Fulton County Medical Center
214 Peach Orchard Road, McConnellsburg, PA 17233 · 104 Priced Procedures · 72% Patient Recommendation
Typical commercial prices here are +23% above the fair benchmark (1.23×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.23× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Fulton County Medical Center prices routine shoppable procedures at 2.1× Medicare (median 1.09× Fair BaseRate) while upper-quartile commercial rates jump +46% to 1.59× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
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 61% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (70/100 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 (61.1% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
- Commercial insurance median sits at 1.09× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.59×) jump +46% above the median procedure ratio (Q50 1.09×)
- Unnegotiated chargemaster list prices average 6.4× Medicare (27¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Fulton County Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 104 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,357 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,278 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,263 | unverified |
| Trauma team activation HCPCS Code: G0390 | $1,146 | 0.8× |
| CT scan, head (with contrast) CPT Code: 70460 | $973 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $987 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $953 | 0.9× |
| CT scan, pelvis CPT Code: 72192 | $938 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $850 | 2.5× |
| MRI, brain (no contrast) CPT Code: 70551 | $810 | 2.4× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $832 | 0.1× |
| MRI, knee or other leg joint CPT Code: 73721 | $780 | 2.1× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $671 | unverified |
| CT scan, sinuses CPT Code: 70486 | $620 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $638 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $647 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $546 | 3.4× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $553 | 0.2× |
| Bunion correction surgery CPT Code: 28296 | $550 | 0.2× |
| Inguinal hernia repair CPT Code: 49505 | $548 | 0.2× |
| Breast lump removal CPT Code: 19120 | $460 | 0.1× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $310 | 2.3× |
| Ultrasound, pelvis CPT Code: 76856 | $287 | 2.2× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $256 | 2.0× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $276 | 1.0× |
Audit a Bill or Quote at Fulton County Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $2,392
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (61.1% of gross = $2,392).
Self-Pay Cash Rate ($2,741) Beats Your Bill
Fulton County Medical Center's published 45 CFR § 180 self-pay cash rate is $2,741 (vs. $1,357 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $511 Fair BaseRate ($356 Medicare)
Your bill ($3,916) is $3,405 above the denoised Fair BaseRate ($511) and 11.0× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (61.1% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Fulton County Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-02-20·administrative_or_closure
Closure Notice
Recorded - 2024-12-19·cap_corrective_action
CAP Request
Recorded - 2024-09-17·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (55 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Fulton County Medical Center.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.