How many shoppable procedure prices are published for Tyler Holmes Memorial Hospital Cah?

Tyler Holmes Memorial Hospital Cah in Winona, MS currently has 89 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Tyler Holmes Memorial Hospital Cah's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Tyler Holmes Memorial Hospital Cah's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 2026-07-28

Tyler Holmes Memorial Hospital Cah

409 Tyler Holmes Drive, Winona, MS 38967 · 89 Priced Procedures

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

0.98×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (0.98×) after accounting for local nurse/doctor wages and patient complexity.

85/100 · Corroborated

85/100Self-Pay Cash Beats Insurance 36% of the Time

File Completeness100

Price Logic83

Peer Alignment77

Clean Billing63

Real Cash Discount100

Regional Value Leader

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

Behavioral Pricing FingerprintUpper-Quartile Spread · +60% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Tyler Holmes Memorial Hospital Cah prices routine shoppable procedures at 1.5× Medicare (median 0.82× Fair BaseRate) while upper-quartile commercial rates jump +60% to 1.31× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#25 of 65 in MS · 36th State Percentile#1,172 of 3,385 in U.S. · 34th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 2% below peer Fair BaseRate (0.98×)
Self-pay cash beats commercial insurance on 36% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (69/100 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)

Outpatient surgery & OR suites carry a 1.9× markup over Medicare rates
Commercial insurance median sits at 0.82× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.31×) jump +60% above the median procedure ratio (Q50 0.82×)
Consolidated metro market (HHI 7,101) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER0.53× Divergence

0.8× Medicare

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

Quantile Tail Spread+60% Upper Tail

Q25 0.77× · Q50 0.82× · Q75 1.31×

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

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.2× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.0× MedicareGood

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

0.5× MedicareGood

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

36% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Tyler Holmes Memorial Hospital Cah

