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

Union Medical Center in Union, SC currently has 122 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

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

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 15 Beds · rural Updated: 2026-04-01

Union Medical Center

322 West South Street, Union, SC 29379 · 122 Priced Procedures · 73% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.32×vs. Fair Market Price

Typical commercial prices here are +32% above the fair benchmark (1.32×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 11% of the Time

File Completeness66

Price Logic96

Peer Alignment64

Clean Billing83

Real Cash Discount100

Regional Benchmark Tier

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

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 6,206), Union Medical Center commands a 1.32× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#38 of 52 in SC · 71st State Percentile#2,299 of 3,385 in U.S. · 67th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.98× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 11% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 73% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (18.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
Captive ER (1.9×) & laboratory (2.5×) services average 1.46× higher multiples than routine shoppable care (1.3×)
Upper-quartile procedures (Q75 1.61×) jump +29% above the median procedure ratio (Q50 1.25×)
Consolidated metro market (HHI 6,206) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER1.46× Divergence

1.9× Medicare

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

Quantile Tail Spread+29% Upper Tail

Q25 0.98× · Q50 1.25× · Q75 1.61×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.5× MedicareFair

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

1.5× MedicareGood

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

11% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Union Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 122 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`	—	$51,641	$30,775	1.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$30,835	$19,432	1.6×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$28,183	$17,936	1.6×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$21,303	$19,087	1.1×
Total hip replacement CPT Code: `27130`	—	$20,611	$13,413	1.5×
Total knee replacement CPT Code: `27447`	—	$17,867	$13,523	1.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$12,474	$8,223	1.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$8,290	$6,109	1.4×
Breast lump removal CPT Code: `19120`	—	$5,205	$3,875	1.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,347	$3,372	1.3×
Inguinal hernia repair CPT Code: `49505`	—	$3,650	$3,629	1.0×
Bunion correction surgery CPT Code: `28296`	—	$3,336	$3,446	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,765	$2,540	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,311	$1,657	$1,021	1.6×
Trauma team activation HCPCS Code: `G0390`	—	$1,372	$1,453	0.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,220	$1,256	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,081	$981	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,069	$987	1.1×
Injection procedure for pain management HCPCS Code: `G0260`	—	$956	$855	1.1×
Blood transfusion CPT Code: `36430`	$1,335	$813	$498	1.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,889	$763	$583	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,180	$714	$448	1.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,916	$714	$511	1.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,705	$483	$303	1.6×
MRI, lower back (no contrast) CPT Code: `72148`	$1,855	$483	$338	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$1,982	$483	$343	1.4×
MRI, knee or other leg joint CPT Code: `73721`	$1,765	$483	$369	1.3×
Psychological testing by technician CPT Code: `96138`	—	$451	$395	1.1×
Neurobehavioral status check CPT Code: `96116`	—	$371	$231	1.6×
CT scan, head (with contrast) CPT Code: `70460`	$1,717	$356	$242	1.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,181	$356	$258	1.4×
Rabies immune globulin HCPCS Code: `90375`	—	$381	$322	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,657	$260	$272	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,165	$213	$160	1.3×
CT scan, pelvis CPT Code: `72192`	$1,165	$213	$163	1.3×
CT scan, sinuses CPT Code: `70486`	$1,220	$213	$166	1.3×
CT scan, chest (no contrast) CPT Code: `71250`	$1,165	$213	$167	1.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,729	$213	$168	1.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,478	$213	$169	1.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$312	$213	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$537	$210	$134	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	—	$183	$151	1.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$148	$183	$166	1.1×
Family therapy session CPT Code: `90847`	—	$183	$173	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$221	$183	$181	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$308	$183	$185	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$345	$148	$123	1.2×
Ultrasound, pelvis CPT Code: `76856`	$455	$150	$130	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$163	$163	$110	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$165	$165	$123	unverified
X-ray, hip CPT Code: `73502`	$199	$122	$93	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$293	$145	$126	1.2×
Psychological testing evaluation CPT Code: `96136`	—	$137	$128	1.1×
X-ray, chest (single view) CPT Code: `71045`	$182	$110	$92	1.2×
X-ray, chest (two views) CPT Code: `71046`	$193	$110	$93	1.2×
Group therapy session CPT Code: `90853`	—	$105	$100	1.1×
