Mercy Medical Center
2700 Nw Stewart Parkway, Roseburg, OR 97471 · 111 Priced Procedures · 58% Patient Recommendation
Typical commercial prices here are +199% above the fair benchmark (2.99×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 2.99× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Mercy Medical Center prices routine shoppable procedures at 4.1× Medicare (median 3.01× Fair BaseRate) while upper-quartile commercial rates jump +25% to 3.77× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.60× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 80% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 58% patient recommendation (64/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (68.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
- Commercial insurance median sits at 3.01× Fair BaseRate (4.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 3.77×) jump +25% above the median procedure ratio (Q50 3.01×)
- Consolidated metro market (HHI 9,388) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Mercy Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 111 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $32,902 | 1.7× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $32,106 | unverified |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $30,327 | 1.7× |
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $27,417 | 0.9× |
| Total hip replacement CPT Code: 27130 | $21,276 | unverified |
| Total knee replacement CPT Code: 27447 | $21,276 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $13,080 | 1.6× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $8,910 | 1.5× |
| Breast lump removal CPT Code: 19120 | $5,866 | 1.5× |
| Inguinal hernia repair CPT Code: 49505 | $5,804 | 1.6× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $5,038 | 1.5× |
| Bunion correction surgery CPT Code: 28296 | $5,038 | 1.5× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,683 | unverified |
| Cataract surgery with lens implant CPT Code: 66984 | $3,613 | 1.4× |
| Trauma team activation HCPCS Code: G0390 | $3,328 | 2.3× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $3,291 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,169 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,929 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $2,541 | 6.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $2,513 | 7.3× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,088 | 3.6× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,990 | 5.9× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,832 | 1.5× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,571 | 9.4× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,592 | 6.2× |
Audit a Bill or Quote at Mercy Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $53,736
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (68.0% of gross = $53,736).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Mercy Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your bill ($78,965) is $59,533 above the denoised Fair BaseRate ($19,432) and 5.6× the $14,044 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (68.0% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (667 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Mercy Medical Center.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.