How many shoppable procedure prices are published for Piedmont Medical Center?

Piedmont Medical Center in Rock Hill, SC currently has 115 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Piedmont Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Piedmont Medical Center's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is Piedmont Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Piedmont 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 374 Beds · urban Updated: 2026-04-15

Piedmont Medical Center

1731 Frank Gaston Blvd, Rock Hill, SC 29732 · 115 Priced Procedures · 50% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.26×vs. Fair Market Price

Typical commercial prices here are +26% above the fair benchmark (1.26×) even after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 21% of the Time

File Completeness90

Price Logic36

Peer Alignment73

Clean Billing79

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.26× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Piedmont Medical Center prices routine shoppable procedures near 1.6× Medicare (p50 1.23×) while skewing captive emergency, lab, and upper-quartile codes to 2.5× Medicare (p75 1.90×, +54% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#35 of 52 in SC · 65th State Percentile#2,173 of 3,385 in U.S. · 64th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.82× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 21% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 50% patient recommendation (54/100 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 2.3× markup over Medicare rates
Captive ER (0.7×) & laboratory (2.1×) services average 1.56× higher multiples than routine shoppable care (1.6×)
Upper-quartile procedures (Q75 1.90×) jump +54% above the median procedure ratio (Q50 1.23×)
Unnegotiated chargemaster list prices average 18.2× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.6× Medicare

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

Back-Door Captive & ER1.56× Divergence

2.5× Medicare

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

Quantile Tail Spread+54% Upper Tail

Q25 0.82× · Q50 1.23× · Q75 1.90×

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

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.3× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

