Community Health Systems · Natchez, MS
2 of 5
CMS star rating
151
Beds
2,298
Inpatient discharges a year
$65.8M
Net patient revenue a year
33
In-network payers
Merit Health Natchez is a 151-bed proprietary hospital in Natchez, MS, affiliated with Community Health Systems. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 336 disclosed rate categories.
The 24 services Merit Health Natchez most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$3,105 - $4,555
from 3 insurers · median $3,655
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$4,280 - $8,297
from 3 insurers · median $5,601
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Medicine & Surgery
CPT 47562
$4,375 - $17,087
from 4 insurers · median $6,577
43 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$5,325 - $35,928
from 3 insurers · median $7,829
43 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$17,353 - $41,292
from 3 insurers · median $31,682
Hospital reports orthopedic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$3,105 - $4,555
from 3 insurers · median $3,655
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Digestive procedures
CPT 47563
$4,375 - $7,829
from 4 insurers · median $6,483
43 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$8,978 - $22,129
from 3 insurers · median $21,202
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 74177
$375 - $1,180
from 3 insurers · median $764
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$11,413 - $28,649
from 3 insurers · median $16,554
Hospital reports orthopedic surgery services to CMS
Cardiology and vascular testing
CPT 93306
$962 - $4,651
from 4 insurers · median $1,424
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,900 - $17,783
from 4 insurers · median $3,271
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$5,636 - $13,905
from 3 insurers · median $7,832
Hospital reports inpatient surgical services to CMS
CT imaging
CPT 70450
$177 - $1,887
from 4 insurers · median $300
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$104 - $620
from 4 insurers · median $205
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$529 - $4,190
from 4 insurers · median $1,106
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$96 - $694
from 4 insurers · median $199
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$2,350 - $6,869
from 4 insurers · median $2,848
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$660 - $4,847
from 4 insurers · median $1,106
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,375 - $16,234
from 4 insurers · median $6,527
Typical for a hospital with this service line
MRI imaging
CPT 70553
$675 - $4,636
from 4 insurers · median $972
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$302 - $466
from 3 insurers · median $375
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$312 - $1,040
from 3 insurers · median $655
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$2,150 - $35,491
from 4 insurers · median $6,577
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 21 | 578% | 14 | 2 |
| Insurer B* | 24 | 180% | 13 | 7 |
| Insurer C* | 16 | 142% | 3 | 5 |
| Insurer D* | 24 | 127% | 5 | 14 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 9 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Merit Health Natchez, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
2 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$65.8M net patient revenue
Ownership and leadership
Owned by CHS Community Health Systems Inc
The employer identification numbers (EINs) health plans and networks list for Merit Health Natchez in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 37-1756496Merit Health Natchez | 50Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 45 more | 1164821559 Natchez Hospital Company LLC1083013478 Natchez Hospital Company LLC1811924954 Natchez Regional Medical Centerand 4 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
54 Seargent 's' Prentiss Drive, Natchez, MS 39120
(601) 443-2100
How Merit Health Natchez compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Worse on 1 of 5 measures
0 better, 4 no different, 1 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 3 measures
0 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 1 of 6 measures
0 better, 5 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
2 of 5
Lower than 81% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
49%
Lower than 98% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.16
Higher than 86% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
175 min
Higher than 68% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
43%
Lower than 89% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 2 of 5 | |
| Death rates | Worse on 1 of 5 measures | |
| Safety | No different on 3 measures | |
| Readmissions | Worse on 1 of 6 measures | |
| Patient survey ratingCMS: Summary star rating | 2 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 49% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.16 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 175 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 43% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Merit Health Natchez's inpatient payments for its readmissions, quality and cost results.
