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

Carolina Pines Regional Medical Center in Hartsville, SC currently has 121 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Carolina Pines Regional Medical Center's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Carolina Pines 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 112 Beds · urban Updated: 2026-04-01

Carolina Pines Regional Medical Center

1304 W Bobo Newsom Hwy, Hartsville, SC 29550 · 121 Priced Procedures · 64% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.35×vs. Fair Market Price

Typical commercial prices here are +35% above the fair benchmark (1.35×) even after accounting for local nurse/doctor wages and patient complexity.

89/100 · Verified

89/100Self-Pay Cash Beats Insurance 7% of the Time

File Completeness85

Price Logic99

Peer Alignment72

Clean Billing85

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.35× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Carolina Pines Regional Medical Center prices routine shoppable procedures near 1.4× Medicare (p50 1.21×) while skewing captive emergency, lab, and upper-quartile codes to 1.8× Medicare (p75 1.76×, +45% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#41 of 52 in SC · 76th State Percentile#2,365 of 3,385 in U.S. · 69th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.97× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 7% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 64% patient recommendation (71/100 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)

Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
Captive ER (0.9×) & laboratory (0.9×) services average 1.29× higher multiples than routine shoppable care (1.4×)
Upper-quartile procedures (Q75 1.76×) jump +45% above the median procedure ratio (Q50 1.21×)
Consolidated metro market (HHI 4,768) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.4× Medicare

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

Back-Door Captive & ER1.29× Divergence

1.8× Medicare

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

Quantile Tail Spread+45% Upper Tail

Q25 0.97× · Q50 1.21× · Q75 1.76×

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

1.4× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

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

0.9× MedicareGood

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

7% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 71/100Fair

Procedure Prices at Carolina Pines 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 121 published procedures.

