How many shoppable procedure prices are published for UNC Hospitals?

UNC Hospitals in Chapel Hill, NC currently has 102 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do UNC Hospitals's commercial prices compare to the fair BaseRate?

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

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

CMS Care Compare assigns UNC Hospitals an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - State 809 Beds · rural Updated: 04/01/2026

UNC Hospitals

101 Manning Drive, Chapel Hill, NC 27514 · 102 Priced Procedures · 80% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Above Fair Market · Negotiate

1.33×vs. Fair Market Price

Typical commercial prices here are +33% above the fair benchmark (1.33×) even after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 63% of the Time

File Completeness66

Price Logic77

Peer Alignment83

Clean Billing82

Real Cash Discount100

Regional Benchmark Tier

4-Star CMS clinical quality rating paired with 1.33× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

UNC Hospitals prices routine shoppable procedures near 1.4× Medicare (p50 1.13×) while skewing captive emergency, lab, and upper-quartile codes to 1.7× Medicare (p75 1.83×, +62% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#47 of 69 in NC · 66th State Percentile#2,321 of 3,385 in U.S. · 68th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.91× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 63% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 80% patient recommendation (72/100 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 1.8× markup over Medicare rates
Captive ER (0.5×) & laboratory (3.1×) services average 1.21× higher multiples than routine shoppable care (1.4×)
Upper-quartile procedures (Q75 1.83×) jump +62% above the median procedure ratio (Q50 1.13×)
Consolidated metro market (HHI 5,266) 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 & ER1.21× Divergence