-0.22% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-1.01% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Merit Health Natchez, beside the US median and the average of MS hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Merit Health Natchez | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.081 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 460 cases | 4.7 | 3.9 | 4.719 | Worse than 83% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.85 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.757 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 9.672 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 57 cases | 12.1 | 11 | 12.17 | Worse than 71% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 137 cases | 17.7 | 15.2 | 17.67 | Worse than 83% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 36 cases | 17.6 | 11.6 | 13.34 | Worse than 96% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,058 cases | 0.77 | 0.51 | 0.6951 | No Different Than the National Rate | Worse than 80% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 179 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,287 cases | 0.2 | 0.2 | 0.212 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,312 cases | 0.26 | 0.27 | 0.2693 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 192 cases | 2.18 | 2.29 | 2.402 | No Different Than the National Rate | Better than 69% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 42 cases | 2.11 | 1.63 | 1.723 | No Different Than the National Rate | Worse than 92% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 48 cases | 10.6 | 8.88 | 10.07 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 193 cases | 4.61 | 3.4 | 3.74 | No Different Than the National Rate | Worse than 93% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 37 cases | 5.96 | 5.105 | 5.462 | No Different Than the National Rate | Worse than 79% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 88 cases | 1.69 | 1.72 | 1.744 | No Different Than the National Rate | Better than 63% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 167 cases | 1 | 1.02 | 1.026 | No Different Than the National Rate | Better than 57% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Merit Health Natchez | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 13.01 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 76 cases | 53.6 | 1.25 | 20.12 | Worse than 93% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 140 cases | 32.5 | 3.85 | 13.53 | Worse than 84% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 184 cases | 12.7 | 12.9 | 13.09 | No Different Than the National Rate | Better than 63% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.9 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.712 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 86 cases | 1.1 | 1 | 1.015 | No Different than expected | Worse than 69% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.23 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.16 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 52 cases | 19.9 | 19.8 | 20.11 | Worse than 53% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 126 cases | 22.8 | 21.3 | 21.59 | Worse than 87% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 6.025 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 156 cases | 16.9 | 17.2 | 17.35 | Better than 63% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Merit Health Natchez | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2247 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.57 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 616 | 1,370 | 2,785 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.426 | 0.9835 | 2.724 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 1.791 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.3654 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2114 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.079 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 862 | 1,799 | 3,075 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.587 | 1.377 | 3.519 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 2.209 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5117 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.5404 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.709 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 35 | 61 | 92.62 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.892 | 1.591 | 2.587 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 1 | 1 | 2.946 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 1.084 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4174 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.269 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 32 | 38 | 83.52 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.305 | 0.328 | 0.7858 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.8788 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.8725 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2453 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.816 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 11,929 | 14,451 | 21,259 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.551 | 0.567 | 1.458 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.075 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.8635 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.015 | 0.127 | 0.2167 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.494 | 0.747 | 1.978 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 10,720 | 13,646 | 19,775 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 3.302 | 5.683 | 9.809 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 3.84 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.303 | 0.279 | 0.5541 | No Different than National Benchmark | Worse than 53% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Merit