How many shoppable procedure prices are published for Mercy Hospital Waldron?

Mercy Hospital Waldron in Waldron, AR currently has 87 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Mercy Hospital Waldron's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Mercy Hospital Waldron's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 12 Beds · rural Updated: 6/8/2026

Mercy Hospital Waldron

1341 West Sixth Street, Waldron, AR 72958 · 87 Priced Procedures · 84% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.13×vs. Fair Market Price

Typical commercial prices here are +13% above the fair benchmark (1.13×) even after accounting for local nurse/doctor wages and patient complexity.

88/100 · Verified

88/100Self-Pay Cash Beats Insurance 42% of the Time

File Completeness95

Price Logic89

Peer Alignment70

Clean Billing87

Real Cash Discount100

Premium Quality Tier

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Mercy Hospital Waldron maintains elevated commercial insurance contracts (1.13× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 42% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#32 of 51 in AR · 60th State Percentile#1,780 of 3,385 in U.S. · 52nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.87× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 42% 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 (31.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.13× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (0.8×) & laboratory (1.2×) services average 1.18× higher multiples than routine shoppable care (1.1×)
Upper-quartile procedures (Q75 1.32×) jump +21% above the median procedure ratio (Q50 1.09×)
Unnegotiated chargemaster list prices average 8.7× Medicare (16¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.18× Divergence

1.3× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+21% Upper Tail

Q25 0.87× · Q50 1.09× · Q75 1.32×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.2× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.7× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

42% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 73/100Fair

Procedure Prices at Mercy Hospital Waldron

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 87 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$11,147	$11,147	$19,087	0.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$8,998	$8,998	$8,223	1.1×
Rabies immune globulin HCPCS Code: `90375`	$6,993	$6,993	$322	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,464	$1,464	$6,109	0.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,646	$585	$583	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,063	$528	$1,021	0.5×
Blood transfusion CPT Code: `36430`	$730	$476	$498	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,848	$382	$448	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,580	$321	$258	1.2×
CT scan, pelvis CPT Code: `72192`	$1,370	$240	$163	1.5×
CT scan, head (with contrast) CPT Code: `70460`	$1,314	$263	$242	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$940	$234	$167	1.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,450	$234	$168	1.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,236	$234	$169	1.4×
CT scan, sinuses CPT Code: `70486`	$1,018	$215	$166	1.3×
CT scan, head (no contrast) CPT Code: `70450`	$1,007	$205	$160	1.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,263	$224	$303	0.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$956	$203	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$831	$221	$1,256	0.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$188	$148	$123	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$454	$145	$132	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$878	$158	$272	0.6×
Upper endoscopy with biopsy CPT Code: `43239`	$623	$153	$987	0.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$167	$102	$87	1.2×
X-ray, lower back CPT Code: `72110`	$424	$116	$112	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$181	$101	$110	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$554	$117	$134	0.9×
X-ray, foot CPT Code: `73630`	$388	$84	$92	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$207	$84	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$411	$108	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$508	$108	$130	0.8×
X-ray, hand CPT Code: `73130`	$268	$81	$93	0.9×
X-ray, pelvis CPT Code: `72170`	$226	$95	$110	0.9×
Typhoid vaccine HCPCS Code: `90675`	$945	$320	$347	0.9×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$69	$69	$27	2.6×
Orthotic fitting and training CPT Code: `97760`	$71	$67	$51	1.3×
Physical therapy (gait training) CPT Code: `97116`	$66	$42	$33	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$61	$48	$38	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$68	$49	$40	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$72	$46	$38	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$64	$38	$34	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$151	$52	$56	0.9×
X-ray, shoulder CPT Code: `73030`	$395	$75	$92	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$179	$68	$86	0.8×
X-ray, ankle CPT Code: `73610`	$449	$73	$93	0.8×
X-ray, hip CPT Code: `73502`	$177	$72	$93	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$75	$75	$201	0.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$81	$42	$35	1.2×
X-ray, chest (two views) CPT Code: `71046`	$222	$53	$93	0.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$64	$64	$86	unverified
Blood test, calcium CPT Code: `82310`	$51	$8	$5	1.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$62	$8	$5	1.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$51	$6	$4	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$49	$6	$4	1.5×
Blood test, complete blood count (CBC) CPT Code: `85025`	$49	$12	$8	1.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$68	$9	$6	1.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$128	$16	$11	1.5×
Blood test, basic metabolic panel CPT Code: `80048`	$111	$13	$9	1.4×
Blood test, magnesium CPT Code: `83735`	$43	$10	$7	1.4×
Blood test, potassium CPT Code: `84132`	$44	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$46	$7	$5	1.4×
Hepatitis C antibody test CPT Code: `86803`	$99	$21	$15	1.4×
Blood test, vitamin B12 CPT Code: `82607`	$49	$22	$16	1.4×
Culture, blood CPT Code: `87040`	$101	$15	$11	1.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$37	$24	$18	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$195	$39	$64	0.6×
Blood test, hemoglobin CPT Code: `85018`	$27	$4	$3	1.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$29	$6	$5	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$93	$22	$19	1.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$88	$38	$39	1.0×
Blood test, liver function panel CPT Code: `80076`	$89	$12	$9	1.3×
Blood test, vitamin D CPT Code: `82306`	$81	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$33	$4	$3	1.3×
Blood test, amylase CPT Code: `82150`	$68	$9	$7	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$45	$12	$10	1.2×
Blood test, lipase CPT Code: `83690`	$62	$7	$7	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$59	$19	$20	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$72	$13	$14	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$76	$13	$14	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$61	$23	$25	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$88	$33	$37	0.9×
Culture, bacterial CPT Code: `87070`	$122	$8	$9	0.9×
Speech therapy (group session) CPT Code: `92508`	$83	$21	$27	0.8×
X-ray, chest (single view) CPT Code: `71045`	$136	$35	$92	0.4×
Flu vaccine injection HCPCS Code: `G0008`	$11	$11	$48	0.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$11	$11	$49	0.2×
Blood antibody screen CPT Code: `86850`	$66	$10	$46	0.2×