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

1.8× MedicareGood

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

21% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 54/100Elevated

Procedure Prices at Piedmont Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 115 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`	—	$60,909	$30,775	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$39,538	$17,936	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$38,078	$19,087	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$16,765	$8,223	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$15,272	$19,432	0.8×
Trauma team activation HCPCS Code: `G0390`	$9,311	$3,766	$1,453	2.6×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,000	$2,540	1.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$3,000	$6,109	0.5×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$2,918	$3,372	0.9×
Inguinal hernia repair CPT Code: `49505`	—	$2,793	$3,629	0.8×
Breast lump removal CPT Code: `19120`	—	$2,595	$3,875	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,437	$2,437	$151	unverified
Bunion correction surgery CPT Code: `28296`	—	$2,157	$3,446	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$5,496	$1,731	$583	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,681	$855	2.0×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,634	$1,021	1.6×
Blood transfusion CPT Code: `36430`	$1,371	$1,420	$498	2.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$7,259	$1,289	$511	unverified
Rabies immune globulin HCPCS Code: `90375`	$1,228	$1,228	$322	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$892	$981	0.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$892	$1,256	0.7×
Upper endoscopy with biopsy CPT Code: `43239`	—	$866	$987	0.9×
Family therapy session CPT Code: `90847`	$887	$887	$173	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$3,262	$683	$272	2.5×
New patient office visit (30-44 min) CPT Code: `99203`	$700	$700	$110	unverified
Neurobehavioral status check CPT Code: `96116`	—	$650	$231	2.8×
MRI, lower back (no contrast) CPT Code: `72148`	$5,795	$654	$338	1.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$665	$665	$123	unverified
MRI, brain (no contrast) CPT Code: `70551`	$6,334	$586	$343	1.7×
MRI, knee or other leg joint CPT Code: `73721`	$6,082	$586	$369	1.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$483	$483	$87	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$770	$434	$166	2.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$434	$181	2.4×
Psychiatric evaluation (first visit) CPT Code: `90791`	$835	$434	$185	2.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$4,706	$370	$258	1.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$8,497	$368	$448	0.8×
CT scan, pelvis CPT Code: `72192`	$2,698	$309	$163	1.9×
CT scan, chest (no contrast) CPT Code: `71250`	$3,668	$309	$167	1.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,218	$309	$168	1.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,218	$309	$169	1.8×
CT scan, head (with contrast) CPT Code: `70460`	$2,573	$296	$242	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,665	$296	$303	1.0×
Group therapy session CPT Code: `90853`	$665	$261	$100	2.6×
CT scan, head (no contrast) CPT Code: `70450`	$3,563	$247	$160	1.5×
CT scan, sinuses CPT Code: `70486`	$3,155	$247	$166	1.5×
Prosthetic fitting and training CPT Code: `97761`	$258	$258	$45	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$1,326	$192	$132	1.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,907	$153	$126	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$691	$116	$64	1.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,060	$120	$93	1.3×
X-ray, hip CPT Code: `73502`	$1,509	$115	$93	1.2×
X-ray, lower back CPT Code: `72110`	$996	$108	$112	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$533	$113	$123	0.9×
Ultrasound, pelvis CPT Code: `76856`	$2,165	$109	$130	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,627	$109	$134	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$764	$117	$148	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$124	$124	$86	unverified
X-ray, chest (single view) CPT Code: `71045`	$503	$81	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$725	$81	$93	0.9×
X-ray, pelvis CPT Code: `72170`	$605	$84	$110	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$1,239	$85	$201	0.4×
Electrical stimulation therapy HCPCS Code: `G0283`	$104	$104	$14	unverified
Typhoid vaccine HCPCS Code: `90675`	$2,138	$2,138	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$1,040	$1,040	$203	unverified
Culture, blood CPT Code: `87040`	$425	$425	$11	38.6×
Blood test, basic metabolic panel CPT Code: `80048`	$338	$338	$9	37.6×
Blood test, vitamin D CPT Code: `82306`	$328	$328	$31	unverified
Blood test, liver function panel CPT Code: `80076`	$294	$294	$9	32.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$311	$311	$11	28.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$277	$277	$18	unverified
Culture, bacterial CPT Code: `87070`	$296	$296	$9	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$288	$288	$49	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$240	$240	$10	24.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$246	$246	$14	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$194	$194	$14	13.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$159	$159	$8	19.9×
Blood test, vitamin B12 CPT Code: `82607`	$181	$181	$16	11.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$164	$164	$3	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$177	$177	$6	unverified
Blood test, magnesium CPT Code: `83735`	$130	$130	$7	18.6×
Blood test, potassium CPT Code: `84132`	$99	$99	$5	19.8×
Blood test, lipase CPT Code: `83690`	$110	$110	$7	15.7×
Hepatitis C antibody test CPT Code: `86803`	$125	$125	$15	8.3×
Flu vaccine injection HCPCS Code: `G0008`	$196	$111	$48	2.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$204	$111	$49	2.3×
Blood antibody screen CPT Code: `86850`	$214	$103	$46	2.2×
Blood test, amylase CPT Code: `82150`	$74	$74	$7	10.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$525	$93	$111	0.8×
Pneumococcal vaccine HCPCS Code: `90732`	$267	$86	$140	0.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$96	$96	$19	unverified
Blood test, hemoglobin CPT Code: `85018`	$99	$99	$3	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$51	$51	$5	10.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$50	$50	$5	10.0×
Speech therapy (group session) CPT Code: `92508`	—	$50	$27	1.9×
Physical therapy (manual therapy) CPT Code: `97140`	$367	$49	$34	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$288	$49	$38	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$369	$48	$38	1.3×
Orthotic fitting and training CPT Code: `97760`	$175	$48	$51	0.9×
X-ray, shoulder CPT Code: `73030`	$1,130	$72	$92	0.8×
X-ray, hand CPT Code: `73130`	$1,083	$72	$93	0.8×
X-ray, foot CPT Code: `73630`	$1,023	$71	$92	0.8×
X-ray, ankle CPT Code: `73610`	$1,028	$71	$93	0.8×
Blood test, calcium CPT Code: `82310`	$39	$39	$5	7.8×
Speech therapy (language evaluation) CPT Code: `92507`	$249	$52	$86	0.6×
Hepatitis B vaccine HCPCS Code: `90744`	$72	$72	$37	unverified
Blood test, sodium CPT Code: `84295`	$29	$29	$5	5.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$23	$23	$4	5.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$326	$38	$35	1.1×
Physical therapy (gait training) CPT Code: `97116`	$192	$34	$33	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$242	$37	$40	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$206	$32	$38	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$156	$29	$39	0.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$316	$39	$56	0.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$33	$33	$4	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$45	$45	$25	unverified

Showing top 25 high-impact procedures of 115 total

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

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

CMS CCN: 420002

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $60,909

1. Amount on Your Bill or Quote ($) Pre-filled with Piedmont 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 Piedmont 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 +$115,407 Above Fair BaseRate

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

Your bill ($146,182) is $115,407 above the denoised Fair BaseRate ($30,775) and 6.2× 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)

EIN: 953561198

Public IRS & CMS ownership records classify Piedmont 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 Overall2/5 Stars (2/5)

Safety Composite54/100

Would Recommend50%

Rated 9 or 10 (HCAHPS)53%

Median ER Wait188 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.9%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

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

2025-06-09·administrative_or_closure
Closure Notice
Recorded
2025-03-07·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (1,337 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 Quality & Price Benchmark Pareto Frontier (Price + Quality)

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

Price Index: 0.91× regional baseline

Quality: 41/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Ambetter (Centene)

-53.4%

Aetna

+86.8%

Median Household Income$83,060U.S. Census ACS

Local Uninsured Share8.2%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 73/100 · Corroborated CMS CCN 420002 EIN 953561198

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 420002) ↗ Verify IRS Form 990 (EIN 953561198) ↗ CMS HCRIS Cost Reports ↗

Published MRF File953561198_piedmont-medical-center---fort-mill_standardcharges.json

Publication / Vintage2026-04-15 · 61.50 MB

Validated Rate Rows896 (CMS v3.0.0)

File Integrity Digest461daca594d79dd48e15…

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.

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