How many shoppable procedure prices are published for Cape Regional Medical Center Inc?

Cape Regional Medical Center Inc in Cape May Court House, NJ currently has 116 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Cape Regional Medical Center Inc's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Cape Regional Medical Center Inc's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Cape Regional Medical Center Inc's CMS Care Compare overall star rating?

CMS Care Compare assigns Cape Regional Medical Center Inc 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 149 Beds · urban Updated: 2025-01-31

Cape Regional Medical Center Inc

Two Stone Harbor Blvd, Cape May Court House, NJ 08210 · 116 Priced Procedures

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

1.01×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.01×) after accounting for local nurse/doctor wages and patient complexity.

81/100 · Corroborated

81/100Self-Pay Cash Beats Insurance 40% of the Time

File Completeness88

Price Logic93

Peer Alignment73

Clean Billing87

Real Cash Discount56

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 1.01× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Cape Regional Medical Center Inc prices shoppable and inpatient services (1.1× to 1.1× Medicare, divergence 1.00×) in alignment with regional hospital peers (1.01× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#10 of 52 in NJ · 17th State Percentile#1,338 of 3,385 in U.S. · 39th 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 40% of shoppable procedures (56/100 Cash Honesty)
CMS clinical safety score (63/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (20.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.3× markup over Medicare rates
Commercial insurance median sits at 1.01× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.6× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 4,946) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.1× Medicare

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

Quantile Tail Spread+6% Upper Tail

Q25 0.91× · Q50 1.01× · Q75 1.07×

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

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.3× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.8× MedicareGood

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

1.6× MedicareGood

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

40% Cash Edge · 56/100Elevated

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 63/100Elevated

Procedure Prices at Cape Regional Medical Center Inc

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 116 published procedures.

Sort:

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`	—	$25,585	$30,775	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$18,123	$16,154	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$17,218	$16,041	$19,432	0.8×
Total hip replacement CPT Code: `27130`	—	$14,374	$13,413	1.1×
Total knee replacement CPT Code: `27447`	$16,451	$14,374	$13,523	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$16,696	$14,242	$17,936	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$7,395	$6,638	$8,223	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$6,400	$6,109	1.0×
Breast lump removal CPT Code: `19120`	$4,982	$4,384	$3,875	1.1×
Inguinal hernia repair CPT Code: `49505`	$5,641	$4,309	$3,629	1.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,736	$3,372	1.1×
Bunion correction surgery CPT Code: `28296`	$7,733	$3,736	$3,446	1.1×
Trauma team activation HCPCS Code: `G0390`	$13,541	$1,500	$1,453	1.0×
Colonoscopy with biopsy CPT Code: `45380`	$3,139	$1,340	$1,256	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	$2,761	$1,066	$987	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$3,149	$1,041	$981	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,512	$1,041	$1,021	1.0×
Injection procedure for pain management HCPCS Code: `G0260`	$2,000	$850	$855	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,340	$612	$583	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$1,858	$589	$369	unverified
Blood transfusion CPT Code: `36430`	$1,021	$478	$498	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,842	$410	$448	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,384	$410	$511	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,548	$272	$272	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,611	$272	$303	0.9×
Rabies immune globulin HCPCS Code: `90375`	$7,240	$280	$322	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$1,959	$276	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$1,926	$276	$343	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$607	$199	$166	1.2×
Family therapy session CPT Code: `90847`	$674	$199	$173	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$627	$199	$181	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$627	$199	$185	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$260	$209	$201	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,175	$203	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,285	$203	$258	0.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$473	$140	$151	0.9×
Group therapy session CPT Code: `90853`	$403	$114	$100	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$257	$98	$86	1.1×
X-ray, pelvis CPT Code: `72170`	$331	$117	$110	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$618	$123	$134	0.9×
X-ray, shoulder CPT Code: `73030`	$647	$97	$92	1.1×
X-ray, foot CPT Code: `73630`	$304	$97	$92	1.1×
X-ray, lower back CPT Code: `72110`	$387	$117	$112	1.0×
X-ray, chest (two views) CPT Code: `71046`	$331	$97	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$410	$97	$93	1.0×
X-ray, hand CPT Code: `73130`	$468	$97	$93	1.0×
X-ray, hip CPT Code: `73502`	$253	$97	$93	1.0×
X-ray, ankle CPT Code: `73610`	$331	$97	$93	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$642	$121	$126	1.0×
Ultrasound, pelvis CPT Code: `76856`	$1,147	$121	$130	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$591	$121	$132	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,037	$122	$160	0.8×
CT scan, pelvis CPT Code: `72192`	$1,163	$122	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$945	$122	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,163	$122	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,304	$122	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,257	$122	$169	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$580	$89	$123	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$242	$103	$148	0.7×
X-ray, chest (single view) CPT Code: `71045`	$332	$97	$92	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,945	$315	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$534	$219	$203	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$110	$111	1.0×
Drug screening test HCPCS Code: `G0480`	$130	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$251	$135	$140	1.0×
Prosthetic fitting and training CPT Code: `97761`	$61	$61	$45	1.4×
Orthotic fitting and training CPT Code: `97760`	$71	$63	$51	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$552	$75	$110	0.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$218	$48	$40	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$183	$45	$38	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$170	$43	$38	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$58	$52	$48	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$58	$51	$49	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$265	$66	$64	1.0×
Physical therapy (gait training) CPT Code: `97116`	$123	$39	$33	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$186	$39	$35	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	—	$36	$34	1.1×
Hepatitis B vaccine HCPCS Code: `90744`	$138	$36	$37	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$221	$45	$56	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$536	$60	$87	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$196	$78	$123	0.6×
Blood test, vitamin D CPT Code: `82306`	$142	$34	$31	1.1×
Blood antibody screen CPT Code: `86850`	$139	$58	$46	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$48	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$57	$15	$14	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$17	$15	$14	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$37	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$59	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$40	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$56	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$21	$5	$5	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$24	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$58	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$31	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$52	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$48	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$146	$18	$18	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$21	$4	$4	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$27	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$150	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$158	$20	$20	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$291	$27	$27	1.0×
Speech therapy (group session) CPT Code: `92508`	$111	$26	$27	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$95	$23	$25	0.9×
Culture, blood CPT Code: `87040`	$109	$10	$11	0.9×
Blood test, liver function panel CPT Code: `80076`	$37	$8	$9	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$26	$4	$5	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$138	$29	$39	0.7×
Blood test, vitamin B12 CPT Code: `82607`	$69	$16	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$62	$16	$14	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$12	$4	$4	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$87	$28	$19	unverified
Blood test, hemoglobin CPT Code: `85018`	$23	$2	$3	0.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	$60	$18	$8	unverified
Hepatitis C antibody test CPT Code: `86803`	$35	$19	$15	unverified