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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`	—	$28,258	$30,775	0.9×
Total hip replacement CPT Code: `27130`	—	$24,137	$13,413	unverified
Total knee replacement CPT Code: `27447`	—	$20,746	$13,523	1.5×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,526	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,158	$17,936	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$15,882	$19,087	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,719	$8,223	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$6,900	$6,109	1.1×
Breast lump removal CPT Code: `19120`	—	$4,573	$3,875	1.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,614	$3,372	1.1×
Inguinal hernia repair CPT Code: `49505`	—	$3,555	$3,629	1.0×
Bunion correction surgery CPT Code: `28296`	—	$3,249	$3,446	0.9×
Trauma team activation HCPCS Code: `G0390`	—	$2,506	$1,453	1.7×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,336	$2,540	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,614	$1,021	1.6×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,188	$1,256	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$941	$981	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	—	$918	$987	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$870	$583	1.5×
Injection procedure for pain management HCPCS Code: `G0260`	—	$796	$855	0.9×
Blood transfusion CPT Code: `36430`	—	$714	$498	1.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$656	$448	1.5×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$656	$511	1.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$449	$303	1.5×
MRI, lower back (no contrast) CPT Code: `72148`	—	$449	$338	1.3×
MRI, brain (no contrast) CPT Code: `70551`	—	$449	$343	1.3×
MRI, knee or other leg joint CPT Code: `73721`	—	$449	$369	1.2×
Neurobehavioral status check CPT Code: `96116`	—	$406	$231	1.8×
Psychological testing by technician CPT Code: `96138`	—	$431	$395	1.1×
Rabies immune globulin HCPCS Code: `90375`	$1,385	$364	$322	1.1×
Family therapy session CPT Code: `90847`	—	$334	$173	1.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$314	$166	1.9×
CT scan, head (with contrast) CPT Code: `70460`	—	$330	$242	1.4×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$330	$258	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$314	$185	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$314	$181	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$273	$272	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$197	$132	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$195	$134	1.5×
CT scan, head (no contrast) CPT Code: `70450`	—	$197	$160	1.2×
CT scan, pelvis CPT Code: `72192`	—	$197	$163	1.2×
CT scan, sinuses CPT Code: `70486`	—	$197	$166	1.2×
CT scan, chest (no contrast) CPT Code: `71250`	—	$197	$167	1.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$197	$168	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$197	$169	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$211	$201	1.0×
Group therapy session CPT Code: `90853`	—	$188	$100	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$146	$123	1.2×
Psychological testing evaluation CPT Code: `96136`	—	$145	$128	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	—	$116	$86	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	—	$136	$110	1.2×
Ultrasound, pelvis CPT Code: `76856`	—	$150	$130	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$145	$126	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	—	$140	$123	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$109	$87	1.3×
X-ray, hip CPT Code: `73502`	—	$110	$93	1.2×
X-ray, chest (single view) CPT Code: `71045`	—	$99	$92	1.1×
X-ray, chest (two views) CPT Code: `71046`	—	$99	$93	1.1×
X-ray, lower back CPT Code: `72110`	—	$107	$112	1.0×
X-ray, shoulder CPT Code: `73030`	—	$86	$92	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$86	$93	0.9×
X-ray, pelvis CPT Code: `72170`	—	$101	$110	0.9×
X-ray, foot CPT Code: `73630`	—	$84	$92	0.9×
X-ray, hand CPT Code: `73130`	—	$84	$93	0.9×
X-ray, ankle CPT Code: `73610`	—	$84	$93	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$106	$148	0.7×
Typhoid vaccine HCPCS Code: `90675`	$435	$325	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$156	$203	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$126	$126	$111	1.1×
Drug screening test HCPCS Code: `G0480`	—	$119	$116	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	—	$52	$34	1.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$56	$38	1.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$76	$64	1.2×
Speech therapy (group session) CPT Code: `92508`	—	$45	$27	1.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$64	$64	$56	1.1×
Pneumococcal vaccine HCPCS Code: `90732`	$312	$82	$140	0.6×
Flu vaccine injection HCPCS Code: `G0008`	—	$72	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$72	$49	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$38	$20	1.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	—	$36	$19	1.9×
Blood test, vitamin D CPT Code: `82306`	—	$58	$31	1.9×
Blood antibody screen CPT Code: `86850`	—	$50	$46	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$38	$35	1.1×
Orthotic fitting and training CPT Code: `97760`	—	$47	$51	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$6	$3	2.0×
Blood test, calcium CPT Code: `82310`	—	$10	$5	2.0×
Blood test, creatinine (kidney) CPT Code: `82565`	—	$10	$5	2.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$8	$4	2.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$8	$4	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$12	$6	2.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	—	$27	$14	1.9×
Culture, bacterial CPT Code: `87070`	—	$17	$9	1.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$15	$8	1.9×
Hepatitis C antibody test CPT Code: `86803`	—	$28	$15	1.9×
Hepatitis B vaccine HCPCS Code: `90744`	$72	$40	$37	1.1×
Blood test, magnesium CPT Code: `83735`	—	$13	$7	1.9×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$33	$18	1.8×
Colorectal cancer screening HCPCS Code: `G0010`	—	$52	$49	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$21	$11	1.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	$19	$10	1.9×
Blood test, basic metabolic panel CPT Code: `80048`	—	$17	$9	1.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$26	$14	1.9×
Blood test, amylase CPT Code: `82150`	—	$13	$7	1.9×
Blood test, lipase CPT Code: `83690`	—	$13	$7	1.9×
Culture, blood CPT Code: `87040`	—	$20	$11	1.8×
Blood test, vitamin B12 CPT Code: `82607`	—	$29	$16	1.8×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$37	$38	1.0×
Blood test, potassium CPT Code: `84132`	—	$9	$5	1.8×
Blood test, sodium CPT Code: `84295`	—	$9	$5	1.8×
Blood test, liver function panel CPT Code: `80076`	—	$16	$9	1.8×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$30	$27	1.1×
Physical therapy (gait training) CPT Code: `97116`	—	$34	$33	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$37	$40	0.9×
Prosthetic fitting and training CPT Code: `97761`	—	$41	$45	0.9×
Blood test, hemoglobin CPT Code: `85018`	—	$5	$3	1.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$8	$5	1.6×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$13	$14	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	—	$33	$38	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$19	$25	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$12	$35	0.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$10	$10	$151	0.1×

Showing top 25 high-impact procedures of 121 total

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

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

CMS CCN: 420010

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $28,258

1. Amount on Your Bill or Quote ($) Pre-filled with Carolina Pines 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 Carolina Pines 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 +$37,044 Above Fair BaseRate

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

Your bill ($67,819) is $37,044 above the denoised Fair BaseRate ($30,775) and 2.9× 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify Carolina Pines 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 Overall4/5 Stars (4/5)

Safety Composite71/100

Would Recommend64%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait140 min

Left ER Before Seen1%

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)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

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

2025-03-03·administrative_or_closure
Closure Notice
Recorded
2025-01-14·cap_corrective_action
CAP Request
Recorded
2024-10-02·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (343 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

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

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

Price Index: 1.00× regional baseline

Quality: 67/100 CMS composite

Median Household Income$47,419U.S. Census ACS

Local Uninsured Share9.0%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 89/100 · Verified CMS CCN 420010

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 420010) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filedownload.aspx

Publication / Vintage2026-04-01 · 19.88 MB

Validated Rate Rows833 (CMS v3.0.0)

File Integrity Digest46286a57d77e862905a1…

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

Carolina Pines Regional Medical Center

Loss-Leader / Captive Ancillary Cross-Subsidizer

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 Carolina Pines Regional Medical Center

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

Above Standard 400% FPL Financial-Assistance Ceiling

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)

CMS Price Transparency Administrative Enforcement Log

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

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