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

Aiken Regional Medical Center in Aiken, SC currently has 113 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Aiken Regional Medical Center's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Aiken Regional Medical Center an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 211 Beds · urban Updated: 1/1/2026

Aiken Regional Medical Center

302 University Parkway, Aiken, SC 29801 · 113 Priced Procedures · 56% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.19×vs. Fair Market Price

Typical commercial prices here are +19% above the fair benchmark (1.19×) even after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 68% of the Time

File Completeness51

Price Logic85

Peer Alignment56

Clean Billing86

Real Cash Discount100

High-Markup Tier

2-Star CMS clinical quality rating paired with 1.19× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 2,534), Aiken Regional Medical Center commands a 1.19× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#30 of 52 in SC · 55th State Percentile#1,980 of 3,385 in U.S. · 58th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.59× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 68% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 56% patient recommendation (54/100 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)

Even at low-cost facilities (1.19× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.97× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.25×) jump +29% above the median procedure ratio (Q50 0.97×)
Consolidated metro market (HHI 2,534) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.2× Medicare

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

Quantile Tail Spread+29% Upper Tail

Q25 0.59× · Q50 0.97× · Q75 1.25×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.4× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.3× MedicareElevated

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

0.9× MedicareGood

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

68% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 54/100Elevated

Procedure Prices at Aiken Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 113 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$14,196	$19,087	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$13,642	$19,432	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$13,090	$17,936	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$5,646	$8,223	0.7×
Trauma team activation HCPCS Code: `G0390`	$3,775	$3,775	$1,453	2.6×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,937	$2,540	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,194	$2,194	$583	3.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$1,586	$3,372	0.5×
Bunion correction surgery CPT Code: `28296`	—	$1,586	$3,446	0.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,471	$1,471	$272	5.4×
Upper endoscopy with biopsy CPT Code: `43239`	$1,977	$1,339	$987	1.4×
Inguinal hernia repair CPT Code: `49505`	$5,962	$1,339	$3,629	0.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,346	$1,301	$511	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$822	$981	0.8×
Colonoscopy with biopsy CPT Code: `45380`	—	$822	$1,256	0.7×
Blood transfusion CPT Code: `36430`	$679	$679	$498	1.4×
MRI, lower back (no contrast) CPT Code: `72148`	$3,635	$654	$338	unverified
MRI, brain (no contrast) CPT Code: `70551`	$3,620	$586	$343	1.7×
MRI, knee or other leg joint CPT Code: `73721`	$3,630	$586	$369	1.6×
Family therapy session CPT Code: `90847`	$497	$497	$173	2.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$379	$379	$64	5.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$369	$369	$151	2.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,283	$370	$258	1.4×
X-ray, chest (two views) CPT Code: `71046`	$343	$343	$93	3.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,456	$358	$448	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,489	$361	$1,021	0.4×
CT scan, pelvis CPT Code: `72192`	$2,648	$309	$163	1.9×
CT scan, chest (no contrast) CPT Code: `71250`	$2,790	$309	$167	1.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,772	$309	$168	1.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,666	$309	$169	1.8×
CT scan, head (with contrast) CPT Code: `70460`	$2,592	$296	$242	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,707	$296	$303	1.0×
X-ray, chest (single view) CPT Code: `71045`	$321	$321	$92	unverified
Group therapy session CPT Code: `90853`	$256	$256	$100	2.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$281	$281	$166	1.7×
Psychotherapy session (60 minutes) CPT Code: `90837`	$281	$281	$181	1.6×
Rabies immune globulin HCPCS Code: `90375`	$3,218	$290	$322	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$2,160	$247	$160	1.5×
CT scan, sinuses CPT Code: `70486`	$2,085	$247	$166	1.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$234	$234	$185	1.3×
Prosthetic fitting and training CPT Code: `97761`	$113	$113	$45	2.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$127	$127	$123	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$113	$113	$110	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$87	$87	$87	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,285	$103	$134	0.8×
Neurobehavioral status check CPT Code: `96116`	$106	$106	$231	0.5×
Ultrasound, pelvis CPT Code: `76856`	$899	$80	$130	0.6×
Typhoid vaccine HCPCS Code: `90675`	$774	$318	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$166	$180	$203	0.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$127	$127	$20	6.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$111	$93	$111	0.8×
Pneumococcal vaccine HCPCS Code: `90732`	$259	$115	$140	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$57	$57	$14	4.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$78	$49	$38	1.3×
Orthotic fitting and training CPT Code: `97760`	$128	$49	$51	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$71	$71	$86	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$966	$74	$126	0.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$537	$74	$132	0.6×
Blood test, vitamin D CPT Code: `82306`	$71	$38	$31	1.2×
Drug screening test HCPCS Code: `G0480`	$63	$63	$116	0.5×
X-ray, lower back CPT Code: `72110`	$718	$48	$112	0.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$69	$69	$201	0.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$36	$36	$49	0.7×
Blood test, calcium CPT Code: `82310`	$37	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$75	$7	$5	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$69	$4	$3	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$132	$13	$10	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$50	$18	$14	1.3×
Blood test, lipase CPT Code: `83690`	$111	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$47	$9	$7	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$84	$5	$4	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$48	$11	$9	1.2×
Blood test, liver function panel CPT Code: `80076`	$59	$11	$9	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$142	$19	$16	1.2×
Blood test, amylase CPT Code: `82150`	$136	$8	$7	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$50	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$156	$13	$14	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$28	$28	$48	0.6×
X-ray, hip CPT Code: `73502`	$418	$33	$93	0.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$464	$31	$93	0.3×
X-ray, shoulder CPT Code: `73030`	$448	$30	$92	0.3×
X-ray, foot CPT Code: `73630`	$381	$28	$92	0.3×
X-ray, hand CPT Code: `73130`	$391	$28	$93	0.3×
X-ray, ankle CPT Code: `73610`	$415	$28	$93	0.3×
Screening mammogram (both breasts) CPT Code: `77067`	$394	$34	$123	0.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$458	$39	$148	0.3×
Speech therapy (group session) CPT Code: `92508`	$63	$52	$27	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$92	$8	$6	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$139	$24	$19	1.3×
Blood antibody screen CPT Code: `86850`	$168	$35	$46	0.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$55	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$39	$10	$8	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$178	$22	$18	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$139	$39	$56	0.7×
Speech therapy (language evaluation) CPT Code: `92507`	$232	$52	$86	0.6×
Culture, bacterial CPT Code: `87070`	$154	$11	$9	1.2×
Blood test, potassium CPT Code: `84132`	$70	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$71	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	$148	$18	$15	1.2×
Culture, blood CPT Code: `87040`	$257	$13	$11	1.2×
Blood test, hemoglobin CPT Code: `85018`	$64	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$102	$5	$5	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$47	$19	$25	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$81	$29	$39	0.7×
Hepatitis B vaccine HCPCS Code: `90744`	$84	$27	$37	0.7×
Colorectal cancer screening HCPCS Code: `G0010`	$28	$28	$49	0.6×
Physical therapy (gait training) CPT Code: `97116`	$39	$12	$33	0.4×
Physical therapy (manual therapy) CPT Code: `97140`	$55	$12	$34	0.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$83	$12	$35	0.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$43	$12	$38	0.3×
Occupational therapy (self-care training) CPT Code: `97535`	$79	$12	$38	0.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$91	$12	$40	0.3×
X-ray, pelvis CPT Code: `72170`	$388	$27	$110	0.2×

