How many shoppable procedure prices are published for Transylvania Regional Hospital, Inc?

Transylvania Regional Hospital, Inc in Brevard, NC currently has 110 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Transylvania Regional Hospital, Inc's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Transylvania Regional Hospital, Inc's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is Transylvania Regional Hospital, Inc's CMS Care Compare overall star rating?

CMS Care Compare assigns Transylvania Regional Hospital, Inc an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 2026-09-01

Transylvania Regional Hospital, Inc

90 Hospital Drive Po Box 1116, Brevard, NC 28712 · 110 Priced Procedures · 69% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.20×vs. Fair Market Price

Typical commercial prices here are +20% above the fair benchmark (1.20×) even after accounting for local nurse/doctor wages and patient complexity.

65/100 · Caution

65/100Self-Pay Cash Beats Insurance 6% of the Time

File Completeness85

Price Logic79

Peer Alignment51

Clean Billing90

Real Cash Discount6

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.20× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 10,000), Transylvania Regional Hospital, Inc commands a 1.20× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#42 of 69 in NC · 59th State Percentile#2,012 of 3,385 in U.S. · 59th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.02× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 6% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 69% patient recommendation (66/100 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 1.1× markup over Medicare rates
Commercial insurance median sits at 1.23× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.20× 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 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER0.92× Divergence

1.2× Medicare

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

Quantile Tail Spread+3% Upper Tail

Q25 1.02× · Q50 1.23× · Q75 1.27×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.1× MedicareGood

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

0.9× MedicareGood

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

6% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 66/100Fair

Procedure Prices at Transylvania Regional Hospital, Inc

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 110 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	—	$14,000	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$14,000	$13,523	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$9,586	$9,586	$448	21.4×
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×
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×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$5,198	$3,372	1.5×
Bunion correction surgery CPT Code: `28296`	—	$5,198	$3,446	1.5×
Inguinal hernia repair CPT Code: `49505`	—	$5,198	$3,629	1.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,198	$6,109	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,888	$4,888	$1,021	4.8×
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`	—	$3,875	$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×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,791	$2,791	$583	4.8×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,675	$981	2.7×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,675	$987	2.7×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,675	$1,256	2.1×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,675	$2,540	1.1×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,675	$2,680	1.0×
C-section delivery (full package) CPT Code: `59510`	—	$2,675	$2,975	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,946	$1,946	$134	14.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,789	$1,789	$272	6.6×
Blood transfusion CPT Code: `36430`	$1,710	$1,710	$498	unverified
Ultrasound, pelvis CPT Code: `76856`	$1,552	$1,552	$130	11.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,254	$1,254	$126	10.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,244	$1,244	$132	9.4×
X-ray, hip CPT Code: `73502`	$1,110	$1,110	$93	11.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$983	$983	$93	10.6×
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`	$652	$652	$110	5.9×
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×
Office visit, established patient (30-39 min) CPT Code: `99214`	$523	$523	$123	4.3×
Family therapy session CPT Code: `90847`	$545	$545	$173	3.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$424	$424	$166	2.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$424	$424	$185	2.3×
Group therapy session CPT Code: `90853`	$303	$303	$100	3.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$225	$225	$64	3.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$228	$228	$87	2.6×
New patient office visit (30-44 min) CPT Code: `99203`	$228	$228	$110	2.1×
Orthotic fitting and training CPT Code: `97760`	$174	$174	$51	3.4×
Speech therapy (language evaluation) CPT Code: `92507`	$174	$174	$86	2.0×
Physical therapy (manual therapy) CPT Code: `97140`	$126	$126	$34	3.7×
Physical therapy (gait training) CPT Code: `97116`	$116	$116	$33	3.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$116	$116	$35	3.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$116	$116	$38	3.1×
Occupational therapy (self-care training) CPT Code: `97535`	$116	$116	$38	3.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$116	$116	$38	3.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$120	$120	$40	3.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$484	$103	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$474	$85	$123	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$89	$89	$201	0.4×
Typhoid vaccine HCPCS Code: `90675`	$3,678	$3,678	$347	10.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$725	$725	$25	29.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$508	$508	$111	4.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$432	$432	$203	2.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$304	$304	$39	7.8×
Hepatitis B vaccine HCPCS Code: `90744`	$211	$211	$37	5.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$198	$198	$56	3.5×
Pneumococcal vaccine HCPCS Code: `90732`	$162	$162	$140	1.2×
Flu vaccine injection HCPCS Code: `G0008`	$111	$111	$48	2.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$102	$102	$49	2.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$76	$76	$86	0.9×
Drug screening test HCPCS Code: `G0480`	$222	$76	$116	0.7×
Blood test, vitamin D CPT Code: `82306`	—	$38	$31	1.2×
Colorectal cancer screening HCPCS Code: `G0010`	$149	$48	$49	1.0×
Blood test, calcium CPT Code: `82310`	—	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$47	$7	$5	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$10	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$8	$6	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$38	$13	$10	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	—	$18	$14	1.3×
Blood test, lipase CPT Code: `83690`	—	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	—	$9	$7	1.3×
Hepatitis C antibody test CPT Code: `86803`	—	$19	$15	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	—	$24	$19	1.3×
Blood test, vitamin B12 CPT Code: `82607`	—	$20	$16	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$10	$8	1.3×
Culture, bacterial CPT Code: `87070`	—	$11	$9	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$17	$14	1.2×
Blood test, potassium CPT Code: `84132`	$107	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$155	$6	$5	1.2×
Culture, blood CPT Code: `87040`	—	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$21	$18	1.2×
Blood test, amylase CPT Code: `82150`	—	$8	$7	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	—	$10	$9	1.1×
Blood test, liver function panel CPT Code: `80076`	—	$10	$9	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$11	$11	1.0×
Blood test, hemoglobin CPT Code: `85018`	$71	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$16	$5	$5	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$67	$15	$35	0.4×
Blood antibody screen CPT Code: `86850`	—	$15	$46	0.3×

