▸ Hospital · NC · CCN 342013
PAM SPECIALTY HOSP. OF ROCKY MOUNT
1051 NOELL LANE, ROCKY MOUNT, NC, 27804
50 beds4
Compliance grade
A
95/100
Procedures tracked
108
of 209 target codes
Payers
18
with negotiated rates
Rates published
11,545
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| emergency | ||||||||
| Critical care, first hour | CPT | 99291 | 11 | $4,466.63 | $4,466.63 | $3,126.64 | $3,483.97 | $4,243.3 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 11 | $4,244.4 | $4,244.4 | $2,971.08 | $3,310.63 | $4,032.18 |
| CT head with contrast | CPT | 70460 | 11 | $4,301.51 | $4,301.51 | $3,011.06 | $3,355.18 | $4,086.43 |
| CT head with and without contrast | CPT | 70470 | 11 | $4,266 | $4,266 | $2,986.2 | $3,327.48 | $4,052.7 |
| CT neck with contrast | CPT | 70491 | 11 | $2,058.48 | $2,058.48 | $1,440.94 | $1,605.61 | $1,955.56 |
| MRI brain with and without contrast | CPT | 70553 | 11 | $14,050 | $14,050 | $9,834.8 | $10,959 | $13,347 |
| Chest X-ray single view | CPT | 71045 | 11 | $656.54 | $656.54 | $459.58 | $512.1 | $623.71 |
| Chest X-ray 2 views | CPT | 71046 | 11 | $380 | $380 | $266 | $296.4 | $361 |
| Chest X-ray 3 views | CPT | 71047 | 11 | $964.44 | $964.44 | $675.11 | $752.26 | $916.22 |
| CT chest without contrast | CPT | 71250 | 11 | $3,154.68 | $3,154.68 | $2,208.28 | $2,460.65 | $2,996.95 |
| CT chest with contrast | CPT | 71260 | 11 | $3,655.8 | $3,655.8 | $2,559.06 | $2,851.52 | $3,473.01 |
| CT chest with and without contrast | CPT | 71270 | 11 | $7,128.55 | $7,128.55 | $4,989.99 | $5,560.27 | $6,772.12 |
| Lumbosacral spine X-ray | CPT | 72100 | 11 | $800.93 | $800.93 | $560.65 | $624.73 | $760.88 |
| CT cervical spine without contrast | CPT | 72125 | 11 | $3,166.56 | $3,166.56 | $2,216.59 | $2,469.92 | $3,008.23 |
| CT thoracic spine without contrast | CPT | 72128 | 11 | $4,376.16 | $4,376.16 | $3,063.31 | $3,413.4 | $4,157.35 |
| CT lumbar spine without contrast | CPT | 72131 | 11 | $4,376.16 | $4,376.16 | $3,063.31 | $3,413.4 | $4,157.35 |
| MRI thoracic spine without contrast | CPT | 72146 | 11 | $2,897.64 | $2,897.64 | $2,028.35 | $2,260.16 | $2,752.76 |
| MRI lumbar spine without contrast | CPT | 72148 | 11 | $3,174.12 | $3,174.12 | $2,221.88 | $2,475.81 | $3,015.41 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 11 | $7,324 | $7,324 | $5,126.8 | $5,712.72 | $6,957.8 |
| MRI cervical spine with and without contrast | CPT | 72156 | 11 | $11,377 | $11,377 | $7,964.01 | $8,874.18 | $10,808 |
| MRI lumbar spine with contrast | CPT | 72158 | 11 | $3,911.76 | $3,911.76 | $2,738.23 | $3,051.17 | $3,716.17 |
| CT pelvis without contrast | CPT | 72192 | 11 | $4,093.2 | $4,093.2 | $2,865.24 | $3,192.7 | $3,888.54 |
| CT pelvis with contrast | CPT | 72193 | 11 | $4,058.64 | $4,058.64 | $2,841.05 | $3,165.74 | $3,855.71 |
| Shoulder X-ray | CPT | 73030 | 11 | $983.67 | $983.67 | $486.11 | $659.72 | $934.49 |
| Humerus X-ray | CPT | 73060 | 11 | $780.19 | $780.19 | $300.76 | $477.15 | $741.18 |
| Hand X-ray 3 views | CPT | 73130 | 11 | $797.04 | $797.04 | $557.93 | $621.69 | $757.19 |
| Knee X-ray 1-2 views | CPT | 73560 | 11 | $650.16 | $650.16 | $164.21 | $338.98 | $617.65 |
| Ankle X-ray 3 views | CPT | 73610 | 11 | $983.67 | $983.67 | $666.8 | $752.53 | $934.49 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 11 | $1,746.94 | $1,746.94 | $1,222.86 | $1,362.61 | $1,659.59 |
| CT abdomen without contrast | CPT | 74150 | 11 | $3,851.28 | $3,851.28 | $2,695.9 | $3,004 | $3,658.72 |
| CT abdomen with contrast | CPT | 74160 | 11 | $4,244.4 | $4,244.4 | $2,971.08 | $3,310.63 | $4,032.18 |
| CT abdomen with and without contrast | CPT | 74170 | 11 | $7,128.55 | $7,128.55 | $4,989.99 | $5,560.27 | $6,772.12 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 11 | $7,459.56 | $7,459.56 | $5,221.69 | $5,818.46 | $7,086.58 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 11 | $6,526.44 | $6,526.44 | $4,568.51 | $5,090.62 | $6,200.12 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 11 | $2,552.04 | $2,552.04 | $1,786.43 | $1,990.59 | $2,424.44 |
