CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Merit Health River Oaks

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$6,818

about 1.2× the $5,676 Medicare rate · typically $6,170–$9,582

modeled estimate · not a bill or quote

What this hospital charges insurers

$6,179

About the fair price

about $639 under the fair price · 1.1× Medicare

Medicare pays $5,676 Fair price $6,818 This hospital $6,179

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 $6,179

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 $6,818 (about 1.2× the $5,676 Medicare rate). Merit Health River Oaks charges insurers about $6,179 — about the fair price. Located in Flowood, MS.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$4,833 - $6,072	85%
Blue Cross Blue Shieldmajor	$5,170	91%
Aetnamajor	$1,711 - $6,164	30%
Cignamajor	$6,268	110%
Humanamajor	$5,985	105%
Devoted Health	$6,104	108%
Molina	$6,104 - $8,471	108%
WellCare	$6,194	109%
+ 16 smaller / regional plans	$1,044 - $12,144

Government programs also on file: Medicare, Medicaid.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Merit Health River Oaks is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Merit Health River Oaks

Compare: Digestive disorders treatment (inpatient stay) at other MS hospitals

Simpson General Hospital Cah · Mendenhall $4,832
Wayne General Hospital · Waynesboro $4,959
North Sunflower Medical Center Cah · Ruleville $5,685
King's Daughters Medical Center-Brookhaven · Brookhaven $5,736
Baptist Medical Center-Yazoo · Yazoo City $6,086
Bmh-Calhoun · Calhoun City $6,086
Baptist Medical Center Attala · Kosciusko $6,086
Ochsner Watkins Hospital · Quitman $6,090

Insurance negotiated median for the same procedure, sorted lowest first.