How many shoppable procedure prices are published for Vcu Health Tappahannock Hospital?

Vcu Health Tappahannock Hospital in Tappahannock, VA currently has 54 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Vcu Health Tappahannock Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Vcu Health Tappahannock Hospital's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Vcu Health Tappahannock Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Vcu Health Tappahannock Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 66 Beds · rural Updated: 2026-01-02

Vcu Health Tappahannock Hospital

618 Hospital Road, Tappahannock, VA 22560 · 54 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.45×vs. Fair Market Price

Typical commercial prices here are +45% above the fair benchmark (1.45×) even after accounting for local nurse/doctor wages and patient complexity.

78/100 · Corroborated

78/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness55

Price Logic99

Peer Alignment80

Clean Billing55

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.45× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +47% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Vcu Health Tappahannock Hospital prices routine shoppable procedures at 1.6× Medicare (median 1.31× Fair BaseRate) while upper-quartile commercial rates jump +47% to 1.93× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#58 of 75 in VA · 76th State Percentile#2,557 of 3,385 in U.S. · 75th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.94× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 67% patient recommendation (70/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (36.3% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.0× markup over Medicare rates
Commercial insurance median sits at 1.31× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.93×) jump +47% above the median procedure ratio (Q50 1.31×)
Unnegotiated chargemaster list prices average 3.8× Medicare (26¢ 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 & ER0.87× Divergence

1.4× Medicare

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

Quantile Tail Spread+47% Upper Tail

Q25 0.94× · Q50 1.31× · Q75 1.93×

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

2.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.3× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

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

2.7× MedicareFair

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

0% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 70/100Fair

Procedure Prices at Vcu Health Tappahannock Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 54 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$29,532	$19,432	unverified
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$27,813	$30,775	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$18,553	$19,087	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,789	$8,223	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,571	$6,109	0.9×
Bunion correction surgery CPT Code: `28296`	—	$4,770	$3,446	1.4×
Inguinal hernia repair CPT Code: `49505`	—	$4,445	$3,629	1.2×
C-section delivery (full package) CPT Code: `59510`	—	$3,876	$2,975	1.3×
Breast lump removal CPT Code: `19120`	—	$3,656	$3,875	0.9×
Vaginal delivery (full package) CPT Code: `59400`	—	$3,505	$2,680	1.3×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,406	$2,540	0.9×
Trauma team activation HCPCS Code: `G0390`	—	$1,270	$1,453	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,020	$1,021	1.0×
Residential mental health treatment HCPCS Code: `H2036`	—	$770	$406	unverified
Behavioral health day program HCPCS Code: `H2012`	—	$701	$100	unverified
Rabies immune globulin HCPCS Code: `90375`	—	$565	$322	unverified
Psychological testing by technician CPT Code: `96138`	—	$400	$395	1.0×
Neurobehavioral status check CPT Code: `96116`	—	$312	$231	1.4×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$331	$257	unverified
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$331	$269	unverified
Behavioral health day treatment HCPCS Code: `H0010`	—	$331	$343	unverified
Behavioral health residential care HCPCS Code: `H0011`	—	$331	$364	unverified
Mental health services (assessment) HCPCS Code: `H0031`	—	$351	$140	unverified
Care planning with family CPT Code: `90887`	—	$227	$107	2.1×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$190	$88	2.2×
Speech therapy (language evaluation) CPT Code: `92507`	—	$167	$86	1.9×
Behavioral health living support HCPCS Code: `H2019`	—	$190	$34	unverified
Mental health services (therapy) HCPCS Code: `H0032`	—	$139	$65	2.1×
Review of medical records for care CPT Code: `90889`	—	$139	$114	1.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$161	$166	1.0×
Family therapy session CPT Code: `90847`	—	$161	$173	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$161	$181	0.9×
Psychological testing evaluation CPT Code: `96136`	—	$129	$128	1.0×
Orthotic fitting and training CPT Code: `97760`	—	$102	$51	2.0×
Prosthetic fitting and training CPT Code: `97761`	—	$90	$45	2.0×
Group therapy session CPT Code: `90853`	—	$93	$100	0.9×
Typhoid vaccine HCPCS Code: `90675`	—	$298	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$180	$203	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$53	$27	2.0×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$74	$38	1.9×
Physical therapy (gait training) CPT Code: `97116`	—	$64	$33	1.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$77	$40	1.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$71	$38	1.9×
Occupational therapy (self-care training) CPT Code: `97535`	—	$71	$38	1.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$64	$35	1.8×
Physical therapy (manual therapy) CPT Code: `97140`	—	$61	$34	1.8×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$27	$14	1.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$38	$25	1.5×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$37	$25	1.5×
Hepatitis B vaccine HCPCS Code: `90744`	—	$38	$37	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$37	$39	0.9×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$25	$27	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$37	$111	0.3×
Pneumococcal vaccine HCPCS Code: `90732`	—	$38	$140	0.3×

Showing top 25 high-impact procedures of 54 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at Vcu Health Tappahannock Hospital (Zero PHI Required)

CMS CCN: 490084

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $29,532

1. Amount on Your Bill or Quote ($) Pre-filled with Vcu Health Tappahannock 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: $25,700 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $25,700

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $25,700).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Vcu Health Tappahannock Hospital'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 +$51,445 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($70,877) is $51,445 above the denoised Fair BaseRate ($19,432) and 5.0× the $14,044 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: 541489410

Filing Period: 202109

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: national_nonprofit_median

Illustrative National Nonprofit Peer Median (36.3% of gross — request this hospital's exact FAP Look-Back AGB percentage)

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. Hospital-specific AGB look-back percentages are published in each facility’s written Financial Assistance Policy (FAP). This figure reflects the national nonprofit peer median benchmark.

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 Composite70/100

Would Recommend67%

Rated 9 or 10 (HCAHPS)67%

Median ER Wait191 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

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 Vcu Health Tappahannock Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2024-11-14·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (272 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 Vcu Health Tappahannock Hospital.

Price Index: 1.16× regional baseline

Quality: 67/100 CMS composite

Median Household Income$56,481U.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 78/100 · Corroborated CMS CCN 490084 EIN 541489410

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 490084) ↗ Verify IRS Form 990 (EIN 541489410) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filevcuhealthtappahannockhospital__

Publication / Vintage2026-01-02 · 102.50 MB

Validated Rate Rows529 (CMS v3.0.0)

File Integrity DigestVerified · CCN 490084

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