How many shoppable procedure prices are published for Newberry County Memorial Hospital?

Newberry County Memorial Hospital in Newberry, SC currently has 91 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Newberry County Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Newberry County Memorial Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Newberry County Memorial Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Newberry County Memorial Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 48 Beds · rural Updated: 2026-04-30

Newberry County Memorial Hospital

2669 Kinard St Po Box 497, Newberry, SC 29108 · 91 Priced Procedures · 77% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.06×vs. Fair Market Price

Typical commercial prices here are +6% above the fair benchmark (1.06×) even after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 72% of the Time

File Completeness51

Price Logic89

Peer Alignment64

Clean Billing71

Real Cash Discount100

High Quality · Fair Price

4-Star CMS clinical quality rating paired with 1.06× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Newberry County Memorial Hospital maintains elevated commercial insurance contracts (1.06× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 72% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#26 of 52 in SC · 48th State Percentile#1,557 of 3,385 in U.S. · 45th 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 72% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (75/100 safety score) with 77% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (55.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
Captive ER (1.6×) & laboratory (3.2×) services average 1.18× higher multiples than routine shoppable care (1.1×)
Upper-quartile procedures (Q75 1.33×) jump +25% above the median procedure ratio (Q50 1.06×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER1.18× Divergence

1.3× Medicare

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

Quantile Tail Spread+25% Upper Tail

Q25 0.59× · Q50 1.06× · Q75 1.33×

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

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.2× MedicareElevated

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

0.7× MedicareGood

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

72% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 75/100Fair

Procedure Prices at Newberry County Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 91 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
MRI, brain (with and without contrast) CPT Code: `70553`	$1,790	$1,301	$511	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,535	$654	$338	unverified
MRI, brain (no contrast) CPT Code: `70551`	$1,587	$586	$343	1.7×
MRI, knee or other leg joint CPT Code: `73721`	$2,226	$586	$369	1.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$525	$525	$583	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,177	$370	$258	1.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,217	$358	$448	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$960	$309	$167	1.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,126	$309	$169	1.8×
CT scan, head (with contrast) CPT Code: `70460`	$1,074	$296	$242	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$871	$296	$303	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,023	$309	$168	unverified
CT scan, pelvis CPT Code: `72192`	$921	$309	$163	unverified
Rabies immune globulin HCPCS Code: `90375`	$848	$280	$322	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$973	$247	$160	1.5×
CT scan, sinuses CPT Code: `70486`	$781	$247	$166	1.5×
X-ray, chest (two views) CPT Code: `71046`	$196	$196	$93	2.1×
X-ray, chest (single view) CPT Code: `71045`	$115	$115	$92	1.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$502	$103	$134	0.8×
Ultrasound, pelvis CPT Code: `76856`	$372	$80	$130	0.6×
Typhoid vaccine HCPCS Code: `90675`	$463	$320	$347	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$51	$79	$48	1.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$131	$79	$64	1.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$119	$93	$111	0.8×
Prosthetic fitting and training CPT Code: `97761`	$56	$56	$45	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$55	$79	$87	0.9×
Group therapy session CPT Code: `90853`	$111	$79	$100	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$85	$79	$110	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$117	$79	$123	0.6×
Speech therapy (language evaluation) CPT Code: `92507`	$136	$54	$86	0.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$349	$78	$126	0.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$316	$78	$132	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$137	$79	$166	0.5×
Family therapy session CPT Code: `90847`	$163	$79	$173	0.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$168	$79	$185	0.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$615	$79	$272	0.3×
Blood transfusion CPT Code: `36430`	$467	$79	$498	0.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$52	$79	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$52	$79	$49	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$70	$52	$38	1.4×
Blood test, vitamin D CPT Code: `82306`	$91	$40	$31	1.3×
Orthotic fitting and training CPT Code: `97760`	$56	$52	$51	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$62	$42	$56	0.8×
X-ray, lower back CPT Code: `72110`	$216	$50	$112	0.4×
Speech therapy (group session) CPT Code: `92508`	$104	$54	$27	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$54	$8	$6	1.3×
Culture, bacterial CPT Code: `87070`	$75	$12	$9	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$43	$25	$19	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$42	$13	$10	1.3×
Blood antibody screen CPT Code: `86850`	$47	$37	$46	0.8×
Blood test, amylase CPT Code: `82150`	$62	$9	$7	1.3×
Blood test, lipase CPT Code: `83690`	$71	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$57	$9	$7	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$41	$23	$18	1.3×
Culture, blood CPT Code: `87040`	$98	$14	$11	1.3×
Hepatitis C antibody test CPT Code: `86803`	$91	$19	$15	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$43	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$68	$10	$8	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$152	$11	$9	1.2×
Blood test, liver function panel CPT Code: `80076`	$82	$11	$9	1.2×
Blood test, potassium CPT Code: `84132`	$40	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$44	$6	$5	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$180	$13	$11	1.2×
Blood test, hemoglobin CPT Code: `85018`	$34	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$42	$5	$5	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$56	$13	$14	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$19	$21	$25	0.8×
Hepatitis B vaccine HCPCS Code: `90744`	$36	$30	$37	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$38	$30	$39	0.8×
Physical therapy (gait training) CPT Code: `97116`	$56	$13	$33	0.4×
Physical therapy (manual therapy) CPT Code: `97140`	$68	$13	$34	0.4×
X-ray, hip CPT Code: `73502`	$167	$35	$93	0.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$63	$13	$35	0.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$171	$33	$93	0.4×
Blood test, calcium CPT Code: `82310`	$42	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$51	$7	$5	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$63	$13	$38	0.3×
Occupational therapy (self-care training) CPT Code: `97535`	$56	$13	$38	0.3×
X-ray, shoulder CPT Code: `73030`	$181	$31	$92	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$52	$4	$3	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$95	$18	$14	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$101	$20	$16	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$31	$5	$4	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$57	$13	$40	0.3×
X-ray, foot CPT Code: `73630`	$270	$29	$92	0.3×
X-ray, hand CPT Code: `73130`	$270	$29	$93	0.3×
X-ray, ankle CPT Code: `73610`	$212	$29	$93	0.3×
Screening mammogram (both breasts) CPT Code: `77067`	$132	$36	$123	0.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$151	$41	$148	0.3×
X-ray, pelvis CPT Code: `72170`	$148	$29	$110	0.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$17	$17	$86	0.2×