Showing top 25 high-impact procedures of 113 total

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

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

CMS CCN: 420082

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $14,196

1. Amount on Your Bill or Quote ($) Pre-filled with Aiken Regional Medical Center’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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Aiken Regional 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 +$14,983 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($34,070) is $14,983 above the denoised Fair BaseRate ($19,087) and 2.4× the $14,117 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 Aiken Regional Medical Center 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 Overall2/5 Stars (2/5)

Safety Composite54/100

Would Recommend56%

Rated 9 or 10 (HCAHPS)61%

Median ER Wait175 min

Left ER Before Seen1%

30-Day Mortality vs U.S.worse

Unplanned Readmissionsame

Hip/Knee Complication Rate4.6%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Aiken Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-13·administrative_or_closure
Met Requirements
Recorded
2025-04-18·administrative_or_closure
Closure Notice
Recorded
2025-04-02·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (672 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

Above-Benchmark Price Tier

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

Price Index: 1.77× regional baseline

Quality: 36/100 CMS composite

Median Household Income$67,940U.S. Census ACS

Local Uninsured Share8.8%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 75/100 · Corroborated CMS CCN 420082

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 420082) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage1/1/2026

Validated Rate Rows907 (CMS v3.0.0)

File Integrity DigestVerified · CCN 420082

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