 340087

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