How many shoppable procedure prices are published for North Sunflower Medical Center Cah?

North Sunflower Medical Center Cah in Ruleville, MS currently has 106 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do North Sunflower Medical Center Cah's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, North Sunflower Medical Center Cah's median negotiated commercial rate is 0.7× the regionally adjusted fair BaseRate benchmark.

What is North Sunflower Medical Center Cah's CMS Care Compare overall star rating?

CMS Care Compare assigns North Sunflower Medical Center Cah an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 2026-08-05

North Sunflower Medical Center Cah

840 North Oak Avenue, Ruleville, MS 38771 · 106 Priced Procedures · 83% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Good Deal · Below Fair Market

0.67×vs. Fair Market Price

Typical commercial prices here are 33% below the fair benchmark (0.67×) after accounting for local nurse/doctor wages and patient complexity.

65/100 · Caution

65/100Self-Pay Cash Beats Insurance 73% of the Time

File Completeness60

Price Logic47

Peer Alignment66

Clean Billing62

Real Cash Discount100

Regional Benchmark Tier

1-Star CMS clinical quality rating paired with 0.67× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

North Sunflower Medical Center Cah maintains low, disciplined commercial pricing across both routine shoppable procedures (1.1× Medicare, p50 0.51× Fair BaseRate) and emergency/ancillary services (1.1× Medicare, p75 1.08× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#3 of 65 in MS · 3rd State Percentile#116 of 3,385 in U.S. · 3rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 33% below peer Fair BaseRate (0.67×)
Self-pay cash beats commercial insurance on 73% of shoppable procedures (99/100 Cash Honesty)
1-Star CMS clinical rating with 83% patient recommendation (70/100 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)

Even at low-cost facilities (0.67× 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.
Commercial insurance median sits at 0.51× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.08×) jump +112% above the median procedure ratio (Q50 0.51×)
Unnegotiated chargemaster list prices average 4.0× Medicare (31¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.1× Medicare

