Mercy Hospital Berryville
214 Carter Street, Berryville, AR 72616 · 103 Priced Procedures · 84% Patient Recommendation
Typical commercial prices here are +134% above the fair benchmark (2.34×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Mercy Hospital Berryville prices routine shoppable procedures near 2.0× Medicare (p50 2.13×) while skewing captive emergency, lab, and upper-quartile codes to 4.5× Medicare (p75 3.22×, +51% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.24× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 59% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (73/100 safety score) with 84% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (35.7% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
- Captive ER (1.4×) & laboratory (1.6×) services average 2.25× higher multiples than routine shoppable care (2.0×)
- Upper-quartile procedures (Q75 3.22×) jump +51% above the median procedure ratio (Q50 2.13×)
- Unnegotiated chargemaster list prices average 9.4× Medicare (17¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Mercy Hospital Berryville
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 103 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $3,058 | 0.4× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $3,058 | 0.2× |
| Trauma team activation HCPCS Code: G0390 | $1,592 | unverified |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,554 | 0.3× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,390 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $1,337 | 0.4× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,301 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,091 | unverified |
| Injection procedure for pain management HCPCS Code: G0260 | $1,036 | unverified |
| Cataract surgery with lens implant CPT Code: 66984 | $1,001 | 0.4× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $934 | unverified |
| Breast lump removal CPT Code: 19120 | $893 | 0.2× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $787 | 0.8× |
| MRI, lower back (no contrast) CPT Code: 72148 | $807 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $758 | 0.8× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $776 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $727 | unverified |
| Upper endoscopy with biopsy CPT Code: 43239 | $699 | 0.7× |
| Colonoscopy with biopsy CPT Code: 45380 | $698 | 0.6× |
| CT scan, head (with contrast) CPT Code: 70460 | $682 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $640 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $656 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $670 | unverified |
| Rabies immune globulin HCPCS Code: 90375 | $612 | 1.9× |
| CT scan, pelvis CPT Code: 72192 | $636 | unverified |
Audit a Bill or Quote at Mercy Hospital Berryville (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $5,733
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (35.7% of gross = $5,733).
Self-Pay Cash Rate ($10,446) Beats Your Bill
Mercy Hospital Berryville's published 45 CFR § 180 self-pay cash rate is $10,446 (vs. $3,058 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $8,223 Fair BaseRate ($5,676 Medicare)
Your bill ($16,071) is $7,848 above the denoised Fair BaseRate ($8,223) and 2.8× the $5,676 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (35.7% of gross charges)
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. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Mercy Hospital Berryville. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-06-27·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (72 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Mercy Hospital Berryville.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.