Showing top 25 high-impact procedures of 91 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 55.2%

Audit a Bill or Quote at Newberry County Memorial Hospital (Zero PHI Required)

CMS CCN: 420053

CPT 70553

Select Procedure to Audit:

Fair BaseRate™ $511

Medicare Rate $356

Self-Pay Cash $1,790

Insurer Median $1,301

1. Amount on Your Bill or Quote ($) Pre-filled with Newberry County Memorial Hospital’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 501(r) AGB Cap: $2,670 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $2,670

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (55.2% of gross = $2,670).

Step 2 · Cash vs. Insurance Arbitrage Save $3,049 Paying Cash

Self-Pay Cash Rate ($1,790) Beats Your Bill

Newberry County Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $1,790 (vs. $1,301 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$4,328 Above Fair BaseRate

Negotiate Toward $511 Fair BaseRate ($356 Medicare)

Your bill ($4,839) is $4,328 above the denoised Fair BaseRate ($511) and 13.6× the $356 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: 570324929

Filing Period: 195102

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 (55.2% 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

CMS Overall4/5 Stars (4/5)

Safety Composite75/100

Would Recommend77%

Rated 9 or 10 (HCAHPS)80%

Median ER Wait109 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate2.3%

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 Newberry County Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-05-07·administrative_or_closure
Closure Notice
Recorded
2026-04-23·cap_corrective_action
CAP Request
Recorded
2026-01-21·warning_notice
Warning Notice
Recorded
2024-11-14·administrative_or_closure
Closure Notice
Recorded
2024-10-09·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (225 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 Newberry County Memorial Hospital.

Price Index: 1.00× regional baseline

Quality: 70/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Ambetter (Centene)

-50.0%

UnitedHealthcare

+83.9%

Median Household Income$59,670U.S. Census ACS

Local Uninsured Share8.5%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 420053 EIN 570324929

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 420053) ↗ Verify IRS Form 990 (EIN 570324929) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-30

Validated Rate Rows2,291 (CMS v3.0.0)

File Integrity DigestVerified · CCN 420053

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