How many shoppable procedure prices are published for Yalobusha General Hospital?

Yalobusha General Hospital in Water Valley, MS currently has 91 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Yalobusha General Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Yalobusha General Hospital's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Government - Local 26 Beds · rural Updated: 01/01/2026

Yalobusha General Hospital

630 South Main Street, Water Valley, MS 38965 · 91 Priced Procedures

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.85×vs. Fair Market Price

Typical commercial prices here are 15% below the fair benchmark (0.85×) after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 41% of the Time

File Completeness56

Price Logic91

Peer Alignment84

Clean Billing53

Real Cash Discount100

Regional Benchmark Tier

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

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Yalobusha General Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.8× Medicare, p50 0.81× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.95× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#8 of 65 in MS · 10th State Percentile#435 of 3,385 in U.S. · 12th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 15% below peer Fair BaseRate (0.85×)
Self-pay cash beats commercial insurance on 41% of shoppable procedures (99/100 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 (0.85× 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 (1.4×) services average 1.25× higher multiples than routine shoppable care (0.8×)
Upper-quartile procedures (Q75 0.95×) jump +17% above the median procedure ratio (Q50 0.81×)
Consolidated metro market (HHI 9,580) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.8× Medicare

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

Back-Door Captive & ER1.25× Divergence

1.0× Medicare

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

Quantile Tail Spread+17% Upper Tail

Q25 0.75× · Q50 0.81× · Q75 0.95×

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

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

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

0.5× MedicareGood

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

41% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 65/100Fair

Procedure Prices at Yalobusha General Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 91 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$14,939	$14,939	$30,775	0.5×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$8,983	$8,983	$19,087	0.5×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$8,920	$8,920	$19,432	0.5×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$8,153	$8,153	$17,936	0.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$3,605	$3,605	$8,223	0.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,167	$859	$1,021	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$629	$463	$583	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,069	$301	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,587	$301	$511	0.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$511	$204	$272	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$823	$204	$303	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$1,025	$204	$338	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$1,057	$204	$343	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$1,722	$204	$369	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$127	$136	$166	0.8×
Family therapy session CPT Code: `90847`	$191	$136	$173	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$175	$136	$181	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$639	$150	$242	0.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$662	$150	$258	0.6×
Blood transfusion CPT Code: `36430`	$147	$147	$498	0.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$64	$88	$86	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$284	$110	$123	0.9×
X-ray, pelvis CPT Code: `72170`	$77	$90	$110	0.8×
X-ray, lower back CPT Code: `72110`	$120	$90	$112	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$287	$90	$126	0.7×
Ultrasound, pelvis CPT Code: `76856`	$219	$90	$130	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$259	$90	$132	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$277	$90	$134	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$480	$90	$160	0.6×
CT scan, pelvis CPT Code: `72192`	$579	$90	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$499	$90	$166	0.5×
CT scan, chest (no contrast) CPT Code: `71250`	$604	$90	$167	0.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$609	$90	$168	0.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$621	$90	$169	0.5×
Pneumococcal vaccine HCPCS Code: `90732`	$280	$133	$140	0.9×
Group therapy session CPT Code: `90853`	$139	$78	$100	0.8×
Blood antibody screen CPT Code: `86850`	$34	$45	$46	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$157	$70	$86	0.8×
X-ray, chest (single view) CPT Code: `71045`	$58	$74	$92	0.8×
X-ray, shoulder CPT Code: `73030`	$126	$74	$92	0.8×
X-ray, foot CPT Code: `73630`	$105	$74	$92	0.8×
X-ray, chest (two views) CPT Code: `71046`	$74	$74	$93	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$82	$74	$93	0.8×
X-ray, hand CPT Code: `73130`	$125	$74	$93	0.8×
X-ray, hip CPT Code: `73502`	$125	$74	$93	0.8×
X-ray, ankle CPT Code: `73610`	$95	$74	$93	0.8×
Orthotic fitting and training CPT Code: `97760`	$75	$42	$51	0.8×
Prosthetic fitting and training CPT Code: `97761`	$65	$37	$45	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$308	$31	$38	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$53	$39	$48	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$69	$32	$40	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$74	$50	$64	0.8×
Drug screening test HCPCS Code: `G0480`	$57	$57	$116	0.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$118	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$21	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$50	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$99	$30	$31	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$34	$34	$201	0.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$25	$3	$3	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$21	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$21	$4	$4	1.0×
Blood test, potassium CPT Code: `84132`	$21	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$21	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$21	$4	$4	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$35	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$79	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$55	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$55	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$59	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$63	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$67	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$45	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$55	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$103	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$91	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$111	$6	$7	0.9×
Physical therapy (gait training) CPT Code: `97116`	$56	$27	$33	0.8×
Speech therapy (group session) CPT Code: `92508`	$46	$22	$27	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$67	$30	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$28	$4	$5	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$27	$11	$14	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$64	$27	$35	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$69	$29	$38	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$60	$25	$34	0.7×
Blood test, hemoglobin CPT Code: `85018`	$21	$2	$3	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$2	$2	$49	0.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$25	$25	$148	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$42	$10	$10	unverified
Blood test, lipase CPT Code: `83690`	$29	$7	$7	unverified
Blood test, magnesium CPT Code: `83735`	$29	$7	$7	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$33	$8	$8	unverified

Showing top 25 high-impact procedures of 91 total

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

Audit a Bill or Quote at Yalobusha General Hospital (Zero PHI Required)

CMS CCN: 250061

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $14,939

Insurer Median $14,939

1. Amount on Your Bill or Quote ($) Pre-filled with Yalobusha General 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 Save $6,403 Paying Cash

Self-Pay Cash Rate ($14,939) Beats Your Bill

Yalobusha General Hospital's published 45 CFR § 180 self-pay cash rate is $14,939 (vs. $14,939 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $30,775 Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($30,775).

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 Yalobusha General 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 Yalobusha General Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-02-04·administrative_or_closure
Closure Notice
Recorded
2025-09-04·cap_corrective_action
CAP Request
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

Regional Quality & Price Benchmark Pareto Frontier (Price + Quality)

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

Price Index: 0.88× regional baseline

Quality: 54/100 CMS composite

Median Household Income$49,171U.S. Census ACS

Local Uninsured Share12.5%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 77/100 · Corroborated CMS CCN 250061

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 250061) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage01/01/2026

Validated Rate Rows961 (CMS v3.0.0)

File Integrity DigestVerified · CCN 250061

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