Showing top 25 high-impact procedures of 87 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 31.0%

Audit a Bill or Quote at Mercy Hospital Waldron (Zero PHI Required)

CMS CCN: 041305

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $11,147

Insurer Median $11,147

1. Amount on Your Bill or Quote ($) Pre-filled with Mercy Hospital Waldron’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $5,312 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $5,312

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (31.0% of gross = $5,312).

Step 2 · Cash vs. Insurance Arbitrage Save $6,001 Paying Cash

Self-Pay Cash Rate ($11,147) Beats Your Bill

Mercy Hospital Waldron's published 45 CFR § 180 self-pay cash rate is $11,147 (vs. $11,147 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $19,087 Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($19,087).

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 710557895

Filing Period: 194603

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (31.0% 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.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

Safety Composite73/100

Would Recommend84%

Rated 9 or 10 (HCAHPS)77%

Median ER Wait76 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

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 Waldron. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-07·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (51 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Mercy Hospital Waldron.

Price Index: 1.68× regional baseline

Quality: 60/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Blue Cross Blue Shield

-41.7%

Median Household Income$45,955U.S. Census ACS

Local Uninsured Share9.8%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 88/100 · Verified CMS CCN 041305 EIN 710557895

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 041305) ↗ Verify IRS Form 990 (EIN 710557895) ↗ CMS HCRIS Cost Reports ↗

Published MRF File710557895_mercy-hospital-waldron_standardcharges.zip!710557895_mercy-hospital-waldron_standardcharges.csv

Publication / Vintage6/8/2026 · 12.19 MB

Validated Rate Rows9,652 (CMS v3.0.0)

File Integrity Digest1a47c07745b1ff9a0a6b…

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.

Submit MRF Update Correction Policy