Merit Health Women's Hospital
1026 River Oaks Drive, Flowood, MS 39232 · 63 Priced Procedures · 78% Patient Recommendation
Typical commercial prices here are 5% below the fair benchmark (0.95×) after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 0.95× fair market pricing.
Aligned Regional Benchmark Peer
Merit Health Women's Hospital prices shoppable and inpatient services (0.9× to 1.0× Medicare, divergence 1.11×) in alignment with regional hospital peers (0.95× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 5% below peer Fair BaseRate (0.95×)
- Self-pay cash beats commercial insurance on 42% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 78% patient recommendation (79/100 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 2.8× markup over Medicare rates
- Captive ER (2.0×) & laboratory (1.7×) services average 1.11× higher multiples than routine shoppable care (0.9×)
- Specialty infusion drugs (J-codes) average 1.6× Medicare — verify per-unit billing on itemized statements
- Consolidated metro market (HHI 2,330) limits in-network hospital competition (Moderately Concentrated (1,500–2,500))
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 Women's Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 63 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $18,071 | 0.9× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $16,765 | 0.9× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $15,791 | 0.9× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $8,903 | 1.1× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $6,004 | 1.0× |
| Breast lump removal CPT Code: 19120 | $3,889 | 1.0× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $495 | 0.8× |
| Blood transfusion CPT Code: 36430 | $406 | 0.8× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $201 | 1.0× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $217 | 0.8× |
| X-ray, pelvis CPT Code: 72170 | $96 | 0.9× |
| X-ray, foot CPT Code: 73630 | $80 | 0.9× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $80 | 0.9× |
| X-ray, hand CPT Code: 73130 | $80 | 0.9× |
| X-ray, hip CPT Code: 73502 | $80 | 0.9× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $96 | 0.8× |
| Ultrasound, pelvis CPT Code: 76856 | $96 | 0.7× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $96 | 0.7× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $96 | 0.7× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $96 | 0.6× |
| X-ray, chest (single view) CPT Code: 71045 | $79 | 0.9× |
| X-ray, shoulder CPT Code: 73030 | $79 | 0.9× |
| X-ray, chest (two views) CPT Code: 71046 | $79 | 0.8× |
| X-ray, ankle CPT Code: 73610 | $79 | 0.8× |
| Screening mammogram (both breasts) CPT Code: 77067 | $79 | 0.6× |
Audit a Bill or Quote at Merit Health Women's Hospital (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 Women's Hospital'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 ($43,370) is $23,938 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 Women's Hospital 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
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 Women's Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-04-18·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (113 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 Women's Hospital.
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.