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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Cape Fear Valley Medical Center

Cape Fear Valley Health System · Fayetteville, NC

1638 Owen Drive, Fayetteville, NC 28304(910) 609-4000

2 of 5

CMS star rating

856

Beds

39,052

Inpatient discharges a year

$1.3B

Net patient revenue a year

35

In-network payers

About this hospital

Cape Fear Valley Medical Center is an 856-bed voluntary non-profit - private hospital in Fayetteville, NC, affiliated with Cape Fear Valley Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 421 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
340028
NPI
1639172869
Health system
Cape Fear Valley Health System
Teaching
Major teaching hospital
County
Cumberland County
Metro area
Fayetteville, NC MSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11501)
In Medicare since
1966
Last CMS survey
2013

Prices for common services

The 24 services Cape Fear Valley Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$5,575 - $7,607

from 3 insurers · median $7,208

Blue Cross$7,208
Insurer A*$5,575
Insurer B*$7,607

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$7,219 - $11,782

from 3 insurers · median $10,321

Blue Cross$10,321
Insurer A*$7,219
Insurer B*$11,782

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$340 - $3,845

from 4 insurers · median $1,983

Aetna$356
Insurer A*$340
Insurer B*est.$3,610
Insurer C*est.$3,845
Medicare $327Nearby hospitals $1,39642% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$26,964 - $53,281

from 2 insurers · median $40,123

UnitedHealthcare$53,281
Insurer A*$26,964
Medicare $28,989Nearby hospitals $47,66116% below nearby hospitals

36 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Cape Fear Valley Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*18
449%
20
Insurer B*23
302%
72
Insurer C*18
99%
113
Insurer D*24
95%
216

How we chose these services: 5 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Cape Fear Valley Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    2 of 5 stars

    • 216 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.57%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 49 services
    • 930 affiliated clinicians
    See doctors and services
  • Finances

    $1.3B net patient revenue

    • Operating margin on patient care -4.8%
    • $42M unreimbursed and uncompensated care
    • $37.3M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • Michael Nagowski, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Cape Fear Valley Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
56-0845796Cape Fear Valley Medical Center64Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 59 more1639172869 Cumberland County Hospital System Inc1982607115 Cumberland County Hospital System Inc1821091851 Cumberland County Hospital System Incand 93 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1638 Owen Drive, Fayetteville, NC 28304

(910) 609-4000

Get directions

Frequently asked questions

About Cape Fear Valley Medical Center's rates and hospital price transparency.

How much does an MRI cost at Cape Fear Valley Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Cape Fear Valley Medical Center range from $340 to $4,399 across 4 insurers. Aetna's rate is $380. The median at nearby comparable hospitals is $2,402. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Cape Fear Valley Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Cape Fear Valley Medical Center range from $340 to $3,845 across 4 insurers. Aetna's rate is $356. The median at nearby comparable hospitals is $1,396. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Cape Fear Valley Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Cape Fear Valley Medical Center range from $1,124 to $1,704 across 3 insurers. UnitedHealthcare's rate is $1,124. The median at nearby comparable hospitals is $3,747. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Cape Fear Valley Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Cape Fear Valley Medical Center range from $5,575 to $7,607 across 3 insurers. Blue Cross Blue Shield's rate is $7,208. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Cape Fear Valley Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Cape Fear Valley Medical Center range from $34 to $243 across 4 insurers. Aetna's rate is $141. The median at nearby comparable hospitals is $216. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Cape Fear Valley Medical Center's CMS star rating?

Cape Fear Valley Medical Center has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Cape Fear Valley Medical Center a teaching hospital?

Yes. CMS counts 0.26 Medicare-funded residents per bed at Cape Fear Valley Medical Center for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Cape Fear Valley Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Cape Fear Valley Medical Center's base inpatient payments by an estimated 0.57% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Cape Fear Valley Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (472 discharges), heart failure and shock with mcc (325 discharges), pulmonary edema and respiratory failure (130 discharges).

What is Cape Fear Valley Medical Center's case mix index?

Cape Fear Valley Medical Center's Medicare case mix index is 1.73 for fiscal year 2027, higher than 56% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
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  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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