1.7× Medicare

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

Quantile Tail Spread+62% Upper Tail

Q25 0.91× · Q50 1.13× · Q75 1.83×

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

1.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.1× MedicareFair

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

0.7× MedicareGood

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

63% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 72/100Fair

Procedure Prices at UNC Hospitals

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 102 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`	$52,933	$34,699	$30,775	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$116,474	$21,229	$19,432	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$38,254	$20,509	$19,087	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$42,407	$18,047	$17,936	1.0×
Rabies immune globulin HCPCS Code: `90375`	$7,447	$7,447	$322	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$15,162	$6,751	$8,223	0.8×
Breast lump removal CPT Code: `19120`	$4,363	$3,736	$3,875	1.0×
Trauma team activation HCPCS Code: `G0390`	$3,998	$3,670	$1,453	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,215	$3,215	$303	unverified
Behavioral health day treatment HCPCS Code: `H0010`	$1,385	$2,309	$343	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,723	$1,723	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,573	$1,573	$168	unverified
CT scan, sinuses CPT Code: `70486`	$1,522	$1,522	$166	9.2×
CT scan, chest (no contrast) CPT Code: `71250`	$1,404	$1,404	$167	unverified
CT scan, head (no contrast) CPT Code: `70450`	$1,357	$1,357	$160	8.5×
CT scan, pelvis CPT Code: `72192`	$1,375	$1,375	$163	8.4×
Blood transfusion CPT Code: `36430`	$700	$1,162	$498	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$2,511	$992	$1,021	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,344	$771	$583	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$251	$416	$181	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,827	$348	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,118	$348	$511	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$239	$239	$151	1.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$152	$252	$166	1.5×
Family therapy session CPT Code: `90847`	$150	$249	$173	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$766	$236	$272	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$2,114	$236	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$2,306	$236	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$2,205	$236	$369	0.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$96	$160	$40	4.0×
Orthotic fitting and training CPT Code: `97760`	$92	$152	$51	3.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$253	$157	$185	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$1,614	$174	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,953	$174	$258	0.7×
Physical therapy (manual therapy) CPT Code: `97140`	$99	$164	$34	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$78	$129	$38	3.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$77	$128	$38	3.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$160	$126	$87	1.4×
New patient office visit (30-44 min) CPT Code: `99203`	$149	$126	$110	1.1×
Group therapy session CPT Code: `90853`	$63	$106	$100	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$244	$126	$123	1.0×
Speech therapy (group session) CPT Code: `92508`	$128	$128	$27	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$60	$100	$86	1.2×
X-ray, pelvis CPT Code: `72170`	$205	$104	$110	0.9×
X-ray, chest (single view) CPT Code: `71045`	$161	$86	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$277	$86	$92	0.9×
X-ray, foot CPT Code: `73630`	$278	$86	$92	0.9×
X-ray, lower back CPT Code: `72110`	$425	$104	$112	0.9×
X-ray, chest (two views) CPT Code: `71046`	$225	$86	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$297	$86	$93	0.9×
X-ray, hand CPT Code: `73130`	$236	$86	$93	0.9×
X-ray, hip CPT Code: `73502`	$296	$86	$93	0.9×
X-ray, ankle CPT Code: `73610`	$278	$86	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$562	$104	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$622	$104	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$536	$104	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$685	$104	$134	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$226	$94	$123	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$278	$105	$148	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$98	$98	$35	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$100	$100	$38	unverified
Prosthetic fitting and training CPT Code: `97761`	$111	$111	$45	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$358	$596	$203	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$186	$309	$111	2.8×
Typhoid vaccine HCPCS Code: `90675`	$796	$312	$347	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$259	$259	$11	23.5×
Blood test, liver function panel CPT Code: `80076`	$169	$169	$9	18.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$97	$162	$56	2.9×
Culture, blood CPT Code: `87040`	$145	$145	$11	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$62	$104	$39	2.7×
Hepatitis C antibody test CPT Code: `86803`	$115	$115	$15	unverified
Culture, bacterial CPT Code: `87070`	$104	$104	$9	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$65	$108	$37	unverified
Blood test, vitamin D CPT Code: `82306`	$148	$54	$31	1.7×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$177	$58	$64	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$214	$76	$86	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$67	$67	$201	0.3×
Blood test, amylase CPT Code: `82150`	$72	$72	$7	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$49	$81	$25	unverified
Blood test, hemoglobin CPT Code: `85018`	$34	$34	$3	11.3×
Blood test, basic metabolic panel CPT Code: `80048`	$159	$21	$9	2.3×
Blood antibody screen CPT Code: `86850`	$89	$44	$46	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$53	$7	$3	2.3×
Blood test, lipase CPT Code: `83690`	$76	$13	$7	1.9×
Blood test, clotting time (PTT) CPT Code: `85730`	$57	$11	$6	1.8×
Blood test, calcium CPT Code: `82310`	$30	$9	$5	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$47	$9	$5	1.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$100	$18	$10	1.8×
Blood test, sodium CPT Code: `84295`	$29	$9	$5	1.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$157	$25	$14	1.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$29	$7	$4	1.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$28	$7	$4	1.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$90	$14	$8	1.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$152	$24	$14	1.7×
Blood test, magnesium CPT Code: `83735`	$31	$12	$7	1.7×
Blood test, vitamin B12 CPT Code: `82607`	$156	$27	$16	1.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$114	$30	$18	1.7×
Blood test, potassium CPT Code: `84132`	$28	$8	$5	1.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$47	$7	$5	1.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$129	$20	$19	1.1×
Physical therapy (gait training) CPT Code: `97116`	$66	$29	$33	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$83	$12	$14	0.9×

Showing top 25 high-impact procedures of 102 total

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

Audit a Bill or Quote at UNC Hospitals (Zero PHI Required)

CMS CCN: 340061

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $52,933

Insurer Median $34,699

1. Amount on Your Bill or Quote ($) Pre-filled with UNC Hospitals’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 Save $35,289 Paying Cash

Self-Pay Cash Rate ($52,933) Beats Your Bill

UNC Hospitals's published 45 CFR § 180 self-pay cash rate is $52,933 (vs. $34,699 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$57,447 Above Fair BaseRate

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

Your bill ($88,222) is $57,447 above the denoised Fair BaseRate ($30,775) and 3.8× 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 UNC Hospitals 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 Recommend80%

Rated 9 or 10 (HCAHPS)77%

Median ER Wait286 min

Left ER Before Seen4%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate3.5%

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 (2,534 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 Quality & Price Benchmark Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for UNC Hospitals.

Price Index: 0.99× regional baseline

Quality: 81/100 CMS composite

Median Household Income$88,553U.S. Census ACS

Local Uninsured Share6.6%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 340061

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 340061) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage04/01/2026

Validated Rate Rows2,978 (CMS v3.0.0)

File Integrity DigestVerified · CCN 340061

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