Showing top 25 high-impact procedures of 116 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 20.0%

Audit a Bill or Quote at Cape Regional Medical Center Inc (Zero PHI Required)

CMS CCN: 310011

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $25,585

1. Amount on Your Bill or Quote ($) Pre-filled with Cape Regional Medical Center 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 501(r) AGB Cap: $12,281 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $12,281

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (20.0% of gross = $12,281).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Cape Regional Medical Center 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 +$30,629 Above Fair BaseRate

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

Your bill ($61,404) is $30,629 above the denoised Fair BaseRate ($30,775) and 2.6× 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) 501(c)(3) Nonprofit Hospital

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

EIN: 210662542

Filing Period: 195210

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 (20.0% 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 Composite63/100

Median ER Wait208 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 Infectionsame

Source: CMS Hospital Care Compare. 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Cape Regional Medical Center Inc.

Price Index: 1.00× regional baseline

Quality: 56/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

HealthPartners

-55.0%

UnitedHealthcare

+69.9%

Blue Cross Blue Shield

+97.9%

Median Household Income$88,046U.S. Census ACS

Local Uninsured Share5.6%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 81/100 · Corroborated CMS CCN 310011 EIN 210662542

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 310011) ↗ Verify IRS Form 990 (EIN 210662542) ↗ CMS HCRIS Cost Reports ↗

Published MRF File210662542_Cooper-University-Hospital-Cape-Regional_standardcharges.csv

Publication / Vintage2025-01-31 · 67.20 MB

Validated Rate Rows4,797 (CMS v2.0.0)

File Integrity DigestVerified · CCN 310011

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

Cape Regional Medical Center Inc

Aligned Regional Benchmark Peer

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 Cape Regional Medical Center Inc

Audit a Bill or Quote at Cape Regional Medical Center Inc (Zero PHI Required)

Statutory 501(r) AGB Cap Limits Bill to $12,281

Compare Prompt-Pay Cash Rate Against Remaining Deductible

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

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

Clinical Quality, Patient Experience & Infection Benchmarks

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

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

Notable Payer Contract Outliers (SVD Matrix Anomalies)

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