Hospital Profile
Acute Care Hospital Voluntary non-profit - Private 31 Beds · urban
Updated: 2025-03-14
Mississippi Methodist Rehab Ctr
1350 E Woodrow Wilson Dr, Jackson, MS 39216 · 68 Priced Procedures
CMS Overall Rating No CMS Rating
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Near Fair BaseRate Benchmark
0.95×vs. Fair Market Price
Position vs. 1.00× Fair Price5% Below Fair Price
1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.
Typical commercial prices here are 5% below the fair benchmark (0.95×) after accounting for local nurse/doctor wages and patient complexity.
Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).76/100 · Corroborated
76/100Self-Pay Cash Beats Insurance 83% of the Time
File Completeness60Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic73Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment77Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing75Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount100Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety ScoreNot ScoredComposite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Behavioral Pricing FingerprintConsistent Department Multiples
Aligned Regional Benchmark Peer
Mississippi Methodist Rehab Ctr prices shoppable and inpatient services (1.2× to 1.0× Medicare, divergence 0.83×) 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.
#24 of 65 in MS · 35th State Percentile#980 of 3,385 in U.S. · 28th National Percentile
Advantage
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 83% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (60.0% AGB cap)
Watchout
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
- Commercial insurance median sits at 0.95× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (0.95× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Consolidated metro market (HHI 2,330) limits in-network hospital competition (Moderately Concentrated (1,500–2,500))
Front-Door ShoppableElective / Imaging
1.2× Medicare
Pre-scheduled outpatient procedures where patients can comparison-shop.
Back-Door Captive & ER0.83× Divergence
1.0× Medicare
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Quantile Tail Spread+7% Upper Tail
Q25 0.84× · Q50 0.95× · Q75 1.02×
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
1.2× MedicareGood
Outpatient Surgery & ORBack-Door Captive
1.5× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
0.9× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
1.7× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
2.4× MedicareFair
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
0.9× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
83% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 54/100Elevated
Procedure Prices at Mississippi Methodist Rehab Ctr
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 68 published procedures.
Sort:
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Psychological testing by technician CPT Code: 96138 | — | — |
| Neurobehavioral status check CPT Code: 96116 | $322 | 1.4× |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $305 | unverified |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $211 | 1.1× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $214 | 0.8× |
| Speech therapy (language evaluation) CPT Code: 92507 | $220 | unverified |
| Family therapy session CPT Code: 90847 | $173 | 1.0× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | — | unverified |
| Breathing treatment (nebulizer) CPT Code: 94640 | — | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $140 | 1.1× |
| New patient office visit (30-44 min) CPT Code: 99203 | $160 | unverified |
| X-ray, hand CPT Code: 73130 | $111 | 1.2× |
| Group therapy session CPT Code: 90853 | $116 | 1.2× |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $100 | 1.1× |
| Psychological testing evaluation CPT Code: 96136 | $113 | 0.9× |
| X-ray, pelvis CPT Code: 72170 | $95 | 0.9× |
| X-ray, lower back CPT Code: 72110 | $93 | 0.8× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $95 | 0.8× |
| Ultrasound, pelvis CPT Code: 76856 | $94 | 0.7× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $93 | 0.7× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $94 | 0.7× |
| Extended office visit (prolonged) HCPCS Code: G2212 | $50 | 1.5× |
| Physical therapy (functional capacity test) CPT Code: 97750 | $55 | 1.4× |
| X-ray, shoulder CPT Code: 73030 | $79 | 0.9× |
| X-ray, ankle CPT Code: 73610 | $79 | 0.8× |
Showing top 25 high-impact procedures of 68 total
Inline Bill X-Ray & 501(r) Calculator
501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 60.0%
Audit a Bill or Quote at Mississippi Methodist Rehab Ctr (Zero PHI Required)
CMS CCN: 250152
CPT 96138
Fair BaseRate™ $395
Medicare Rate $456
Self-Pay Cash Request Quote
Insurer Median $454
Pre-filled with Mississippi Methodist Rehab Ctr’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check
501(r) AGB Cap: $53 (274% FPL)
Statutory 501(r) AGB Cap Limits Bill to $53
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (60.0% of gross = $53).
Step 2 · Cash vs. Insurance Arbitrage
Request Prompt-Pay Quote
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Mississippi Methodist Rehab Ctr'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
Target: $395 Fair BaseRate
Negotiate Toward $395 Fair BaseRate ($456 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($395).
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)
501(c)(3) Nonprofit Hospital
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold
Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier
Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported
26 U.S.C. § 501(r)(5) AGB Benchmark
Method: lookback_commercial_median
Hospital-Specific CMS HCRIS Benchmark (60.0% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines:
Calculate Your 501(r) Cap Above ↑
Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Regional Value & Quality Leader
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Mississippi Methodist Rehab Ctr.
Price Index: 0.95× regional baseline
Quality: 54/100 CMS composite
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Ambetter (Centene)
+119.1%
Median Household Income$49,966U.S. Census ACS
Local Uninsured Share12.8%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 76/100 · Corroborated
CMS CCN 250152
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
MRF Portal Indexed (Reports.aspx)
Verify on CMS Medicare.gov (CCN 250152) ↗
CMS HCRIS Cost Reports ↗
Published MRF FileReports.aspx
Publication / Vintage2025-03-14 · 53.74 MB
Validated Rate Rows1,340 (CMS v3.0.0)
File Integrity DigestVerified · CCN 250152
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.