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

Unity Medical Center in Manchester, TN currently has 101 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Unity Medical Center's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Unity Medical Center 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 - Private 49 Beds · rural Updated: 2/27/2026

Unity Medical Center

481 Interstate Drive, Manchester, TN 37355 · 101 Priced Procedures · 89% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.12×vs. Fair Market Price

Typical commercial prices here are +12% above the fair benchmark (1.12×) even after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 28% of the Time

File Completeness66

Price Logic89

Peer Alignment78

Clean Billing64

Real Cash Discount97

High Quality · Fair Price

5-Star CMS clinical quality rating paired with 1.12× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 7,504), Unity Medical Center commands a 1.12× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#63 of 84 in TN · 73rd State Percentile#1,766 of 3,385 in U.S. · 52nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.93× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 28% of shoppable procedures (97/100 Cash Honesty)
CMS clinical safety score (83/100 safety score) with 89% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (18.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.12× 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.
Commercial insurance median sits at 1.14× Fair BaseRate (1.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.12× 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 7,504) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.4× Medicare

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

Back-Door Captive & ER0.79× Divergence

1.1× Medicare

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

Quantile Tail Spread+6% Upper Tail

Q25 0.93× · Q50 1.14× · Q75 1.21×

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

1.4× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.4× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.3× MedicareElevated

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

0.6× MedicareGood

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

28% Cash Edge · 97/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 83/100Good

Procedure Prices at Unity Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 101 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$8,074	$8,074	$17,936	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$21,677	$7,429	$19,432	0.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$8,756	$6,298	$19,087	0.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$3,482	$3,001	$8,223	0.4×
Inguinal hernia repair CPT Code: `49505`	$2,719	$2,564	$3,629	0.7×
Breast lump removal CPT Code: `19120`	$2,996	$2,586	$3,875	0.7×
Colonoscopy with biopsy CPT Code: `45380`	$927	$1,159	$1,256	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,944	$1,100	$1,021	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$720	$897	$981	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$769	$891	$987	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$837	$648	$855	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,242	$514	$511	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$1,607	$430	$338	1.3×
MRI, brain (no contrast) CPT Code: `70551`	$1,576	$431	$343	1.3×
MRI, knee or other leg joint CPT Code: `73721`	$1,502	$443	$369	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$355	$355	$110	3.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$561	$357	$272	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,477	$379	$448	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$540	$374	$583	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$318	$318	$123	2.6×
CT scan, chest (no contrast) CPT Code: `71250`	$1,190	$308	$167	1.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,159	$308	$168	1.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,238	$307	$258	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,477	$304	$303	1.0×
CT scan, sinuses CPT Code: `70486`	$1,139	$315	$166	unverified
CT scan, pelvis CPT Code: `72192`	$1,133	$274	$163	1.7×
CT scan, head (with contrast) CPT Code: `70460`	$1,114	$287	$242	1.2×
Rabies immune globulin HCPCS Code: `90375`	$818	$286	$322	0.9×
Blood transfusion CPT Code: `36430`	$486	$300	$498	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,126	$309	$169	unverified
CT scan, head (no contrast) CPT Code: `70450`	$711	$263	$160	1.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$223	$223	$87	2.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$475	$165	$134	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$443	$160	$132	1.2×
Ultrasound, pelvis CPT Code: `76856`	$386	$157	$130	1.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$135	$125	$148	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$394	$149	$126	unverified
X-ray, chest (single view) CPT Code: `71045`	$126	$98	$92	1.1×
X-ray, foot CPT Code: `73630`	$144	$98	$92	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$185	$98	$93	1.1×
X-ray, hand CPT Code: `73130`	$150	$98	$93	1.1×
X-ray, hip CPT Code: `73502`	$182	$98	$93	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$94	$118	$123	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$66	$82	$86	1.0×
X-ray, lower back CPT Code: `72110`	$267	$106	$112	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$69	$80	$201	0.4×
X-ray, ankle CPT Code: `73610`	$148	$98	$93	unverified
Typhoid vaccine HCPCS Code: `90675`	$702	$323	$347	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$151	$151	$111	1.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$116	$116	$56	2.1×
Pneumococcal vaccine HCPCS Code: `90732`	$156	$133	$140	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$153	$153	$37	unverified
Speech therapy (group session) CPT Code: `92508`	$64	$68	$27	2.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$58	$72	$40	1.8×
Drug screening test HCPCS Code: `G0480`	$87	$87	$116	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$31	$39	$14	2.8×
Occupational therapy (self-care training) CPT Code: `97535`	$48	$54	$38	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$42	$52	$38	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$109	$63	$64	1.0×
Neurobehavioral status check CPT Code: `96116`	$62	$77	$231	0.3×
Physical therapy (gait training) CPT Code: `97116`	$35	$44	$33	1.3×
Orthotic fitting and training CPT Code: `97760`	$43	$54	$51	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	$53	$63	$34	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$58	$72	$38	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$94	$79	$35	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$45	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$35	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$130	$10	$8	1.3×
Culture, bacterial CPT Code: `87070`	$106	$11	$9	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$97	$23	$19	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$51	$12	$10	1.2×
Blood test, vitamin D CPT Code: `82306`	$437	$36	$31	1.2×
X-ray, chest (two views) CPT Code: `71046`	$107	$57	$93	0.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$66	$4	$3	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$140	$17	$14	1.2×
Blood test, calcium CPT Code: `82310`	$82	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$35	$6	$5	1.2×
Blood test, potassium CPT Code: `84132`	$82	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$82	$6	$5	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$183	$13	$11	1.2×
Culture, blood CPT Code: `87040`	$128	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$130	$21	$18	1.2×
Blood antibody screen CPT Code: `86850`	$77	$44	$46	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$58	$7	$6	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$97	$23	$20	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$90	$16	$14	1.1×
Blood test, amylase CPT Code: `82150`	$78	$8	$7	1.1×
Blood test, lipase CPT Code: `83690`	$49	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$68	$8	$7	1.1×
Hepatitis C antibody test CPT Code: `86803`	$106	$17	$15	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$134	$18	$16	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$116	$10	$9	1.1×
Blood test, liver function panel CPT Code: `80076`	$106	$10	$9	1.1×
X-ray, shoulder CPT Code: `73030`	$142	$33	$92	0.4×
Blood test, hemoglobin CPT Code: `85018`	$58	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$56	$5	$5	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$40	$30	$35	0.9×
Prosthetic fitting and training CPT Code: `97761`	$22	$28	$45	0.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$58	$13	$25	0.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$29	$36	$86	0.4×
X-ray, pelvis CPT Code: `72170`	$79	$30	$110	0.3×

