CMS Price Transparency Data

Hospital observation (per hour)

Facility: Merit Health Madison

Billing Code: G0378 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$88
modeled fair price · typically $38–$317
modeled estimate · not a bill or quote
What this hospital charges insurers
$350
Well above the fair price
about $262 over the fair price
Fair price $88 This hospital $350 Cash price $140 Hospital's list price $350

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 $7 Priciest $350

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

A fair price for a Hospital observation (per hour) is about $88. Merit Health Madison charges insurers about $350, or about $140 in cash — well 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 $88. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $350 —
Blue Cross Blue Shieldmajor $262 —
Ambetter (Centene) $192 —
Molina $140 —
+ 2 smaller / regional plans $175 - $262

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

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