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 89 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Trauma team activation HCPCS Code: `G0390`	$1,400	$1,772	$1,453	1.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,742	$741	$511	1.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,347	$553	$448	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,014	$507	$303	1.7×
MRI, lower back (no contrast) CPT Code: `72148`	$2,099	$507	$338	1.5×
MRI, brain (no contrast) CPT Code: `70551`	$2,099	$507	$343	1.5×
MRI, knee or other leg joint CPT Code: `73721`	$2,099	$507	$369	1.4×
Blood transfusion CPT Code: `36430`	$437	$437	$498	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,554	$431	$583	0.7×
CT scan, head (with contrast) CPT Code: `70460`	$1,175	$372	$242	1.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,343	$372	$258	1.4×
CT scan, head (no contrast) CPT Code: `70450`	$844	$222	$160	1.4×
CT scan, pelvis CPT Code: `72192`	$844	$222	$163	1.4×
CT scan, sinuses CPT Code: `70486`	$1,013	$222	$166	1.3×
CT scan, chest (no contrast) CPT Code: `71250`	$1,013	$222	$167	1.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,180	$222	$168	1.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,178	$222	$169	1.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$676	$216	$272	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$188	$241	$185	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$207	$150	$201	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$148	$148	$166	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$148	$148	$181	unverified
Family therapy session CPT Code: `90847`	$148	$148	$173	unverified
Physical therapy (gait training) CPT Code: `97116`	$72	$88	$33	2.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$72	$90	$38	2.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$76	$90	$38	2.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$72	$91	$40	2.3×
Prosthetic fitting and training CPT Code: `97761`	$72	$92	$45	2.0×
Speech therapy (language evaluation) CPT Code: `92507`	$136	$109	$86	1.3×
Group therapy session CPT Code: `90853`	$95	$95	$100	0.9×
X-ray, pelvis CPT Code: `72170`	$137	$102	$110	0.9×
X-ray, lower back CPT Code: `72110`	$311	$102	$112	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$551	$121	$148	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$339	$102	$126	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$304	$99	$123	0.8×
Ultrasound, pelvis CPT Code: `76856`	$339	$102	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$339	$102	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$676	$102	$134	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$72	$88	$35	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$80	$87	$34	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$410	$99	$49	2.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$97	$97	$56	1.7×
Pneumococcal vaccine HCPCS Code: `90732`	$135	$114	$140	0.8×
X-ray, chest (single view) CPT Code: `71045`	$153	$76	$92	0.8×
X-ray, shoulder CPT Code: `73030`	$137	$76	$92	0.8×
X-ray, foot CPT Code: `73630`	$156	$76	$92	0.8×
X-ray, chest (two views) CPT Code: `71046`	$213	$76	$93	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$137	$76	$93	0.8×
X-ray, hand CPT Code: `73130`	$156	$76	$93	0.8×
X-ray, hip CPT Code: `73502`	$137	$76	$93	0.8×
X-ray, ankle CPT Code: `73610`	$230	$76	$93	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$190	$50	$64	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$233	$64	$110	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$225	$67	$123	0.5×
Speech therapy (group session) CPT Code: `92508`	$68	$68	$27	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$72	$72	$38	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$65	$43	$87	0.5×
Orthotic fitting and training CPT Code: `97760`	$65	$65	$51	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$79	$3	$3	1.0×
Blood test, lipase CPT Code: `83690`	$71	$6	$7	0.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$107	$17	$20	0.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$69	$5	$6	0.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$261	$9	$11	0.8×
Blood test, calcium CPT Code: `82310`	$62	$4	$5	0.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$51	$4	$5	0.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$62	$8	$10	0.8×
Blood test, potassium CPT Code: `84132`	$70	$4	$5	0.8×
Blood test, sodium CPT Code: `84295`	$59	$4	$5	0.8×
Hepatitis C antibody test CPT Code: `86803`	$212	$12	$15	0.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$81	$15	$19	0.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$149	$11	$14	0.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$127	$11	$14	0.8×
Blood test, basic metabolic panel CPT Code: `80048`	$99	$7	$9	0.8×
Blood test, liver function panel CPT Code: `80076`	$81	$7	$9	0.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$137	$14	$18	0.8×
Culture, bacterial CPT Code: `87070`	$80	$7	$9	0.8×
Blood test, vitamin D CPT Code: `82306`	$210	$24	$31	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$63	$19	$25	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$38	$38	$48	unverified
Blood test, vitamin B12 CPT Code: `82607`	$157	$12	$16	0.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$62	$3	$4	0.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$92	$3	$4	0.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$155	$6	$8	0.8×
Culture, blood CPT Code: `87040`	$83	$8	$11	0.7×
Blood test, amylase CPT Code: `82150`	$71	$5	$7	0.7×
Blood test, magnesium CPT Code: `83735`	$65	$5	$7	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$30	$30	$86	unverified
Blood test, hemoglobin CPT Code: `85018`	$45	$2	$3	0.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$38	$3	$5	0.6×

Showing top 25 high-impact procedures of 89 total

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

Audit a Bill or Quote at Tyler Holmes Memorial Hospital Cah (Zero PHI Required)

CMS CCN: 251312

CPT G0390

Select Procedure to Audit:

Fair BaseRate™ $1,453

Medicare Rate $1,362

Self-Pay Cash $1,400

Insurer Median $1,772

1. Amount on Your Bill or Quote ($) Pre-filled with Tyler Holmes Memorial Hospital 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 $466 Paying Cash

Self-Pay Cash Rate ($1,400) Beats Your Bill

Tyler Holmes Memorial Hospital Cah's published 45 CFR § 180 self-pay cash rate is $1,400 (vs. $1,772 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$413 Above Fair BaseRate

Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)

Your bill ($1,866) is $413 above the denoised Fair BaseRate ($1,453) and 1.4× the $1,362 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 Tyler Holmes Memorial Hospital 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

Safety Composite69/100

Median ER Wait102 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

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

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Tyler Holmes Memorial Hospital Cah.

Price Index: 1.00× regional baseline

Quality: 56/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Cigna

-48.9%

Molina

-45.9%

Median Household Income$45,057U.S. Census ACS

Local Uninsured Share10.8%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 85/100 · Corroborated CMS CCN 251312

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 251312) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-07-28 · 3.85 MB

Validated Rate Rows462 (CMS v3.0.0)

File Integrity Digest4ff92356e794cfd9d20a…

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.

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