Conway Medical Center
300 Singleton Ridge Road, Conway, SC 29526 · 135 Priced Procedures · 68% Patient Recommendation
Typical commercial prices here are 20% below the fair benchmark (0.80×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 0.80× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
Conway Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (0.6× Medicare, p50 0.83× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.95× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 20% below peer Fair BaseRate (0.80×)
- Self-pay cash beats commercial insurance on 14% of shoppable procedures (25/100 Cash Honesty)
- 2-Star CMS clinical rating with 68% patient recommendation (68/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (26.6% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.80× 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.
- Captive ER (0.6×) & laboratory (1.1×) services average 1.67× higher multiples than routine shoppable care (0.6×)
- Even at low-cost facilities (0.80× 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.
- Consolidated metro market (HHI 3,661) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
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 Conway Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 135 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $2,645 | 0.2× |
| Total knee replacement CPT Code: 27447 | $2,641 | 0.2× |
| C-section delivery (full package) CPT Code: 59510 | $2,466 | 0.8× |
| Vaginal delivery (full package) CPT Code: 59400 | $1,879 | 0.7× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,322 | 0.2× |
| Behavioral health assessment HCPCS Code: H0001 | $1,280 | unverified |
| Trauma team activation HCPCS Code: G0390 | $1,233 | 0.8× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $833 | 0.8× |
| Bunion correction surgery CPT Code: 28296 | $798 | 0.2× |
| Cataract surgery with lens implant CPT Code: 66984 | $768 | 0.3× |
| Behavioral health day treatment HCPCS Code: H0010 | $741 | 2.2× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $763 | 0.2× |
| Behavioral health counseling (per session) HCPCS Code: H0008 | $688 | 2.7× |
| Injection procedure for pain management HCPCS Code: G0260 | $645 | 0.8× |
| Mental health services (assessment) HCPCS Code: H0031 | $567 | 4.0× |
| Behavioral health counseling (group) HCPCS Code: H0009 | $511 | 1.9× |
| Inguinal hernia repair CPT Code: 49505 | $498 | 0.1× |
| Behavioral health residential care HCPCS Code: H0011 | $460 | 1.3× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $453 | 0.4× |
| Residential substance abuse treatment HCPCS Code: H2035 | $472 | unverified |
| Behavioral health day program HCPCS Code: H2012 | $416 | 4.2× |
| Blood transfusion CPT Code: 36430 | $407 | 0.8× |
| Breast lump removal CPT Code: 19120 | $426 | 0.1× |
| Mental health services (therapy) HCPCS Code: H0032 | $365 | 5.6× |
| Colonoscopy with biopsy CPT Code: 45380 | $387 | 0.3× |
Audit a Bill or Quote at Conway Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $705
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (26.6% of gross = $705).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Conway Medical Center's published 45 CFR § 180 self-pay cash rate is $2,645 (vs. $2,645 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($13,413).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (26.6% 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
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (754 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 Conway Medical Center.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
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.