Health Natchez | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 187 cases | 73 | 73 | 72.84 | Worse than 49% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 187 cases | 12 | 8 | 9.731 | Worse than 76% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 187 cases | 15 | 18 | 17.43 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 187 cases | 85 | 87 | 84.47 | Worse than 63% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 187 cases | 3 | 4 | 3.053 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 187 cases | 79 | 80 | 82.75 | Worse than 51% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 187 cases | 91 | 91 | 91.82 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 187 cases | 6 | 4 | 3.985 | Worse than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 187 cases | 3 | 3 | 3.553 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 187 cases | 15 | 16 | 13.27 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 187 cases | 76 | 79 | 84 | Worse than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 187 cases | 89 | 91 | 91.95 | Worse than 71% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 187 cases | 7 | 5 | 4.463 | Worse than 72% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 187 cases | 2 | 3 | 3.553 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 187 cases | 17 | 16 | 11.54 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 187 cases | 55 | 61 | 66.57 | Worse than 83% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 187 cases | 73 | 77 | 77.74 | Worse than 78% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 187 cases | 22 | 19 | 17.31 | Worse than 65% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 187 cases | 2 | 3 | 2.842 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 187 cases | 23 | 19 | 16.12 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 187 cases | 79 | 86 | 84.71 | Worse than 93% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 187 cases | 20 | 13 | 13.54 | Worse than 92% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 187 cases | 2 | 3 | 3.105 | Worse than 82% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 187 cases | 80 | 87 | 86.46 | Worse than 92% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 187 cases | 25 | 14 | 15.04 | Worse than 96% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 187 cases | 75 | 86 | 84.96 | Worse than 96% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 187 cases | 76 | 74 | 79.39 | Better than 61% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 187 cases | 8 | 7 | 5.882 | Worse than 63% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 187 cases | 16 | 19 | 14.73 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 187 cases | 74 | 77 | 82.39 | Worse than 70% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 187 cases | 7 | 6 | 4.824 | Worse than 64% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 187 cases | 19 | 17 | 12.78 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 187 cases | 79 | 85 | 88.06 | Worse than 89% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 187 cases | 5 | 3 | 3.353 | Worse than 73% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 187 cases | 16 | 11 | 8.588 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 187 cases | 14 | 8 | 7.478 | Worse than 89% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 187 cases | 28 | 20 | 19.63 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 187 cases | 58 | 72 | 72.9 | Worse than 93% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 187 cases | 83 | 88 | 88.13 | Worse than 90% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 187 cases | 2 | 3 | 3.5 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 187 cases | 71 | 74 | 76.75 | Worse than 69% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 187 cases | 11 | 9 | 9.333 | Worse than 62% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 187 cases | 18 | 16 | 13.92 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 187 cases | 77 | 75 | 77.57 | Better than 63% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 187 cases | 8 | 5 | 5.588 | Worse than 78% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 187 cases | 15 | 20 | 16.84 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 187 cases | 76 | 77 | 79.47 | Worse than 51% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 187 cases | 6 | 4 | 4.804 | Worse than 71% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 187 cases | 18 | 19 | 15.73 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 187 cases | 85 | 86 | 87.35 | Worse than 56% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 187 cases | 4 | 3 | 2.961 | Worse than 72% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 187 cases | 11 | 11 | 9.686 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 187 cases | 61 | 59 | 69.58 | Better than 54% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 187 cases | 8 | 9 | 6.224 | Better than 53% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 187 cases | 31 | 31 | 24.19 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 187 cases | 84 | 82 | 86.29 | Better than 63% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 187 cases | 4 | 3 | 4.237 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 187 cases | 10 | 5 | 5.373 | Worse than 87% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 187 cases | 49 | 71 | 72.46 | Worse than 98% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 187 cases | 79 | 87 | 87.16 | Worse than 93% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 187 cases | 41 | 23 | 22.16 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 187 cases | 2 | 4 | 3.684 | Worse than 85% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 187 cases | 38 | 47 | 51.43 | Worse than 91% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 187 cases | 34 | 30 | 28.16 | Worse