CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Merit Health Madison

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$6,938
about 1.2× the $5,676 Medicare rate · typically $6,197–$10,408
modeled estimate · not a bill or quote
What this hospital charges insurers
$8,186
Above the fair price
about $1,248 over the fair price · 1.4× Medicare
Medicare pays $5,676 Fair price $6,938 This hospital $8,186 Cash price $11,892 Hospital's list price $29,729

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

Highest price of the 9 MS hospitals we have prices for — worth calling around.

Cheapest $4,832 Priciest $8,186

Black dot = this hospital, among the 9 MS hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $6,938 (about 1.2× the $5,676 Medicare rate). Merit Health Madison charges insurers about $8,186, or about $11,892 in cash — above the fair price. Located in Canton, MS.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $6,938. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $10,790 - $13,089 190%
Blue Cross Blue Shieldmajor $5,170 91%
Cignamajor $8,186 144%
Humanamajor $8,038 142%
Ambetter (Centene) $10,758 190%
Devoted Health $8,116 143%
Molina $11,304 199%
WellCare $7,961 140%
+ 2 smaller / regional plans $6,090 - $8,186
Government programs also on file: Medicare.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 161 River Oaks Drive, Canton, MS 39046
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals