How many shoppable procedure prices are published for Monroe Regional Hospital?

Monroe Regional Hospital in Aberdeen, MS currently has 103 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Monroe Regional Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Monroe Regional Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 9/16/2026

Monroe Regional Hospital

400 South Chestnut Street, Aberdeen, MS 39730 · 103 Priced Procedures

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.91×vs. Fair Market Price

Typical commercial prices here are 9% below the fair benchmark (0.91×) after accounting for local nurse/doctor wages and patient complexity.

64/100 · Caution

64/100Self-Pay Cash Beats Insurance 25% of the Time

File Completeness85

Price Logic75

Peer Alignment58

Clean Billing83

Real Cash Discount7

Premium Quality Tier

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Monroe Regional Hospital prices routine shoppable procedures near 0.8× Medicare (p50 0.70×) while skewing captive emergency, lab, and upper-quartile codes to 2.0× Medicare (p75 1.50×, +114% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#19 of 65 in MS · 27th State Percentile#724 of 3,385 in U.S. · 21st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 9% below peer Fair BaseRate (0.91×)
Self-pay cash beats commercial insurance on 25% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (65/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.91× 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.
Captive ER (1.2×) & laboratory (1.7×) services average 2.50× higher multiples than routine shoppable care (0.8×)
Upper-quartile procedures (Q75 1.50×) jump +114% above the median procedure ratio (Q50 0.70×)
Unnegotiated chargemaster list prices average 5.1× Medicare (22¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.8× Medicare

