Merit Health Natchez
52 Sergeant Prentiss Drive, Natchez, MS 39120 · 102 Priced Procedures · 50% Patient Recommendation
Typical commercial prices here are 8% below the fair benchmark (0.92×) after accounting for local nurse/doctor wages and patient complexity.
2-Star CMS clinical quality rating paired with 0.92× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
Merit Health Natchez maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.91× Fair BaseRate) and emergency/ancillary services (1.1× Medicare, p75 0.97× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 8% below peer Fair BaseRate (0.92×)
- Self-pay cash beats commercial insurance on 21% of shoppable procedures (99/100 Cash Honesty)
- 2-Star CMS clinical rating with 50% patient recommendation (49/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 3.1× markup over Medicare rates
- Captive ER (2.6×) & laboratory (3.7×) services average 1.10× higher multiples than routine shoppable care (1.0×)
- Specialty infusion drugs (J-codes) average 2.4× Medicare — verify per-unit billing on itemized statements
- Consolidated metro market (HHI 7,047) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Merit Health Natchez
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 102 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $18,417 | 0.9× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $17,126 | 0.9× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $16,833 | 0.9× |
| Total knee replacement CPT Code: 27447 | $12,302 | 0.9× |
| Total hip replacement CPT Code: 27130 | $12,242 | 0.9× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $6,832 | 0.8× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $5,847 | 1.0× |
| Breast lump removal CPT Code: 19120 | $3,787 | 1.0× |
| Trauma team activation HCPCS Code: G0390 | $3,579 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,139 | 0.9× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,148 | 0.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $892 | 0.9× |
| Upper endoscopy with biopsy CPT Code: 43239 | $870 | 0.9× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $829 | 0.8× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $527 | 0.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $493 | unverified |
| Blood transfusion CPT Code: 36430 | $434 | 0.9× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $429 | 0.8× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $375 | 0.8× |
| Rabies immune globulin HCPCS Code: 90375 | $292 | 0.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $267 | 0.8× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $234 | 0.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $234 | 0.8× |
| MRI, lower back (no contrast) CPT Code: 72148 | $257 | 0.8× |
| Hospital observation (per hour) HCPCS Code: G0378 | $201 | 2.3× |
Audit a Bill or Quote at Merit Health Natchez (Zero PHI Required)
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.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Merit Health Natchez's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your bill ($44,201) is $24,769 above the denoised Fair BaseRate ($19,432) and 3.1× the $14,044 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Merit Health Natchez 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Merit Health Natchez. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-04-17·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (183 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Merit Health Natchez.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.