| MRI abdomen without contrast | CPT | 74181 | 11 | $7,324 | $7,324 | $5,126.8 | $5,712.72 | $6,957.8 |
| Abdominal ultrasound complete | CPT | 76700 | 11 | $1,423.02 | $1,423.02 | $996.11 | $1,109.96 | $1,351.87 |
| Abdominal ultrasound limited | CPT | 76705 | 11 | $1,660.19 | $1,660.19 | $795.94 | $1,121.17 | $1,577.18 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 11 | $1,415.51 | $1,415.51 | $837.35 | $1,039.21 | $1,344.73 |
| Pelvic ultrasound complete | CPT | 76856 | 11 | $1,313.45 | $1,313.45 | $919.42 | $1,024.49 | $1,247.78 |
| Scrotal ultrasound | CPT | 76870 | 11 | $996.84 | $996.84 | $697.79 | $777.54 | $947 |
| EKG tracing only | CPT | 93005 | 11 | $181.31 | $181.31 | $126.92 | $141.42 | $172.24 |
| Transthoracic echocardiogram complete | CPT | 93306 | 11 | $3,778.52 | $3,778.52 | $2,644.96 | $2,947.25 | $3,589.59 |
| Transthoracic echocardiogram | CPT | 93307 | 11 | $1,235.6 | $1,235.6 | $864.92 | $963.77 | $1,173.82 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 9 | — | — | $55,824 | $57,550 | $89,203 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 9 | — | — | $29,247 | $30,151 | $46,734 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 9 | — | — | $20,513 | $21,148 | $32,779 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 9 | — | — | $34,787 | $35,863 | $55,587 |
| COPD w MCC | MS-DRG | 190 | 9 | — | — | $28,045 | $28,912 | $44,814 |
| COPD w CC | MS-DRG | 191 | 9 | — | — | $28,045 | $28,912 | $44,814 |
| COPD w/o CC/MCC | MS-DRG | 192 | 9 | — | — | $28,045 | $28,912 | $44,814 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 9 | — | — | $22,891 | $23,599 | $36,578 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 9 | — | — | $20,513 | $21,148 | $32,779 |
| AMI discharged alive w MCC | MS-DRG | 280 | 9 | — | — | $35,186 | $36,274 | $56,225 |
| AMI discharged alive w CC | MS-DRG | 281 | 9 | — | — | $27,410 | $28,258 | $43,799 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 9 | — | — | $20,513 | $21,148 | $32,779 |
| Heart failure & shock w MCC | MS-DRG | 291 | 9 | — | — | $33,023 | $34,044 | $52,769 |
| Heart failure & shock w CC | MS-DRG | 292 | 9 | — | — | $23,449 | $24,174 | $37,470 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 9 | — | — | $20,513 | $21,148 | $32,779 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 9 | — | — | $35,928 | $37,040 | $57,411 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 9 | — | — | $20,513 | $21,148 | $32,779 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 9 | — | — | $20,513 | $21,148 | $32,779 |
| GI hemorrhage w CC | MS-DRG | 378 | 9 | — | — | $27,410 | $28,258 | $43,799 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 9 | — | — | $27,410 | $28,258 | $43,799 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 9 | — | — | $26,882 | $27,713 | $42,956 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 9 | — | — | $31,131 | $32,093 | $49,745 |
| Kidney/UTI w MCC | MS-DRG | 689 | 9 | — | — | $27,114 | $27,952 | $43,326 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 9 | — | — | $20,170 | $20,794 | $32,231 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 9 | — | — | $36,431 | $37,557 | $58,214 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 9 | — | — | $24,410 | $25,165 | $39,006 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 11 | $133.06 | $133.06 | $93.14 | $103.79 | $126.41 |
| Electrolyte panel | CPT | 80051 | 11 | $145.15 | $145.15 | $101.61 | $113.22 | $137.89 |
| Comprehensive metabolic panel | CPT | 80053 | 11 | $122.33 | $122.33 | $85.63 | $95.42 | $116.21 |
| Lipid panel | CPT | 80061 | 11 | $239.76 | $239.76 | $167.83 | $187.01 | $227.77 |
| Renal function panel | CPT | 80069 | 11 | $145.12 | $145.12 | $101.58 | $113.19 | $137.86 |
| Hepatic function panel | CPT | 80076 | 11 | $286.42 | $286.42 | $200.49 | $223.41 | $272.1 |
