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Short Term Acute Care HospitalVoluntary Non-Profit - Other

Catawba Valley Medical Center

Catawba Valley Medical Center · Hickory, NC

810 Fairgrove Church Road Se, Hickory, NC 28602(828) 326-3809

2 of 5

CMS star rating

258

Beds

9,100

Inpatient discharges a year

$426.6M

Net patient revenue a year

36

In-network payers

About this hospital

Catawba Valley Medical Center is a 258-bed voluntary non-profit - other hospital in Hickory, NC, affiliated with Catawba Valley Medical Center. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 343 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
340143
NPI
1164495255
Health system
Catawba Valley Medical Center
Teaching
No Medicare-funded residents
County
Catawba County
Metro area
Hickory-Lenoir-Morganton, NC MSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11501)
In Medicare since
1967
Last CMS survey
2014

Prices for common services

The 24 services Catawba 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

$4,763 - $10,278

from 4 insurers · median $8,439

Cigna$10,278
Insurer A*$4,763
Insurer B*$8,008
Insurer C*$8,870

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

$5,762 - $14,616

from 4 insurers · median $11,822

Cigna$14,616
Insurer A*$5,762
Insurer B*$11,814
Insurer C*$11,830

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

$520 - $3,825

from 4 insurers · median $3,260

Blue Cross$3,065
Insurer A*$520
Insurer B*$3,455
Insurer C*$3,825
Medicare $329Nearby hospitals $1,138186% above nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$5,247 - $9,194

from 2 insurers · median $7,221

Aetna$5,247
Insurer A*$9,194
Medicare $3,049Nearby hospitals $5,63128% above nearby hospitals

17 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

How the insurers pay at Catawba 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*21
431%
140
Insurer B*21
388%
141
Insurer C*24
287%
137
Insurer D*24
146%
415

How we chose these services: 6 appear in this hospital's own Medicare claims, 14 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 Catawba 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)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    2 of 5 stars

    • 228 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.02%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 41 services
    • 556 affiliated clinicians
    See doctors and services
  • Finances

    $426.6M net patient revenue

    • Operating margin on patient care 14.0%
    • $20.9M unreimbursed and uncompensated care
    • $81.4M net income
    See finances
  • Ownership and leadership

    Owned by County Of Catawba Office Of Accountant

    • Other
    • 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 Catawba 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
56-0789196Catawba Valley Medical Center64Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 59 more1164495255 Catawba Valley Medical Center1275585150 Catawba Valley Medical Center1689628794 Catawba Valley Medical Centerand 20 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

810 Fairgrove Church Road Se, Hickory, NC 28602

(828) 326-3809

Get directions

Frequently asked questions

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

How much does an MRI cost at Catawba Valley Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Catawba Valley Medical Center range from $520 to $2,840 across 4 insurers. Blue Cross Blue Shield's rate is $2,551. The median at nearby comparable hospitals is $1,522. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Catawba Valley Medical Center range from $520 to $3,825 across 4 insurers. Blue Cross Blue Shield's rate is $3,065. The median at nearby comparable hospitals is $1,138. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Catawba Valley Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Catawba Valley Medical Center range from $1,186 to $4,807 across 4 insurers. UnitedHealthcare's rate is $4,058. The median at nearby comparable hospitals is $2,563. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Catawba Valley Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Catawba Valley Medical Center range from $4,763 to $10,278 across 4 insurers. Cigna's rate is $10,278. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Catawba Valley Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Catawba Valley Medical Center range from $241 to $308 across 4 insurers. Blue Cross Blue Shield's rate is $241. The median at nearby comparable hospitals is $195. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Catawba Valley Medical Center's CMS star rating?

Catawba 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 Catawba Valley Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Catawba Valley Medical Center for fiscal year 2027.

Does Medicare penalize Catawba Valley Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Catawba Valley Medical Center's base inpatient payments by an estimated 0.02% in fiscal year 2027 for more readmissions than expected.

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

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (140 discharges), simple pneumonia and pleurisy with mcc (53 discharges), heart failure and shock with mcc (49 discharges).

What is Catawba Valley Medical Center's case mix index?

Catawba Valley Medical Center's Medicare case mix index is 1.89 for fiscal year 2027, higher than 70% 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.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
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