Showing top 25 high-impact procedures of 110 total

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

Audit a Bill or Quote at Transylvania Regional Hospital, Inc (Zero PHI Required)

CMS CCN: 341319

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $14,000

1. Amount on Your Bill or Quote ($) Pre-filled with Transylvania Regional Hospital, Inc’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 Transylvania Regional Hospital, Inc'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 +$20,187 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($33,600) is $20,187 above the denoised Fair BaseRate ($13,413) and 2.6× the $13,117 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: 832048854

Public IRS & CMS ownership records classify Transylvania Regional Hospital, Inc 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 Composite66/100

Would Recommend69%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait114 min

Left ER Before Seen0%

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

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Transylvania Regional Hospital, Inc. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-07·administrative_or_closure
Met Requirements
Recorded
2023-10-17·administrative_or_closure
Closure Notice
Recorded
2023-06-28·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (285 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 Transylvania Regional Hospital, Inc.

Price Index: 1.00× regional baseline

Quality: 58/100 CMS composite

Median Household Income$64,523U.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 65/100 · Caution CMS CCN 341319 EIN 832048854

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 341319) ↗ Verify IRS Form 990 (EIN 832048854) ↗ CMS HCRIS Cost Reports ↗

Published MRF File83-2048854_TRANSYLVANIA-REGIONAL-HOSPITAL_standardcharges.json

Publication / Vintage2026-09-01 · 2139.67 MB

Validated Rate Rows3,039 (CMS v3.0.0)

File Integrity Digest52bbb7e02d102f9f1347…

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

Transylvania Regional Hospital, Inc

Consolidated System Premium Pricer

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at Transylvania Regional Hospital, Inc

Audit a Bill or Quote at Transylvania Regional Hospital, Inc (Zero PHI Required)

Above Standard 400% FPL Financial-Assistance Ceiling

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

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

Clinical Quality, Patient Experience & Infection Benchmarks

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

CMS Price Transparency Administrative Enforcement Log

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

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