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

Back-Door Captive & ER2.50× Divergence

2.0× Medicare

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

Quantile Tail Spread+114% Upper Tail

Q25 0.35× · Q50 0.70× · Q75 1.50×

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

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.7× MedicareGood

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

0.5× MedicareGood

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

25% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 65/100Fair

Procedure Prices at Monroe Regional Hospital

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.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Gallbladder removal (laparoscopic) CPT Code: `47562`	$8,093	$1,314	$6,109	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$4,724	$964	$3,372	0.3×
Inguinal hernia repair CPT Code: `49505`	$5,248	$910	$3,629	0.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,886	$590	$1,021	0.6×
Colonoscopy with biopsy CPT Code: `45380`	$1,894	$606	$1,256	0.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,449	$473	$981	0.5×
Breast lump removal CPT Code: `19120`	$918	$471	$3,875	0.1×
Upper endoscopy with biopsy CPT Code: `43239`	$1,378	$341	$987	0.3×
Speech therapy (language evaluation) CPT Code: `92507`	$450	$158	$86	1.8×
MRI, knee or other leg joint CPT Code: `73721`	$2,384	$182	$369	0.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,497	$190	$448	0.4×
Electrical stimulation therapy HCPCS Code: `G0283`	$131	$131	$14	9.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$381	$151	$86	1.8×
X-ray, pelvis CPT Code: `72170`	$155	$155	$110	1.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,476	$171	$511	0.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$203	$113	$123	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$263	$135	$181	0.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	$268	$136	$185	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,053	$130	$303	0.4×
Occupational therapy (self-care training) CPT Code: `97535`	$175	$98	$38	2.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$223	$122	$166	0.7×
Family therapy session CPT Code: `90847`	$220	$123	$173	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$1,292	$111	$338	0.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,338	$113	$583	0.2×
Group therapy session CPT Code: `90853`	$170	$83	$100	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$251	$90	$110	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$824	$81	$160	0.5×
CT scan, pelvis CPT Code: `72192`	$822	$81	$163	0.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,398	$95	$258	0.4×
MRI, brain (no contrast) CPT Code: `70551`	$1,291	$111	$343	0.3×
CT scan, chest (no contrast) CPT Code: `71250`	$821	$81	$167	0.5×
CT scan, head (with contrast) CPT Code: `70460`	$1,233	$85	$242	0.4×
Typhoid vaccine HCPCS Code: `90675`	$469	$295	$347	0.9×
Culture, blood CPT Code: `87040`	$152	$152	$11	13.8×
Hepatitis C antibody test CPT Code: `86803`	$172	$172	$15	11.5×
Drug screening test HCPCS Code: `G0480`	$125	$125	$116	1.1×
Pneumococcal vaccine HCPCS Code: `90732`	$267	$133	$140	0.9×
Blood test, creatinine (kidney) CPT Code: `82565`	$75	$75	$5	15.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$88	$88	$6	14.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$44	$44	$3	14.7×
Blood test, potassium CPT Code: `84132`	$67	$67	$5	13.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$54	$54	$5	10.8×
Blood test, lipase CPT Code: `83690`	$69	$69	$7	9.9×
Blood test, amylase CPT Code: `82150`	$64	$64	$7	9.1×
Blood test, basic metabolic panel CPT Code: `80048`	$63	$63	$9	7.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$77	$77	$20	3.9×
Speech therapy (group session) CPT Code: `92508`	$135	$76	$27	2.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$189	$66	$38	1.7×
Physical therapy (manual therapy) CPT Code: `97140`	$171	$59	$34	1.7×
Physical therapy (gait training) CPT Code: `97116`	$162	$57	$33	1.7×
Blood antibody screen CPT Code: `86850`	$298	$79	$46	1.7×
Orthotic fitting and training CPT Code: `97760`	$216	$79	$51	1.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$443	$72	$272	0.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$36	$36	$4	9.0×
Blood test, sodium CPT Code: `84295`	$40	$40	$5	8.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$157	$58	$40	1.4×
Prosthetic fitting and training CPT Code: `97761`	$147	$59	$45	1.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$91	$51	$49	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$79	$17	$8	2.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$67	$38	$18	2.1×
Hepatitis B vaccine HCPCS Code: `90744`	$103	$58	$37	1.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$150	$54	$35	1.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$144	$54	$38	1.4×
Flu vaccine injection HCPCS Code: `G0008`	$91	$51	$48	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$174	$75	$87	0.9×
Blood test, magnesium CPT Code: `83735`	$43	$16	$7	2.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$16	$9	$4	2.3×
Blood test, hemoglobin CPT Code: `85018`	$17	$6	$3	2.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$73	$23	$14	1.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$74	$31	$19	1.6×
Blood test, vitamin D CPT Code: `82306`	$119	$47	$31	1.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$281	$61	$126	0.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$296	$60	$134	0.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$280	$59	$132	0.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,242	$74	$168	0.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,242	$74	$169	0.4×
Ultrasound, pelvis CPT Code: `76856`	$288	$52	$130	0.4×
CT scan, sinuses CPT Code: `70486`	$806	$64	$166	0.4×
Blood transfusion CPT Code: `36430`	$1,164	$75	$498	0.2×
Blood test, calcium CPT Code: `82310`	$32	$32	$5	6.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$99	$24	$11	2.2×
Blood test, liver function panel CPT Code: `80076`	$76	$18	$9	2.0×
Blood test, vitamin B12 CPT Code: `82607`	$60	$28	$16	1.8×
Culture, bacterial CPT Code: `87070`	$141	$14	$9	1.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$54	$21	$14	1.5×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$39	$15	$10	1.5×
Extended office visit (prolonged) HCPCS Code: `G2212`	$79	$31	$33	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$72	$21	$25	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$142	$45	$64	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$42	$17	$25	0.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$67	$38	$56	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$42	$24	$39	0.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$58	$32	$111	0.3×
X-ray, shoulder CPT Code: `73030`	$197	$26	$92	0.3×
X-ray, hand CPT Code: `73130`	$197	$24	$93	0.3×
X-ray, ankle CPT Code: `73610`	$197	$24	$93	0.3×
X-ray, foot CPT Code: `73630`	$162	$23	$92	0.3×
X-ray, chest (two views) CPT Code: `71046`	$113	$23	$93	0.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$113	$23	$93	0.2×
X-ray, hip CPT Code: `73502`	$117	$23	$93	0.2×
X-ray, lower back CPT Code: `72110`	$184	$27	$112	0.2×
X-ray, chest (single view) CPT Code: `71045`	$110	$19	$92	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$243	$38	$201	0.2×

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 Monroe Regional Hospital (Zero PHI Required)

CMS CCN: 251302

CPT 47562

Select Procedure to Audit:

Fair BaseRate™ $6,109

Medicare Rate $6,176

Self-Pay Cash $8,093

Insurer Median $1,314

1. Amount on Your Bill or Quote ($) Pre-filled with Monroe Regional Hospital’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 Published Cash: $8,093

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Monroe Regional Hospital's published 45 CFR § 180 self-pay cash rate is $8,093 (vs. $1,314 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$1,984 Above Fair BaseRate

Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)

Your bill ($8,093) is $1,984 above the denoised Fair BaseRate ($6,109) and 1.3× the $6,176 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)

EIN: 821859395

Public IRS & CMS ownership records classify Monroe Regional 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.

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

Safety Composite65/100

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Monroe Regional Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-03-24·administrative_or_closure
Closure Notice
Recorded
2025-01-03·cap_corrective_action
CAP Request
Recorded
2024-09-18·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare. 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

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Monroe Regional Hospital.

Price Index: 1.15× regional baseline

Quality: 54/100 CMS composite

Median Household Income$51,231U.S. Census ACS

Local Uninsured Share9.0%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 64/100 · Caution CMS CCN 251302 EIN 821859395

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 251302) ↗ Verify IRS Form 990 (EIN 821859395) ↗ CMS HCRIS Cost Reports ↗

Published MRF File821859395_monroe-regional-hospital_standardcharges.csv

Publication / Vintage9/16/2026 · 15.62 MB

Validated Rate Rows1,288 (CMS v3.0.0)

File Integrity Digest6c104c5b04db1c26a2fe…

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