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

Quantile Tail Spread+112% Upper Tail

Q25 0.28× · Q50 0.51× · Q75 1.08×

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

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.4× MedicareFair

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

0.5× MedicareGood

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

73% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 70/100Fair

Procedure Prices at North Sunflower Medical Center Cah

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 106 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$21,641	$20,685	$19,087	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$4,838	$5,685	$8,223	0.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,850	$2,850	$6,109	0.5×
Total knee replacement CPT Code: `27447`	$2,375	$2,375	$13,523	0.2×
Total hip replacement CPT Code: `27130`	$1,800	$1,800	$13,413	0.1×
Inguinal hernia repair CPT Code: `49505`	$1,719	$674	$3,629	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$763	$541	$3,372	0.2×
Breast lump removal CPT Code: `19120`	$1,286	$428	$3,875	0.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,000	$305	$1,021	0.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$138	$275	$148	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$125	$250	$123	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$550	$178	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$650	$193	$1,256	0.2×
Speech therapy (language evaluation) CPT Code: `92507`	$163	$195	$86	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$90	$135	$181	0.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	$140	$137	$185	0.7×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$55	$110	$64	1.7×
New patient office visit (30-44 min) CPT Code: `99203`	$68	$122	$110	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$69	$122	$123	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$94	$122	$126	1.0×
Ultrasound, pelvis CPT Code: `76856`	$109	$122	$130	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$77	$121	$134	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$82	$122	$166	0.7×
Family therapy session CPT Code: `90847`	$141	$122	$173	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$148	$122	$272	0.4×
MRI, lower back (no contrast) CPT Code: `72148`	$155	$122	$338	0.4×
MRI, brain (no contrast) CPT Code: `70551`	$160	$122	$343	0.4×
MRI, knee or other leg joint CPT Code: `73721`	$165	$122	$369	0.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$239	$122	$511	0.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$155	$122	$583	0.2×
Upper endoscopy with biopsy CPT Code: `43239`	$650	$134	$987	0.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$74	$143	$35	unverified
Prosthetic fitting and training CPT Code: `97761`	$72	$124	$45	unverified
Speech therapy (group session) CPT Code: `92508`	$54	$86	$27	3.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$50	$100	$35	2.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$60	$90	$87	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$162	$89	$168	0.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$541	$88	$303	0.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$648	$92	$448	0.2×
Blood transfusion CPT Code: `36430`	$50	$100	$498	0.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$66	$100	$38	unverified
Physical therapy (gait training) CPT Code: `97116`	$81	$113	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$81	$113	$34	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$56	$100	$38	unverified
Orthotic fitting and training CPT Code: `97760`	$66	$100	$51	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$167	$167	$5	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$73	$122	$203	0.6×
Culture, blood CPT Code: `87040`	$83	$83	$11	7.5×
Blood test, vitamin D CPT Code: `82306`	$77	$77	$31	2.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$59	$74	$40	1.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$92	$78	$132	0.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$83	$83	$14	unverified
Hepatitis C antibody test CPT Code: `86803`	$92	$92	$15	unverified
Culture, bacterial CPT Code: `87070`	$50	$50	$9	5.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$37	$37	$20	1.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$62	$62	$10	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$29	$29	$5	5.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$18	$18	$6	3.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$20	$20	$18	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$21	$21	$19	1.1×
Blood antibody screen CPT Code: `86850`	$33	$40	$46	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$29	$29	$56	0.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$33	$46	$93	0.5×
X-ray, ankle CPT Code: `73610`	$30	$43	$93	0.5×
X-ray, chest (two views) CPT Code: `71046`	$28	$41	$93	0.4×
X-ray, shoulder CPT Code: `73030`	$28	$40	$92	0.4×
X-ray, foot CPT Code: `73630`	$28	$40	$92	0.4×
X-ray, hip CPT Code: `73502`	$38	$38	$93	0.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$44	$44	$111	0.4×
Pneumococcal vaccine HCPCS Code: `90732`	$54	$54	$140	0.4×
X-ray, lower back CPT Code: `72110`	$43	$43	$112	0.4×
X-ray, chest (single view) CPT Code: `71045`	$23	$32	$92	0.3×
CT scan, pelvis CPT Code: `72192`	$233	$55	$163	0.3×
CT scan, chest (no contrast) CPT Code: `71250`	$378	$54	$167	0.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$377	$51	$169	0.3×
Blood test, liver function panel CPT Code: `80076`	$22	$22	$9	2.4×
CT scan, head (no contrast) CPT Code: `70450`	$340	$43	$160	0.3×
CT scan, sinuses CPT Code: `70486`	$255	$44	$166	0.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$502	$64	$258	0.2×
CT scan, head (with contrast) CPT Code: `70460`	$417	$57	$242	0.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$62	$62	$3	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$19	$19	$38	0.5×
X-ray, hand CPT Code: `73130`	$30	$30	$93	0.3×
Group therapy session CPT Code: `90853`	$78	$28	$100	0.3×
X-ray, pelvis CPT Code: `72170`	$23	$23	$110	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$30	$30	$201	0.1×
Blood test, basic metabolic panel CPT Code: `80048`	$44	$44	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$45	$45	$11	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$35	$35	$14	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$42	$42	$4	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$11	$11	$86	0.1×
Blood test, amylase CPT Code: `82150`	$10	$10	$7	unverified
Blood test, calcium CPT Code: `82310`	$12	$12	$5	unverified
Blood test, vitamin B12 CPT Code: `82607`	$8	$8	$16	unverified
Blood test, lipase CPT Code: `83690`	$21	$21	$7	unverified
Blood test, magnesium CPT Code: `83735`	$22	$22	$7	unverified
Blood test, potassium CPT Code: `84132`	$14	$14	$5	unverified
Blood test, sodium CPT Code: `84295`	$14	$14	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$19	$19	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$7	$7	$3	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$20	$20	$8	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$13	$13	$25	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$17	$17	$39	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$9	$9	$37	unverified
Flu vaccine injection HCPCS Code: `G0008`	$5	$5	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$5	$5	$49	unverified

Showing top 25 high-impact procedures of 106 total

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

Audit a Bill or Quote at North Sunflower Medical Center Cah (Zero PHI Required)

CMS CCN: 251318

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $21,641

Insurer Median $20,685

1. Amount on Your Bill or Quote ($) Pre-filled with North Sunflower Medical Center Cah’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 Save $21,641 Paying Cash

Self-Pay Cash Rate ($21,641) Beats Your Bill

North Sunflower Medical Center Cah's published 45 CFR § 180 self-pay cash rate is $21,641 (vs. $20,685 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$24,195 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($43,282) is $24,195 above the denoised Fair BaseRate ($19,087) and 3.1× the $14,117 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 North Sunflower Medical Center Cah 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 Overall1/5 Stars (1/5)

Safety Composite70/100

Would Recommend83%

Rated 9 or 10 (HCAHPS)86%

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)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (31 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 Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for North Sunflower Medical Center Cah.

Price Index: 0.78× regional baseline

Quality: 36/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Blue Cross Blue Shield

+83.0%

Median Household Income$40,265U.S. Census ACS

Local Uninsured Share11.4%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 65/100 · Caution CMS CCN 251318

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

MRF Portal Indexed (Reports.aspx) Verify on CMS Medicare.gov (CCN 251318) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-08-05 · 12.53 MB

Validated Rate Rows1,115 (CMS v3.0.0)

File Integrity DigestVerified · CCN 251318

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