Allendale County Hospital
1787 Allendale Fairfax Rd, Fairfax, SC 29827 · 82 Priced Procedures · 79% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Specialty Drug & Surgical Margin Engine
Allendale County Hospital concentrates commercial margin in outpatient surgical suites (5.0× Medicare) and specialty drug infusions (2.3× Medicare) relative to routine diagnostics (2.4×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (96/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 79% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (44.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 5.0× markup over Medicare rates
- Commercial insurance median sits at 1.00× Fair BaseRate (4.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 4.9× Medicare (26¢ 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 Allendale County Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 82 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $808 | 1.4× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $765 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $744 | unverified |
| Blood transfusion CPT Code: 36430 | $553 | 1.1× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $542 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $383 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $393 | unverified |
| CT scan, sinuses CPT Code: 70486 | $383 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $383 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $383 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $383 | unverified |
| CT scan, pelvis CPT Code: 72192 | $383 | unverified |
| X-ray, lower back CPT Code: 72110 | $183 | unverified |
| Ultrasound, thyroid and neck CPT Code: 76536 | $166 | unverified |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $179 | unverified |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $166 | unverified |
| Ultrasound, pelvis CPT Code: 76856 | $166 | unverified |
| New patient office visit (30-44 min) CPT Code: 99203 | $166 | unverified |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $157 | unverified |
| Speech therapy (group session) CPT Code: 92508 | $117 | 4.3× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $128 | 2.0× |
| Speech therapy (language evaluation) CPT Code: 92507 | $127 | 1.5× |
| X-ray, chest (two views) CPT Code: 71046 | $128 | unverified |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $149 | unverified |
| Screening mammogram (both breasts) CPT Code: 77067 | $149 | unverified |
Audit a Bill or Quote at Allendale County Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $418
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (44.0% of gross = $418).
Self-Pay Cash Rate ($808) Beats Your Bill
Allendale County Hospital's published 45 CFR § 180 self-pay cash rate is $808 (vs. $808 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $583 Fair BaseRate ($558 Medicare)
Your bill ($950) is $367 above the denoised Fair BaseRate ($583) and 1.7× the $558 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (44.0% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (51 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 Allendale County Hospital.
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.