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Hospital Profile Acute Care Hospitals Voluntary non-profit - Private 100 Beds · urban Updated: 7/10/2026

Wilson Medical Center

1705 TARBORO ST SW, Wilson, NC 27893 · 0 Priced Procedures · 46% Patient Recommendation

CMS Overall Rating 1 / 5 Stars
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.High Markup · Shop Alternatives
2.52×vs. Fair Market Price
Position vs. 1.00× Fair Price+152% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +152% above the fair benchmark (2.52×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.High Price · Lower Safety
CMS Star Rating1/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score24/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait196 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

1-Star CMS clinical quality rating paired with 2.52× fair market pricing.

Behavioral Pricing FingerprintHigh Markup · Shop Alternatives

Regional Peer Pricing Profile

Typical commercial prices here are +152% above the fair benchmark (2.52×) even after accounting for local nurse/doctor wages and patient complexity.

State IndexedNational CMS MRF Cohort
Advantage

Where They're Good (Patient & Payer Edge)

  • Front-door shoppable procedures average 5.3× Medicare (1.96× at the 25th percentile).
  • Published self-pay cash discounts beat commercial insurance medians on 26% of audited procedures.
  • 25th-percentile negotiated contracts reach 1.96× Fair BaseRate for high-leverage commercial plans.
Watchout

Where You Can Get Burned (Markup Traps)

  • Back-door captive departments average 6.6× Medicare (1.25× captive-to-shoppable divergence).
  • Upper-quartile tail (p75 3.22× vs. p50 2.52×) jumps +28%, exposing median-gaming on complex codes.
Front-Door ShoppableElective / Imaging
5.3× Medicare

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

Back-Door Captive & ER1.25× Divergence
6.6× Medicare

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

Quantile Tail Spread+28% Upper Tail
Q25 1.96× · Q50 2.52× · Q75 3.22×

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.

Open-Box Reverse Engineering: How the Crystal Isolates True Price from Confounders

Chargemaster Gross → (−Chargemaster Air) → CMS Medicare Anchor → (±Regional Wage & Acuity Glare) → (= Fair BaseRate) → Residual (ε)
Layer 01-57% chargemaster air stripped
Chargemaster Gross Sticker Anchor
5.9×

Unregulated hospital list price before insurer contract or 501(r) AGB adjustments

Layer 02OPPS/IPPS federal cost anchor
Federal CMS Medicare Cost Baseline
1.00× Medicare floor

Resource-based federal Medicare fee schedule baseline

Layer 03Regional labor strip
Regional Wage & Income Glare (AWI)
CMS Area Wage Index

Isolates local CMS hospital wage index and county household income baseline

Layer 04System Leverage
Facility Scale, CMI Acuity & HHI Monopoly
Market Index

Adjusts for tertiary trauma capability, bed scale, and regional concentration

Layer 05High Markup · Shop Alternatives
Denoised Fair BaseRate vs. Actual → Residual (ε)
2.52×

Pure hospital pricing signal after orthogonalizing wage, bed scale, and clinical acuity

Federal Confounder & Structural Telemetry (CMS HCRIS · Form 990 · DOJ/FTC HHI)
CMS Wage Index (AWI)
0.92×
County median income $68,400
Case Mix Index (CMI)
1.18 (Community)
CMS DRG severity weight
HCRIS Cost-to-Charge (CCR)
0.16
CMS Form 2552-10 cost ratio
Market Monopoly (HHI)
2,150
Regional Market
Ownership & Tax Status
For-Profit / Public
Independent
501(r) AGB Billing Cap
35.0% of Gross
Max legal charge for eligible uninsured

Procedure Prices at Wilson Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 0 published procedures.

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Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
This facility has not published shoppable procedure prices in its machine-readable file.
Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at Wilson Medical Center (Zero PHI Required)

CMS CCN: 340126
Fair BaseRate™ —
Medicare Rate —
Self-Pay Cash Request Quote
Insurer Median —
Pre-filled with Wilson Medical Center’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $1,634 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $1,634

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $1,634).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Wilson Medical Center'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 Medicare Reference Audit

Request Itemized CPT Coding & Medicare Benchmark Review

Your entered amount is at or below the modeled Fair BaseRate benchmark.

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.
CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall1/5 Stars (1/5)
Would Recommend46%
Rated 9 or 10 (HCAHPS)55%
Median ER Wait196 min
30-Day Mortality vs U.S.same
Unplanned Readmissionsame

Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

45 CFR § 180 Primary-Source Lineage & Federal Verification Verified CMS CCN 340126

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 340126) ↗ CMS HCRIS Cost Reports ↗
Published MRF File464317222_wilson-medical-center_standardcharges.csv
Publication / Vintage7/10/2026 · 17.91 MB
Validated Rate Rows111,723 (CMS v3.0.0)
File Integrity DigestVerified · CCN 340126

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