How many shoppable procedure prices are published for Carilion Tazewell Community Hospital?

Carilion Tazewell Community Hospital in Tazewell, VA currently has 91 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Carilion Tazewell Community Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Carilion Tazewell Community Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 23 Beds · rural Updated: 12/15/2025

Carilion Tazewell Community Hospital

388 Ben Bolt Avenue, Tazewell, VA 24651 · 91 Priced Procedures · 79% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.91×vs. Fair Market Price

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

83/100 · Corroborated

83/100Self-Pay Cash Beats Insurance 91% of the Time

File Completeness66

Price Logic97

Peer Alignment68

Clean Billing84

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.91× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Carilion Tazewell Community Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.87× Fair BaseRate) and emergency/ancillary services (1.1× Medicare, p75 1.04× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#5 of 75 in VA · 5th State Percentile#750 of 3,385 in U.S. · 22nd 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 91% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 79% patient recommendation (74/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (62.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

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.
Captive ER (1.4×) & laboratory (3.3×) services average 1.10× higher multiples than routine shoppable care (1.0×)
Upper-quartile procedures (Q75 1.04×) jump +20% above the median procedure ratio (Q50 0.87×)
Consolidated metro market (HHI 5,912) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.10× Divergence

1.1× Medicare

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

Quantile Tail Spread+20% Upper Tail

Q25 0.80× · Q50 0.87× · Q75 1.04×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.2× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.3× MedicareElevated

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

0.5× MedicareGood

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

91% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 74/100Fair

Procedure Prices at Carilion Tazewell Community 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
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$12,940	$18,850	$19,087	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$7,811	$7,565	$8,223	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$1,463	$1,073	$1,256	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,131	$834	$981	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$1,163	$813	$987	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,532	$794	$1,021	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$982	$492	$583	0.8×
Blood transfusion CPT Code: `36430`	$573	$396	$498	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,542	$323	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,298	$323	$511	0.6×
Rabies immune globulin HCPCS Code: `90375`	$167	$290	$322	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$252	$196	$201	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$619	$216	$272	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,325	$216	$303	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$2,017	$216	$338	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$1,972	$216	$343	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$1,739	$216	$369	0.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$287	$168	$148	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,029	$159	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,261	$167	$258	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	$222	$135	$123	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$111	$86	$86	1.0×
X-ray, lower back CPT Code: `72110`	$484	$95	$112	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$105	$103	$123	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$123	$90	$110	0.8×
Ultrasound, pelvis CPT Code: `76856`	$632	$102	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$522	$101	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$893	$102	$134	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$561	$95	$126	0.8×
CT scan, pelvis CPT Code: `72192`	$700	$106	$163	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$869	$106	$167	0.6×
CT scan, sinuses CPT Code: `70486`	$776	$104	$166	0.6×
CT scan, head (no contrast) CPT Code: `70450`	$799	$100	$160	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,027	$105	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,004	$105	$169	0.6×
X-ray, pelvis CPT Code: `72170`	$187	$95	$110	unverified
Typhoid vaccine HCPCS Code: `90675`	$265	$326	$347	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$71	$71	$14	5.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$60	$56	$40	1.4×
X-ray, chest (single view) CPT Code: `71045`	$118	$79	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$221	$79	$92	0.9×
X-ray, hand CPT Code: `73130`	$299	$79	$93	0.8×
X-ray, hip CPT Code: `73502`	$142	$79	$93	0.8×
X-ray, ankle CPT Code: `73610`	$223	$79	$93	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$79	$73	$87	0.8×
Drug screening test HCPCS Code: `G0480`	$81	$81	$116	0.7×
X-ray, chest (two views) CPT Code: `71046`	$145	$79	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$280	$79	$93	unverified
X-ray, foot CPT Code: `73630`	$227	$79	$92	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$103	$46	$35	1.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$40	$41	$56	0.7×
Blood antibody screen CPT Code: `86850`	$125	$47	$46	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$42	$7	$6	1.2×
Blood test, lipase CPT Code: `83690`	$46	$8	$7	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$51	$9	$8	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$170	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$77	$15	$14	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$64	$15	$14	1.1×
Hepatitis C antibody test CPT Code: `86803`	$192	$16	$15	1.1×
Blood test, vitamin D CPT Code: `82306`	$137	$33	$31	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$72	$20	$19	1.1×
Speech therapy (group session) CPT Code: `92508`	$40	$28	$27	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$16	$45	$48	0.9×
Orthotic fitting and training CPT Code: `97760`	$64	$45	$51	0.9×
Prosthetic fitting and training CPT Code: `97761`	$96	$39	$45	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$104	$53	$64	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$48	$48	$86	0.6×
Blood test, calcium CPT Code: `82310`	$34	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$55	$6	$5	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$73	$17	$16	1.1×
Blood test, glucose (blood sugar) CPT Code: `82947`	$31	$4	$4	1.0×
Blood test, magnesium CPT Code: `83735`	$62	$7	$7	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$54	$32	$38	0.8×
Blood test, potassium CPT Code: `84132`	$25	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$27	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$98	$18	$18	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$31	$4	$4	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$58	$29	$34	0.9×
Blood test, hemoglobin CPT Code: `85018`	$18	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$26	$5	$5	1.0×
Culture, blood CPT Code: `87040`	$75	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$69	$9	$9	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$8	$24	$25	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$76	$35	$38	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$127	$9	$9	1.0×
Blood test, liver function panel CPT Code: `80076`	$172	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$41	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$56	$7	$7	1.0×
Physical therapy (gait training) CPT Code: `97116`	$62	$28	$33	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$60	$23	$38	0.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$31	$11	$10	unverified

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 62.0%

Audit a Bill or Quote at Carilion Tazewell Community Hospital (Zero PHI Required)

CMS CCN: 490117

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $12,940

Insurer Median $18,850

1. Amount on Your Bill or Quote ($) Pre-filled with Carilion Tazewell Community 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: $22,923 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $22,923

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (62.0% of gross = $22,923).

Step 2 · Cash vs. Insurance Arbitrage Save $24,032 Paying Cash

Self-Pay Cash Rate ($12,940) Beats Your Bill

Carilion Tazewell Community Hospital's published 45 CFR § 180 self-pay cash rate is $12,940 (vs. $18,850 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$17,885 Above Fair BaseRate

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

Your bill ($36,972) is $17,885 above the denoised Fair BaseRate ($19,087) and 2.6× 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)

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 (62.0% 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

CMS Overall4/5 Stars (4/5)

Safety Composite74/100

Would Recommend79%

Rated 9 or 10 (HCAHPS)85%

Median ER Wait138 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (115 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

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Carilion Tazewell Community Hospital.

Price Index: 2.04× regional baseline

Quality: 70/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-59.0%

Median Household Income$45,788U.S. Census ACS

Local Uninsured Share4.7%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 83/100 · Corroborated CMS CCN 490117

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 490117) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage12/15/2025

Validated Rate Rows3,209 (CMS v3.0.0)

File Integrity DigestVerified · CCN 490117

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