How many shoppable procedure prices are published for UNC Health Care Wayne?

UNC Health Care Wayne in Goldsboro, NC currently has 84 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do UNC Health Care Wayne's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, UNC Health Care Wayne's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is UNC Health Care Wayne's CMS Care Compare overall star rating?

CMS Care Compare assigns UNC Health Care Wayne 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 245 Beds · rural Updated: 04/01/2026

UNC Health Care Wayne

2700 Wayne Memorial Dr, Goldsboro, NC 27534 · 84 Priced Procedures · 54% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.32×vs. Fair Market Price

Typical commercial prices here are +32% above the fair benchmark (1.32×) even after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 57% of the Time

File Completeness66

Price Logic85

Peer Alignment66

Clean Billing86

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.32× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 9,165), UNC Health Care Wayne commands a 1.32× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#46 of 69 in NC · 65th State Percentile#2,296 of 3,385 in U.S. · 67th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.86× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 57% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (64/100 safety score) with 54% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (27.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.8× markup over Medicare rates
Commercial insurance median sits at 1.29× Fair BaseRate (2.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.62×) jump +26% above the median procedure ratio (Q50 1.29×)
Consolidated metro market (HHI 9,165) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.2× Medicare

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

Back-Door Captive & ER0.73× Divergence

1.6× Medicare

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

Quantile Tail Spread+26% Upper Tail

Q25 0.86× · Q50 1.29× · Q75 1.62×

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

2.2× MedicareFair

Outpatient Surgery & ORBack-Door Captive

2.8× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.2× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

3.2× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

3.6× MedicareElevated

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

1.4× MedicareGood

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

57% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 64/100Elevated

Procedure Prices at UNC Health Care Wayne

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.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$30,420	$28,532	$19,432	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$28,934	$24,615	$19,087	1.3×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$41,822	$24,255	$17,936	1.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$22,253	$10,055	$8,223	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,274	$4,274	$448	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,669	$1,801	$258	7.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,253	$1,646	$168	9.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,602	$1,596	$303	5.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,513	$1,513	$169	unverified
CT scan, pelvis CPT Code: `72192`	$941	$1,287	$163	7.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,082	$1,072	$1,021	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,018	$1,032	$160	6.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,562	$753	$583	1.3×
Rabies immune globulin HCPCS Code: `90375`	$5,094	$533	$322	1.7×
CT scan, chest (no contrast) CPT Code: `71250`	$532	$532	$167	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$309	$515	$123	unverified
Blood transfusion CPT Code: `36430`	$473	$417	$498	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,510	$376	$511	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$200	$334	$87	3.8×
New patient office visit (30-44 min) CPT Code: `99203`	$301	$318	$110	2.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$163	$259	$201	1.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$462	$230	$272	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,099	$255	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$2,008	$255	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$2,099	$255	$369	0.7×
CT scan, head (with contrast) CPT Code: `70460`	$1,394	$188	$242	0.8×
Family therapy session CPT Code: `90847`	$114	$153	$173	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$266	$131	$151	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$109	$153	$181	0.8×
X-ray, chest (single view) CPT Code: `71045`	$106	$93	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	$131	$93	$93	1.0×
X-ray, hip CPT Code: `73502`	$81	$93	$93	1.0×
Group therapy session CPT Code: `90853`	$61	$88	$100	0.9×
Ultrasound, pelvis CPT Code: `76856`	$809	$112	$130	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$668	$112	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,097	$112	$134	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$914	$101	$126	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$404	$106	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$308	$87	$123	0.7×
CT scan, sinuses CPT Code: `70486`	$994	$112	$166	0.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$186	$174	$111	1.6×
Hepatitis B vaccine HCPCS Code: `90744`	$66	$111	$37	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$286	$76	$86	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$77	$77	$166	0.5×
Blood test, calcium CPT Code: `82310`	$49	$9	$5	1.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$123	$18	$10	1.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$10	$7	$4	1.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$272	$24	$14	1.7×
Blood test, vitamin D CPT Code: `82306`	$195	$41	$31	1.3×
Blood test, magnesium CPT Code: `83735`	$61	$12	$7	1.7×
Blood test, basic metabolic panel CPT Code: `80048`	$25	$15	$9	1.7×
Blood test, liver function panel CPT Code: `80076`	$36	$15	$9	1.7×
Blood test, lipase CPT Code: `83690`	$109	$11	$7	1.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$27	$7	$5	1.4×
Blood test, potassium CPT Code: `84132`	$31	$7	$5	1.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$118	$15	$11	1.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$93	$19	$14	1.4×
Blood test, vitamin B12 CPT Code: `82607`	$125	$21	$16	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$79	$32	$38	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$57	$57	$185	0.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$43	$11	$6	1.8×
Hepatitis C antibody test CPT Code: `86803`	$139	$27	$15	1.8×
Culture, blood CPT Code: `87040`	$133	$19	$11	1.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$113	$27	$18	1.5×
Blood antibody screen CPT Code: `86850`	$109	$51	$46	1.1×
Prosthetic fitting and training CPT Code: `97761`	$41	$40	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$81	$45	$51	0.9×
Blood test, sodium CPT Code: `84295`	$19	$7	$5	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$82	$11	$8	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$43	$33	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$65	$31	$38	0.8×
Blood test, hemoglobin CPT Code: `85018`	$28	$4	$3	1.3×
Culture, bacterial CPT Code: `87070`	$101	$12	$9	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$29	$5	$4	1.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$36	$6	$5	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$69	$22	$19	1.2×
Speech therapy (group session) CPT Code: `92508`	$100	$24	$27	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$94	$12	$14	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$64	$34	$40	0.8×
Physical therapy (gait training) CPT Code: `97116`	$46	$28	$33	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$110	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$184	$27	$34	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$36	$36	$86	0.4×
Blood test, amylase CPT Code: `82150`	$87	$12	$7	unverified

Showing top 25 high-impact procedures of 84 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 27.6%

Audit a Bill or Quote at UNC Health Care Wayne (Zero PHI Required)

CMS CCN: 340010

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $30,420

Insurer Median $28,532

1. Amount on Your Bill or Quote ($) Pre-filled with UNC Health Care Wayne’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: $14,013 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $14,013

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (27.6% of gross = $14,013).

Step 2 · Cash vs. Insurance Arbitrage Save $20,280 Paying Cash

Self-Pay Cash Rate ($30,420) Beats Your Bill

UNC Health Care Wayne's published 45 CFR § 180 self-pay cash rate is $30,420 (vs. $28,532 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$31,268 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($50,700) is $31,268 above the denoised Fair BaseRate ($19,432) and 3.6× the $14,044 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) 501(c)(3) Nonprofit Hospital

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

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 (27.6% 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 Composite64/100

Would Recommend54%

Rated 9 or 10 (HCAHPS)64%

Median ER Wait192 min

Left ER Before Seen2%

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)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (617 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 UNC Health Care Wayne.

Price Index: 1.00× regional baseline

Quality: 57/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Nalc Health Benefit Plan

-46.5%

Median Household Income$58,082U.S. Census ACS

Local Uninsured Share12.1%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 80/100 · Corroborated CMS CCN 340010

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 340010) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage04/01/2026

Validated Rate Rows3,137 (CMS v3.0.0)

File Integrity DigestVerified · CCN 340010

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