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Hospital Profile Acute Care Hospital Proprietary 39 Beds · rural Updated: 2026-04-01

Moberly Regional Medical Center

1515 Union Ave, Moberly, MO 65270 · 104 Priced Procedures · 61% Patient Recommendation

CMS Overall Rating 2 / 5 Stars
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Above Fair Market · Negotiate
1.20×vs. Fair Market Price
Position vs. 1.00× Fair Price+20% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +20% above the fair benchmark (1.20×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).81/100 · Corroborated
81/100Self-Pay Cash Beats Insurance 56% of the Time
File Completeness61Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic97Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment69Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing77Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount100Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star Rating3/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score65/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait126 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

3-Star CMS clinical quality rating paired with 1.20× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 10,000), Moberly Regional Medical Center commands a 1.20× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#51 of 79 in MO · 63rd State Percentile#2,008 of 3,385 in U.S. · 59th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 1.08× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 56% of shoppable procedures (99/100 Cash Honesty)
  • 2-Star CMS clinical rating with 61% patient recommendation (65/100 safety score)
  • Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 3.4× markup over Medicare rates
  • Commercial insurance median sits at 1.20× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Even at low-cost facilities (1.20× 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
1.3× Medicare

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

Back-Door Captive & ER1.00× Divergence
1.3× Medicare

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

Quantile Tail Spread+6% Upper Tail
Q25 1.08× · Q50 1.20× · Q75 1.27×

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
1.3× MedicareGood
Outpatient Surgery & ORBack-Door Captive
3.4× MedicareElevated
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
2.7× MedicareFair
Back-Door Captive ER VisitsBack-Door Captive
1.9× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
3.6× MedicareElevated
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
0.9× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
56% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
2 CMS · 65/100Fair

Procedure Prices at Moberly Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 104 published procedures.

Sort:
Procedure & Billing Code This Hospital vs. Fair
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
$21,252 1.1×
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
$21,098 1.1×
Heart stent placement (inpatient stay)
MS-DRG Code: 322
$19,222 1.1×
Total hip replacement
CPT Code: 27130
$17,216 1.3×
Total knee replacement
CPT Code: 27447
$17,216 1.3×
Gallbladder removal (laparoscopic)
CPT Code: 47562
$8,107 1.3×
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
$8,099 1.0×
Inguinal hernia repair
CPT Code: 49505
$4,801 1.3×
Knee arthroscopy with meniscus repair
CPT Code: 29881
$4,387 1.3×
Bunion correction surgery
CPT Code: 28296
$4,387 1.3×
Cataract surgery with lens implant
CPT Code: 66984
$3,095 1.2×
Colonoscopy with biopsy
CPT Code: 45380
$1,659 1.3×
Upper endoscopy with biopsy
CPT Code: 43239
$1,319 1.3×
Colonoscopy (diagnostic)
CPT Code: 45378
$1,282 1.3×
Sleep study (overnight, in lab)
CPT Code: 95810
$1,152 1.1×
Injection procedure for pain management
HCPCS Code: G0260
$947 1.1×
Echocardiogram (heart ultrasound)
CPT Code: 93306
$733 1.3×
Blood transfusion
CPT Code: 36430
$615 1.2×
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$468 1.0×
MRI, brain (with and without contrast)
CPT Code: 70553
$468 0.9×
Rabies immune globulin
HCPCS Code: 90375
$350 1.1×
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
$320 1.1×
MRI, lower back (no contrast)
CPT Code: 72148
$320 0.9×
MRI, brain (no contrast)
CPT Code: 70551
$320 0.9×
MRI, knee or other leg joint
CPT Code: 73721
$320 0.9×
Showing top 25 high-impact procedures of 104 total
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Moberly Regional Medical Center (Zero PHI Required)

CMS CCN: 260074
CPT 871
Fair BaseRate™ $19,087
Medicare Rate $14,117
Self-Pay Cash Request Quote
Insurer Median $21,252
Pre-filled with Moberly Regional Medical Center’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Moberly Regional Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$31,918 Above Fair BaseRate

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

Your bill ($51,005) is $31,918 above the denoised Fair BaseRate ($19,087) and 3.6× the $14,117 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify Moberly Regional Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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 Composite65/100
Would Recommend61%
Rated 9 or 10 (HCAHPS)66%
Median ER Wait126 min
Left ER Before Seen1%
30-Day Mortality vs U.S.same
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 Moberly Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

  • 2025-04-01·administrative_or_closure

    Met Requirements

    Recorded

Source: CMS Hospital Care Compare (125 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 Moberly Regional Medical Center.

Price Index: 1.00× regional baseline
Quality: 55/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Healthscope Benefits
-48.1%
Blue Preferred
-43.3%
Aetna
+95.2%
Median Household Income$55,310U.S. Census ACS
Local Uninsured Share10.6%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 81/100 · Corroborated CMS CCN 260074

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

Published MRF FileCMS_45_CFR_180_FILING.json
Publication / Vintage2026-04-01
Validated Rate Rows5,058 (CMS v3.0.0)
File Integrity DigestVerified · CCN 260074

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.