How many shoppable procedure prices are published for Merit Health River Region?

Merit Health River Region in Vicksburg, MS currently has 103 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Merit Health River Region's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Merit Health River Region's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Merit Health River Region's CMS Care Compare overall star rating?

CMS Care Compare assigns Merit Health River Region an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 124 Beds · rural Updated: 2026-04-01

Merit Health River Region

2100 Hwy 61 N, Vicksburg, MS 39183 · 103 Priced Procedures · 55% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Good Deal · Below Fair Market

0.90×vs. Fair Market Price

Typical commercial prices here are 10% below the fair benchmark (0.90×) after accounting for local nurse/doctor wages and patient complexity.

85/100 · Corroborated

85/100Self-Pay Cash Beats Insurance 33% of the Time

File Completeness66

Price Logic98

Peer Alignment79

Clean Billing82

Real Cash Discount100

Regional Value Leader

2-Star CMS clinical quality rating paired with 0.90× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Merit Health River Region maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.90× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.95× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#16 of 65 in MS · 23rd State Percentile#640 of 3,385 in U.S. · 18th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 10% below peer Fair BaseRate (0.90×)
Self-pay cash beats commercial insurance on 33% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 55% patient recommendation (59/100 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 2.8× markup over Medicare rates
Commercial insurance median sits at 0.90× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.7× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

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

Quantile Tail Spread+6% Upper Tail

Q25 0.81× · Q50 0.90× · Q75 0.95×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.8× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.7× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.8× MedicareWatchout

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.7× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

33% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 59/100Elevated

Procedure Prices at Merit Health River Region

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 103 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$15,336	$19,432	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$14,311	$19,087	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$13,707	$17,936	0.8×
Total hip replacement CPT Code: `27130`	$23,732	$12,242	$13,413	0.9×
Total knee replacement CPT Code: `27447`	$24,944	$12,242	$13,523	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,482	$8,223	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$13,204	$5,771	$6,109	unverified
Inguinal hernia repair CPT Code: `49505`	$10,012	$3,435	$3,629	0.9×
Bunion correction surgery CPT Code: `28296`	$15,748	$3,164	$3,446	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$7,770	$3,124	$3,372	0.9×
Trauma team activation HCPCS Code: `G0390`	$1,236	$1,410	$1,453	1.0×
Colonoscopy with biopsy CPT Code: `45380`	$3,519	$1,142	$1,256	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$4,370	$866	$987	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,958	$888	$981	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,329	$689	$855	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,789	$527	$583	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$2,610	$493	$369	unverified
Blood transfusion CPT Code: `36430`	$1,019	$425	$498	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,176	$341	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,646	$341	$511	0.7×
Rabies immune globulin HCPCS Code: `90375`	$3,718	$286	$322	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$143	$209	$201	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,247	$230	$272	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,106	$231	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,053	$233	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,856	$233	$343	0.7×
CT scan, head (with contrast) CPT Code: `70460`	$1,820	$171	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,112	$171	$258	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$768	$141	$151	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$40	$81	$86	0.9×
X-ray, pelvis CPT Code: `72170`	$211	$100	$110	0.9×
X-ray, chest (single view) CPT Code: `71045`	$212	$83	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$315	$83	$92	0.9×
X-ray, foot CPT Code: `73630`	$262	$83	$92	0.9×
X-ray, lower back CPT Code: `72110`	$266	$100	$112	0.9×
X-ray, chest (two views) CPT Code: `71046`	$243	$83	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$290	$83	$93	0.9×
X-ray, hand CPT Code: `73130`	$290	$83	$93	0.9×
X-ray, hip CPT Code: `73502`	$240	$83	$93	0.9×
X-ray, ankle CPT Code: `73610`	$262	$83	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$490	$102	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$791	$102	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$752	$102	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$674	$102	$134	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$344	$98	$148	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$1,820	$102	$160	0.6×
CT scan, pelvis CPT Code: `72192`	$1,232	$102	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$1,506	$102	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$1,876	$102	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,909	$102	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,619	$102	$169	0.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$411	$728	$111	unverified
Typhoid vaccine HCPCS Code: `90675`	$902	$328	$347	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$346	$346	$56	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$503	$148	$140	1.1×
Hepatitis B vaccine HCPCS Code: `90744`	$194	$62	$37	1.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$32	$51	$35	1.5×
Blood antibody screen CPT Code: `86850`	$36	$50	$46	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$258	$57	$64	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$135	$72	$86	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$284	$78	$123	0.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$114	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$94	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$114	$30	$31	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$81	$46	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$81	$46	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$70	$46	$49	0.9×
Orthotic fitting and training CPT Code: `97760`	$88	$42	$51	0.8×
Prosthetic fitting and training CPT Code: `97761`	$95	$37	$45	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$95	$31	$38	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$101	$32	$40	0.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$62	$3	$3	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$109	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$193	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$29	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$133	$10	$10	1.0×
Blood test, magnesium CPT Code: `83735`	$153	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$137	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$137	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$137	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$68	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$109	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$132	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$107	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$107	$18	$19	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$84	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$246	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$94	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$79	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$193	$6	$7	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$115	$12	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$114	$23	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$115	$27	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$95	$31	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$91	$31	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$36	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$106	$27	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$119	$26	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$22	$2	$3	0.7×
Blood test, vitamin B12 CPT Code: `82607`	$137	$15	$16	unverified
Blood test, lipase CPT Code: `83690`	$193	$7	$7	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$84	$17	$18	unverified
Hepatitis C antibody test CPT Code: `86803`	$220	$14	$15	unverified

Showing top 25 high-impact procedures of 103 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Merit Health River Region (Zero PHI Required)

CMS CCN: 250031

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $15,336

1. Amount on Your Bill or Quote ($) Pre-filled with Merit Health River Region’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 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 Merit Health River Region'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 +$17,374 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($36,806) is $17,374 above the denoised Fair BaseRate ($19,432) and 2.6× the $14,044 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 Merit Health River Region 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 Overall2/5 Stars (2/5)

Safety Composite59/100

Would Recommend55%

Rated 9 or 10 (HCAHPS)61%

Median ER Wait122 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)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (265 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 Merit Health River Region.

Price Index: 1.00× regional baseline

Quality: 47/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

CareSource

-52.2%

Cigna

+145.1%

HealthPartners

+255.4%

Median Household Income$56,648U.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 85/100 · Corroborated CMS CCN 250031

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 250031) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows6,973 (CMS v3.0.0)

File Integrity DigestVerified · CCN 250031

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.

Submit MRF Update Correction Policy