Showing top 25 high-impact procedures of 101 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 18.6%

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

CMS CCN: 440007

CPT 322

Select Procedure to Audit:

Fair BaseRate™ $17,936

Medicare Rate $12,807

Self-Pay Cash $8,074

Insurer Median $8,074

1. Amount on Your Bill or Quote ($) Pre-filled with Unity 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: $1,874 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $1,874

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (18.6% of gross = $1,874).

Step 2 · Cash vs. Insurance Arbitrage Save $2,018 Paying Cash

Self-Pay Cash Rate ($8,074) Beats Your Bill

Unity Medical Center's published 45 CFR § 180 self-pay cash rate is $8,074 (vs. $8,074 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $17,936 Fair BaseRate

Negotiate Toward $17,936 Fair BaseRate ($12,807 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($17,936).

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: 825388429

Filing Period: 201811

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 (18.6% 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.

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 Overall5/5 Stars (5/5)

Safety Composite83/100

Would Recommend89%

Rated 9 or 10 (HCAHPS)99%

Median ER Wait126 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (138 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 Unity Medical Center.

Price Index: 1.00× regional baseline

Quality: 83/100 CMS composite

Median Household Income$60,656U.S. Census ACS

Local Uninsured Share10.1%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 79/100 · Corroborated CMS CCN 440007 EIN 825388429

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 440007) ↗ Verify IRS Form 990 (EIN 825388429) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2/27/2026

Validated Rate Rows610 (CMS v3.0.0)

File Integrity DigestVerified · CCN 440007

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