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Short Term Acute Care HospitalProprietary

Rutherford Hospital Inc.

LifePoint Health · Rutherfordton, NC

288 South Ridgecrest Avenue, Rutherfordton, NC 28139(828) 286-5000

2 of 5

CMS star rating

133

Beds

2,573

Inpatient discharges a year

$112.5M

Net patient revenue a year

28

In-network payers

About this hospital

Rutherford Hospital Inc. is a 133-bed proprietary hospital in Rutherfordton, NC, affiliated with LifePoint Health. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 264 disclosed rate categories.

  • Sole community hospital
  • Rural referral center
  • Disproportionate share hospital
  • ACO participant
CCN
340013
NPI
1245321181
Health system
LifePoint Health
Teaching
No Medicare-funded residents
County
Rutherford County
Metro area
Forest City, NC MicroSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11501)
In Medicare since
1966
Last CMS survey
2015

Prices for common services

The 24 services Rutherford Hospital Inc. 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

$3,522 - $11,957

from 4 insurers · median $7,834

Blue Cross$3,522
Insurer A*$6,152
Insurer B*est.$9,517
Insurer C*est.$11,957

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

$7,170 - $20,943

from 4 insurers · median $12,207

Blue Cross$7,170
Insurer A*$7,746
Insurer B*est.$16,668
Insurer C*est.$20,943

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

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$15,410 - $27,994

from 4 insurers · median $20,317

UnitedHealthcare$18,355
Insurer A*$15,410
Insurer B*est.$22,279
Insurer C*est.$27,994
Medicare $11,710Nearby hospitals $29,22830% below nearby hospitals

63 Medicare discharges for this DRG in CMS hospital data

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$1,457 - $5,176

from 4 insurers · median $3,548

Aetna$5,176
Insurer A*$1,457
Insurer B*est.$2,228
Insurer C*est.$4,867
Medicare $344Nearby hospitals $2,76228% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Rutherford Hospital Inc.

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*24
411%
143
Insurer B*24
358%
510
Insurer C*24
326%
813
Insurer D*24
189%
119

How we chose these services: 5 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 5 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 Rutherford Hospital Inc., 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
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)Centene

More about this hospital

  • Quality

    2 of 5 stars

    • 144 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.09%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 37 services
    • 191 affiliated clinicians
    See doctors and services
  • Finances

    $112.5M net patient revenue

    • Operating margin on patient care 10.8%
    • $3.2M unreimbursed and uncompensated care
    • $13.1M net income
    See finances
  • Ownership and leadership

    Owned by Dlp Healthcare LLC

    • Private (for profit)
    • Elmer B Polite, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Rutherford Hospital Inc. in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
30-0811171Rutherford Regional Medical Center51Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 46 more1023435898 Dlp Rutherford Regional Health System LLC1174940084 Dlp Rutherford Regional Health System LLC1245321181 Dlp Rutherford Regional Health System LLCand 4 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

288 South Ridgecrest Avenue, Rutherfordton, NC 28139

(828) 286-5000

Get directions

Frequently asked questions

About Rutherford Hospital Inc.'s rates and hospital price transparency.

How much does an MRI cost at Rutherford Hospital Inc.?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Rutherford Hospital Inc. range from $1,244 to $2,716 across 4 insurers. UnitedHealthcare's rate is $2,271. The median at nearby comparable hospitals is $2,203. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Rutherford Hospital Inc.?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Rutherford Hospital Inc. range from $1,457 to $5,176 across 4 insurers. Aetna's rate is $5,176. The median at nearby comparable hospitals is $2,762. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Rutherford Hospital Inc.?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Rutherford Hospital Inc. range from $1,399 to $3,055 across 4 insurers. Aetna's rate is $2,318. The median at nearby comparable hospitals is $3,791. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Rutherford Hospital Inc.?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Rutherford Hospital Inc. range from $3,522 to $11,957 across 4 insurers. Blue Cross Blue Shield's rate is $3,522. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Rutherford Hospital Inc.?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Rutherford Hospital Inc. range from $180 to $389 across 4 insurers. Cigna's rate is $310. The median at nearby comparable hospitals is $250. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Rutherford Hospital Inc.?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Rutherford Hospital Inc. range from $15,410 to $27,994 across 4 insurers. UnitedHealthcare's rate is $18,355. The median at nearby comparable hospitals is $29,228. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Rutherford Hospital Inc.'s CMS star rating?

Rutherford Hospital Inc. 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 Rutherford Hospital Inc. a teaching hospital?

CMS reports no Medicare-funded interns or residents at Rutherford Hospital Inc. for fiscal year 2027.

Does Medicare penalize Rutherford Hospital Inc. for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Rutherford Hospital Inc.'s base inpatient payments by an estimated 0.09% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Rutherford Hospital Inc.?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (109 discharges), major hip and knee joint replacement or reattachment of lower extremity without mcc (74 discharges), simple pneumonia and pleurisy with mcc (23 discharges).

For hospital finance and compliance teams

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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.

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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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  • 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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