than 69% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 187 cases | 28 | 22 | 20.41 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 187 cases | 2 | 3 | 3.342 | Worse than 81% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 187 cases | 15 | 12 | 13.41 | Worse than 73% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 187 cases | 85 | 88 | 86.59 | Worse than 73% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Merit Health Natchez | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 7.556 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.348 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2222 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 449 cases | 33 | 79 | 65.43 | Worse than 96% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 417 cases | 181 | 154 | 137 | Worse than 68% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 394 cases | 175 | 148 | 133 | Worse than 68% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 11 cases | 303 | 247 | 232 | Worse than 69% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 13 cases | 397 | 293 | 281 | Worse than 83% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 19,046 cases | 2 | 1 | 2.455 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 69.18 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 68 cases | 94 | 97 | 94.43 | Worse than 65% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 61 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 821 cases | 6 | 15 | 12.25 | Better than 95% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 140 cases | 43 | 65 | 62.64 | Worse than 89% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 31 cases | 0 | 73 | 68.49 | Worse than 99% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 85.36 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 140 cases | 72 | 82 | 80.33 | Worse than 81% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 81 cases | 88 | 94 | 88.42 | Worse than 79% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 31 cases | 87 | 98 | 93.39 | Worse than 96% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 66 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 27 cases | 89 | 94 | 89.28 | Worse than 83% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 68.46 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 83.8 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Merit Health Natchez | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 1.2 | 5 | 7.061 | Better than 91% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 6.9 | 6.6 | 7.009 | Worse than 54% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Merit Health Natchez | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.17 | 0.99 | 0.994 | Worse than 97% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Merit Health Natchez | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 3.333 | 20 | 9.966 | Worse than 85% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0.8333 | 5 | 2.566 | Worse than 85% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 10 | 10 | 23.08 | Better than 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 2.5 | 2.5 | 6.538 | Worse than 44% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 31 | 34 | 43.22 | Worse than 56% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 7.75 | 8.75 | 10.8 | Worse than 56% of US hospitals | |
| VBP safety domain scoreFY 2026 | 13.33 | 40 | 43.66 | Worse than 93% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 3.333 | 10 | 11.58 | Worse than 93% of US hospitals | |
| VBP total performance scoreFY 2026 | 14.42 | 29.5 | 29.55 | Worse than 96% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 46 | 25 | 10 | 0 | 0 | 3.333 |
| VBP clinical outcomes weighted domain score | 11.5 | 6.25 | 2.5 | 0 | 0 | 0.8333 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 0 | 0 | 0 | 10 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 0 | 0 | 0 | 2.5 |
| VBP person and community engagement domain score | 35 | Not Available | Not Available | 15 | 13 | 31 |
| VBP person and community engagement weighted domain score | 8.75 | Not Available | Not Available | 5 | 3.25 | 7.75 |
| VBP safety domain score | 90 | Not Available | Not Available | Not Available | 50 | 13.33 |
| VBP safety weighted domain score | 22.5 | Not Available | Not Available | Not Available | 12.5 | 3.333 |
| VBP total performance score | 42.75 | Not Available | Not Available | 5 | 15.75 | 14.42 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Merit Health Natchez | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.013 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9995 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9993 | 0.9969 | 1.011 | Worse than 52% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 104 cases | 1.015 | 0.9983 | 1.023 | Worse than 61% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9883 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 141 cases | 1.046 | 0.9955 | 1.02 | Worse than 78% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.983 | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.093 | 1.061 | 1.025 | 0.9787 | 1.003 | 0.9993 |
| READM-30-HF-HRRP | 0.9819 | 0.9852 | 1.072 | 1.05 | 1.048 | 1.015 |
| READM-30-HIP-KNEE-HRRP | 1.073 | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.9914 | 1.012 | 0.964 | 0.972 | 1.025 | 1.046 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Merit Health Natchez | US median | MS average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 1.289 | 0.489 | 0.507 | Worse than 92% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.623 | 0.346 | 0.445 | Worse than 83% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.559 | 0.7811 | The best result, shared by 14% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 2.918 | 0.6405 | 0.9463 | Worse than 99% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.155 | 0.9628 | 1.052 | Worse than 86% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.691 | 0.7945 | 0.7906 | Better than 57% of US hospitals | |
