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Hospital Profile Acute Care Hospital Voluntary non-profit - Private 32 Beds · rural Updated: 2025-12-10

Hampton Regional Medical Center

595 West Carolina Avenue, Varnville, SC 29944 · 77 Priced Procedures · 75% Patient Recommendation

CMS Overall Rating No CMS Rating
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Good Deal · Below Fair Market
0.91×vs. Fair Market Price
Position vs. 1.00× Fair Price9% Below Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are 9% below the fair benchmark (0.91×) after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).80/100 · Corroborated
80/100Self-Pay Cash Beats Insurance 26% of the Time
File Completeness66Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic98Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment68Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing69Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount99Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.High-Markup Tier
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score67/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait186 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Hampton Regional Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (1.1× Medicare, p50 0.92× Fair BaseRate) and emergency/ancillary services (1.1× Medicare, p75 0.97× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#10 of 52 in SC · 17th State Percentile#740 of 3,385 in U.S. · 21st National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Elective shoppable care is priced 9% below peer Fair BaseRate (0.91×)
  • Self-pay cash beats commercial insurance on 26% of shoppable procedures (99/100 Cash Honesty)
  • CMS clinical safety score (67/100 safety score) with 75% patient recommendation
  • IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (21.3% AGB cap)
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
  • Commercial insurance median sits at 0.92× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Even at low-cost facilities (0.91× 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.
  • Unnegotiated chargemaster list prices average 10.9× Medicare (14¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
1.1× Medicare

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

Back-Door Captive & ER1.00× Divergence
1.1× Medicare

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

Quantile Tail Spread+5% Upper Tail
Q25 0.78× · Q50 0.92× · Q75 0.97×

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
1.1× MedicareGood
Outpatient Surgery & ORBack-Door Captive
1.4× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
1.6× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
1.6× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
2.5× MedicareFair
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
0.5× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
26% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 67/100Fair

Procedure Prices at Hampton 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 77 published procedures.

Sort:
Procedure & Billing Code This Hospital vs. Fair
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
$21,572 1.1×
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
$2,476 0.3×
CT scan, head (with and without contrast)
CPT Code: 70470
$2,094 8.1×
Echocardiogram (heart ultrasound)
CPT Code: 93306
$532 0.9×
CT scan, sinuses
CPT Code: 70486
$422 2.5×
Blood transfusion
CPT Code: 36430
$423 0.8×
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$346 0.8×
MRI, brain (with and without contrast)
CPT Code: 70553
$349 0.7×
X-ray, pelvis
CPT Code: 72170
$273 2.5×
Breathing treatment (nebulizer)
CPT Code: 94640
$280 1.4×
Ultrasound, leg veins (duplex)
CPT Code: 93970
$234 0.9×
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
$234 0.8×
MRI, lower back (no contrast)
CPT Code: 72148
$234 0.7×
MRI, brain (no contrast)
CPT Code: 70551
$236 0.7×
MRI, knee or other leg joint
CPT Code: 73721
$234 0.6×
X-ray, shoulder
CPT Code: 73030
$117 1.3×
X-ray, ankle
CPT Code: 73610
$116 1.2×
Ultrasound, pelvis
CPT Code: 76856
$140 1.1×
CT scan, head (no contrast)
CPT Code: 70450
$141 0.9×
CT scan, lower back (lumbar spine)
CPT Code: 72131
$141 0.8×
CT scan, neck (cervical spine)
CPT Code: 72125
$140 0.8×
X-ray, foot
CPT Code: 73630
$86 0.9×
X-ray, hand
CPT Code: 73130
$86 0.9×
X-ray, chest (single view)
CPT Code: 71045
$85 0.9×
X-ray, lower back
CPT Code: 72110
$103 0.9×
Showing top 25 high-impact procedures of 77 total
Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 21.3%

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

CMS CCN: 420072
CPT 871
Fair BaseRate™ $19,087
Medicare Rate $14,117
Self-Pay Cash $32,076
Insurer Median $21,572
Pre-filled with Hampton Regional Medical Center’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $8,524 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $8,524

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (21.3% of gross = $8,524).

Step 2 · Cash vs. Insurance Arbitrage Save $8,019 Paying Cash

Self-Pay Cash Rate ($32,076) Beats Your Bill

Hampton Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $32,076 (vs. $21,572 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$21,008 Above Fair BaseRate

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

Your bill ($40,095) is $21,008 above the denoised Fair BaseRate ($19,087) and 2.8× 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) 501(c)(3) Nonprofit Hospital

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

EIN: 571017988
Filing Period: 199602
Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold
Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier
Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported
26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (21.3% 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.

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

Safety Composite67/100
Would Recommend75%
Rated 9 or 10 (HCAHPS)75%
Median ER Wait186 min
Left ER Before Seen4%
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

Source: CMS Hospital Care Compare (47 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 Hampton Regional Medical Center.

Price Index: 1.54× regional baseline
Quality: 53/100 CMS composite
Median Household Income$43,059U.S. Census ACS
Local Uninsured Share12.7%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 80/100 · Corroborated CMS CCN 420072 EIN 571017988

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

Published MRF FileCMS_45_CFR_180_FILING.json
Publication / Vintage2025-12-10
Validated Rate Rows551 (CMS v3.0.0)
File Integrity DigestVerified · CCN 420072

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.