X-ray, shoulder CPT Code: `73030`	$311	$90	$92	1.0×
X-ray, foot CPT Code: `73630`	$285	$90	$92	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$318	$90	$93	1.0×
X-ray, hand CPT Code: `73130`	$293	$90	$93	1.0×
X-ray, ankle CPT Code: `73610`	$286	$90	$93	1.0×
X-ray, lower back CPT Code: `72110`	$500	$108	$112	1.0×
X-ray, pelvis CPT Code: `72170`	$206	$106	$110	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$443	$107	$148	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$99	$99	$201	0.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$115	$115	$87	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$293	$371	$203	1.8×
Typhoid vaccine HCPCS Code: `90675`	—	$325	$347	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$142	$156	$111	1.4×
Drug screening test HCPCS Code: `G0480`	—	$130	$116	1.1×
Blood test, vitamin D CPT Code: `82306`	$151	$57	$31	1.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$57	$64	$56	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$398	$79	$86	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$130	$83	$140	0.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$125	$35	$19	1.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$34	$49	$39	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$231	$72	$64	1.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$32	$27	1.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$38	$6	$3	2.0×
Blood test, calcium CPT Code: `82310`	$44	$10	$5	2.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$44	$10	$5	2.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$81	$19	$10	1.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$76	$26	$14	1.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$99	$26	$14	1.9×
Blood test, lipase CPT Code: `83690`	$71	$13	$7	1.9×
Blood test, magnesium CPT Code: `83735`	$56	$13	$7	1.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$70	$20	$11	1.8×
Blood test, vitamin B12 CPT Code: `82607`	$100	$29	$16	1.8×
Blood test, basic metabolic panel CPT Code: `80048`	$58	$16	$9	1.8×
Blood test, liver function panel CPT Code: `80076`	$76	$16	$9	1.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$23	$20	1.1×
Hepatitis B vaccine HCPCS Code: `90744`	$31	$39	$37	1.1×
Orthotic fitting and training CPT Code: `97760`	$141	$46	$51	0.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$35	$8	$4	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$37	$12	$6	2.0×
Culture, bacterial CPT Code: `87070`	$98	$17	$9	1.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$70	$15	$8	1.9×
Culture, blood CPT Code: `87040`	$154	$20	$11	1.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$139	$35	$38	0.9×
Blood test, potassium CPT Code: `84132`	$56	$9	$5	1.8×
Blood test, sodium CPT Code: `84295`	$39	$9	$5	1.8×
Hepatitis C antibody test CPT Code: `86803`	$95	$27	$15	1.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$169	$32	$18	1.8×
Flu vaccine injection HCPCS Code: `G0008`	—	$48	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$48	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	—	$48	$49	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$34	$8	$5	1.6×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$13	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$192	$25	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$95	$30	$33	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$102	$36	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$151	$34	$38	0.9×
Prosthetic fitting and training CPT Code: `97761`	$65	$40	$45	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$148	$30	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$185	$29	$34	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$95	$32	$38	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$22	$19	$25	0.8×
Blood antibody screen CPT Code: `86850`	$92	$27	$46	0.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$12	$35	0.3×
Blood test, amylase CPT Code: `82150`	$150	$12	$7	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$34	$8	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$30	$5	$3	unverified

Showing top 25 high-impact procedures of 122 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 18.0%

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

CMS CCN: 420108

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $51,641

1. Amount on Your Bill or Quote ($) Pre-filled with Union 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 501(r) AGB Cap: $22,346 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $22,346

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (18.0% of gross = $22,346).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Union 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 +$93,163 Above Fair BaseRate

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

Your bill ($123,938) is $93,163 above the denoised Fair BaseRate ($30,775) and 5.3× 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) 501(c)(3) Nonprofit Hospital

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

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 (18.0% 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 Composite69/100

Would Recommend73%

Rated 9 or 10 (HCAHPS)77%

Median ER Wait156 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (50 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 Union Medical Center.

Price Index: 0.98× regional baseline

Quality: 55/100 CMS composite

Median Household Income$41,200U.S. Census ACS

Local Uninsured Share11.7%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 82/100 · Corroborated CMS CCN 420108

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 420108) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows1,315 (CMS v3.0.0)

File Integrity DigestVerified · CCN 420108

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