| Urinalysis automated | CPT | 81003 | 11 | $34.29 | $34.29 | $24 | $26.75 | $32.58 |
| Glucose quantitative | CPT | 82947 | 11 | $110.16 | $110.16 | $77.11 | $85.92 | $104.65 |
| Hemoglobin A1c | CPT | 83036 | 11 | $587.1 | $587.1 | $410.97 | $457.94 | $557.75 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 11 | $379.73 | $379.73 | $265.81 | $296.19 | $360.74 |
| Complete blood count with automated differential | CPT | 85025 | 11 | $147.79 | $147.79 | $103.45 | $115.28 | $140.4 |
| Complete blood count without differential | CPT | 85027 | 11 | $140.31 | $140.31 | $98.22 | $109.44 | $133.29 |
| Urine culture bacterial | CPT | 87086 | 11 | $343.34 | $343.34 | $240.34 | $267.81 | $326.17 |
| Urine culture identification | CPT | 87088 | 11 | $299.1 | $299.1 | $209.37 | $233.3 | $284.15 |
| Tissue exam by pathologist level IV | CPT | 88305 | 11 | $1,671.86 | $1,671.86 | $1,170.3 | $1,304.05 | $1,588.27 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 11 | $2,462.4 | $2,462.4 | $1,723.68 | $1,920.67 | $2,339.28 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 11 | $2,898.72 | $2,898.72 | $2,029.1 | $2,261 | $2,753.78 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 11 | $1,694.52 | $1,694.52 | $1,186.16 | $1,321.73 | $1,609.79 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 11 | $1,694.52 | $1,694.52 | $1,186.16 | $1,321.73 | $1,609.79 |
| Colonoscopy diagnostic | CPT | 45378 | 11 | $2,706.48 | $2,706.48 | $1,894.54 | $2,111.05 | $2,571.16 |
| Colonoscopy with biopsy | CPT | 45380 | 11 | $2,706.48 | $2,706.48 | $1,894.54 | $2,111.05 | $2,571.16 |
| Colonoscopy with polyp removal | CPT | 45385 | 11 | $4,759.56 | $4,759.56 | $3,331.69 | $3,712.46 | $4,521.58 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 9 | — | — | $54,172 | $55,847 | $86,563 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 9 | — | — | $27,410 | $28,258 | $43,799 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 9 | — | — | $27,410 | $28,258 | $43,799 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 9 | — | — | $31,131 | $32,093 | $49,745 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 9 | — | — | $31,131 | $32,093 | $49,745 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 9 | — | — | $30,860 | $31,815 | $49,313 |
| Major joint replacement w MCC | MS-DRG | 469 | 9 | — | — | $54,172 | $55,847 | $86,563 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 9 | — | — | $29,247 | $30,151 | $46,734 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 9 | — | — | $29,247 | $30,151 | $46,734 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 9 | — | — | $29,247 | $30,151 | $46,734 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 9 | — | — | $29,247 | $30,151 | $46,734 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 9 | — | — | $56,116 | $57,851 | $89,669 |
| OR procedure for obesity w CC | MS-DRG | 620 | 9 | — | — | $40,713 | $41,973 | $65,058 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 9 | — | — | $29,247 | $30,151 | $46,734 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 9 | — | — | $54,172 | $55,847 | $86,563 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 9 | — | — | $54,172 | $55,847 | $86,563 |
Payer mix (top 18)
| Payer | Codes covered | Median rate |
|---|---|---|
| velocity provider ppo network | 108 | $3,183.3 |
| prime health services | 108 | $27,492 |
| quik trip | 66 | $1,245.14 |
| usa managed care organization | 66 | $1,245.14 |
| healthsmart | 66 | $1,294.95 |
| america's choice | 66 | $1,162.13 |
| evolutions healthcare system | 66 | $1,328.15 |
| integrated health plan | 66 | $1,577.18 |
| fortified provider network | 66 | $1,411.16 |
| Multiplan | 66 | $1,328.15 |
| provider network of america | 66 | $1,245.14 |
| WellCare | 42 | $30,151 |
| Blue Cross Blue Shield | 42 | $37,255 |
| Cigna | 42 | $30,151 |
| Humana | 42 | $30,151 |
| ilumed aco reach | 42 | $30,151 |
| palm beach aco reach | 42 | $29,247 |
| Aetna | 42 | $37,255 |