How many shoppable procedure prices are published for Missouri Delta Medical Center?

Missouri Delta Medical Center in Sikeston, MO currently has 90 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Missouri Delta Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Missouri Delta Medical Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Missouri Delta Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Missouri Delta Medical Center an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 98 Beds · rural Updated: 2026-08-07

Missouri Delta Medical Center

1008 North Main St, Sikeston, MO 63801 · 90 Priced Procedures · 56% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Good Deal · Below Fair Market

0.91×vs. Fair Market Price

Typical commercial prices here are 9% below the fair benchmark (0.91×) after accounting for local nurse/doctor wages and patient complexity.

85/100 · Verified

85/100Self-Pay Cash Beats Insurance 79% of the Time

File Completeness85

Price Logic79

Peer Alignment82

Clean Billing85

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.91× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Missouri Delta Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.93× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.96× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#15 of 79 in MO · 17th State Percentile#725 of 3,385 in U.S. · 21st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 9% below peer Fair BaseRate (0.91×)
Self-pay cash beats commercial insurance on 79% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 56% patient recommendation (57/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (25.1% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.3× markup over Medicare rates
Commercial insurance median sits at 0.93× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.91× 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.
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

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

Quantile Tail Spread+3% Upper Tail

Q25 0.78× · Q50 0.93× · Q75 0.96×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.3× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

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

0.7× MedicareGood

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

79% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 57/100Elevated

Procedure Prices at Missouri Delta Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 90 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	$16,784	$11,622	$13,413	0.9×
Total knee replacement CPT Code: `27447`	$16,610	$11,622	$13,523	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$4,147	$4,769	$6,109	0.8×
Inguinal hernia repair CPT Code: `49505`	$3,673	$2,999	$3,629	0.8×
Breast lump removal CPT Code: `19120`	$2,471	$2,976	$3,875	0.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,230	$2,669	$3,372	0.8×
Bunion correction surgery CPT Code: `28296`	$2,564	$2,669	$3,446	0.8×
Cataract surgery with lens implant CPT Code: `66984`	$2,370	$1,957	$2,540	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$559	$996	$1,021	1.0×
Colonoscopy with biopsy CPT Code: `45380`	$1,509	$977	$1,256	0.8×
Upper endoscopy with biopsy CPT Code: `43239`	$1,699	$763	$987	0.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$736	$748	$981	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$610	$526	$583	0.9×
Blood transfusion CPT Code: `36430`	$419	$414	$498	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,076	$366	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$881	$366	$511	0.7×
Neurobehavioral status check CPT Code: `96116`	$281	$299	$231	1.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$319	$233	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,095	$233	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$707	$233	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$519	$233	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,240	$233	$369	0.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$253	$253	$148	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$78	$203	$201	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$532	$175	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$606	$175	$258	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$65	$126	$87	1.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$88	$126	$123	1.0×
X-ray, pelvis CPT Code: `72170`	$139	$105	$110	1.0×
X-ray, chest (single view) CPT Code: `71045`	$87	$87	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$209	$87	$92	0.9×
X-ray, foot CPT Code: `73630`	$131	$87	$92	0.9×
X-ray, lower back CPT Code: `72110`	$139	$105	$112	0.9×
X-ray, chest (two views) CPT Code: `71046`	$107	$87	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$139	$87	$93	0.9×
X-ray, hand CPT Code: `73130`	$131	$87	$93	0.9×
X-ray, hip CPT Code: `73502`	$87	$87	$93	0.9×
X-ray, ankle CPT Code: `73610`	$209	$87	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$225	$105	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$244	$105	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$218	$105	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$241	$105	$134	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$575	$105	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$527	$105	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$408	$105	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$536	$105	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$689	$105	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$689	$105	$169	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	$114	$114	$123	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$88	$88	$110	unverified
Flu vaccine injection HCPCS Code: `G0008`	$82	$45	$48	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$111	$58	$64	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$52	$11	$11	1.0×
Blood test, vitamin D CPT Code: `82306`	$36	$30	$31	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$54	$54	$86	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$32	$32	$40	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$33	$33	$38	unverified
Orthotic fitting and training CPT Code: `97760`	$32	$32	$51	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$23	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$13	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$19	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$30	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$21	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$25	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$20	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$17	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$19	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$19	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$21	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$26	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$24	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$30	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$35	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$29	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$48	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$63	$14	$15	0.9×
Culture, blood CPT Code: `87040`	$30	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$55	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$62	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$33	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$16	$4	$5	0.8×
Speech therapy (group session) CPT Code: `92508`	$29	$29	$27	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$30	$30	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$29	$29	$38	unverified
Physical therapy (gait training) CPT Code: `97116`	$29	$29	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$28	$28	$34	unverified
Blood test, hemoglobin CPT Code: `85018`	$15	$2	$3	0.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$25	$25	$38	unverified
Prosthetic fitting and training CPT Code: `97761`	$25	$25	$45	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$10	$10	$86	unverified

Showing top 25 high-impact procedures of 90 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 25.1%

Audit a Bill or Quote at Missouri Delta Medical Center (Zero PHI Required)

CMS CCN: 260113

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $16,784

Insurer Median $11,622

1. Amount on Your Bill or Quote ($) Pre-filled with Missouri Delta Medical Center’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: $16,831 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $16,831

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (25.1% of gross = $16,831).

Step 2 · Cash vs. Insurance Arbitrage Save $50,351 Paying Cash

Self-Pay Cash Rate ($16,784) Beats Your Bill

Missouri Delta Medical Center's published 45 CFR § 180 self-pay cash rate is $16,784 (vs. $11,622 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$53,722 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($67,135) is $53,722 above the denoised Fair BaseRate ($13,413) and 5.1× the $13,117 Medicare rate.

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: 430633449

Filing Period: 195104

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 (25.1% 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

CMS Overall3/5 Stars (3/5)

Safety Composite57/100

Would Recommend56%

Rated 9 or 10 (HCAHPS)59%

Median ER Wait197 min

Left ER Before Seen2%

30-Day Mortality vs U.S.worse

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Missouri Delta Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-03-18·administrative_or_closure
Closure Notice
Recorded
2025-02-27·cap_corrective_action
CAP Request
Recorded
2024-11-25·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (287 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

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Missouri Delta Medical Center.

Price Index: 1.00× regional baseline

Quality: 39/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aarp

-53.1%

Healthscope

-47.0%

Median Household Income$58,847U.S. Census ACS

Local Uninsured Share11.8%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 85/100 · Verified CMS CCN 260113 EIN 430633449

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 260113) ↗ Verify IRS Form 990 (EIN 430633449) ↗ CMS HCRIS Cost Reports ↗

Published MRF File43-0633449_missourideltamedicalcenter_standardcharges.csv

Publication / Vintage2026-08-07 · 8.54 MB

Validated Rate Rows1,806 (CMS v3.0.0)

File Integrity Digest3c5960569e6f3edba1ba…

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