| Total HAC scoreFY 2026 | 0.7414 | -0.0453 | 0.1382 | Worse than 88% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | Yes | No | N/A | No | Yes | Yes |
| Total HAC score | 0.5447 | -0.1731 | 0 | 0.2151 | 0.6793 | 0.7414 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2025)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
179
Medicare-certified beds
75
Registered nurses (full-time equivalent)
1967
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Merit Health Natchez reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
2,298
Inpatient discharges
Medicare 25%, Medicaid 29%
11,056
Inpatient days
23% of available bed days used
272
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 830963). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Merit Health Natchez reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 2,566 | 1,339 | 7,151 | 11,056 |
| Discharges | 576 | 657 | 1,065 | 2,298 |
| Average length of stay | 4.5 days | 2.0 days | 6.7 days | 4.8 days |
| Average daily census | 7.0 | 3.7 | 19.6 | 30.3 |
2,598
Medicare Advantage days
559 discharges
1,610
Medicaid managed care days
955
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 123 | 8,009 | 2,267 | 18% |
| Intensive care unit | 8 | 555 | 170 | 19% |
| Nursery | 1,153 | |||
| Subprovider - irf | 20 | 2,305 | 1,353 | 32% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830963, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Merit Health Natchez treats Medicare patients for most often, in 2024. 309 Medicare discharges in 12 published DRGs; 5% surgical; 91% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 114 | $136,957 | $16,632 | $13,559 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 38 | $111,119 | $9,932 | $11,001 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 22 | $131,741 | $10,754 | $13,042 | 1.33 |
| Renal failure with MCCMS-DRG 682, medical | 22 | $117,580 | $13,424 | $11,640 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 18 | $68,371 | $6,634 | $6,769 | 0.90 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 16 | $78,539 | $7,413 | $7,775 | 1.03 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 15 | $97,876 | $9,508 | $9,690 | 1.17 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 14 | $144,332 | $13,442 | $14,289 | 1.70 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 14 | $350,045 | $43,710 | $34,654 | 5.00 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 13 | $83,290 | $11,162 | $8,246 | 1.32 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 12 | $60,394 | $6,056 | $5,979 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 11 | $103,770 | $14,074 | $10,273 | 1.65 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Merit Health Natchez billed Medicare for most in 2024: 250 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 90 | 85 | $46,247 | $1,893 | $2,090 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 43 | 43 | $61,178 | $4,129 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 31 | 27 | $39,608 | $2,282 | $2,405 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 29 | 29 | $32,050 | $1,161 | $1,220 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 28 | 27 | $40,965 | $2,631 | $2,930 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 16 | 16 | $65,742 | $7,957 | $8,569 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 13 | 12 | $36,100 | $1,876 | $2,141 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Merit Health Natchez in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,203 in 2020 to 982 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 39120 | 666 | 68% | 2,881 | $79.8M | 43% | 56% |
| 39069 | 81 | 8% | 361 | $10.8M | 33% | 36% |
| 71373 | 69 | 7% | 254 | $7.2M | 18% | 32% |
| 71334 | 39 | 4% | 160 | $4.8M | 7% | 13% |
| 39669 | 33 | 3% | 171 | $4.4M | 14% | 17% |
| 39661 | 31 | 3% | 97 | $2.8M | 30% | 46% |
| 39121 | 22 | 2% | 79 | $2.2M | 65% | 100% |
| 39190 | 15 | 2% | 45 | $1.2M | 100% | 62% |
| 71343 | 14 | 1% | 40 | $1.4M | 4% | |
| 39122 | 12 | 1% | 45 | $1.4M | 100% | 100% |
Source: CMS Hospital Service Area file. Shares are of the 982 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Merit Health Natchez reported at its latest Medicare certification survey (2015). Counts are people, not full-time equivalents.
6
Operating rooms
1
Cardiac catheterization rooms
20
Rehabilitation unit beds
75
Registered nurses
7
Licensed practical nurses
5
Physicians
2
Nurse practitioners
1
Nurse anesthetists (CRNAs)
4
Pharmacists
7
Respiratory therapists
1
Physical therapists
1
Occupational therapists
1
Speech pathologists and audiologists
11
Radiology technicians
1
Nuclear medicine technicians
5
Laboratory technicians
6
Medical technologists
1
Dietitians
1
Social workers
101
Other personnel
Source: CMS Provider of Services file.
155 clinicians who bill Medicare list Merit Health Natchez as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Elizabeth Herrington, D.O.
Medical Oncology Physician
NPI 1306043278
See commercial rates for Elizabeth Herrington, D.O.Jack Rodriguez, MD
Hematology & Oncology Physician
NPI 1184623886
See commercial rates for Jack Rodriguez, MDEdward Daly, M.D.
Internal Medicine Physician
NPI 1801837679
See commercial rates for Edward Daly, M.D.Blane Mire, M.D.
Internal Medicine Physician
NPI 1326082397
See commercial rates for Blane Mire, M.D.James Ramsey, MD
Orthopaedic Surgery Physician
NPI 1376531582
See commercial rates for James Ramsey, MDRachael Lambert, FNP-C
Family Nurse Practitioner
NPI 1790547362
See commercial rates for Rachael Lambert, FNP-CPaul Pierce, M.D.
Cardiovascular Disease Physician
NPI 1821005265
See commercial rates for Paul Pierce, M.D.Alan Torrey, M.D.
Pain Medicine (Anesthesiology) Physician
NPI 1750693206
See commercial rates for Alan Torrey, M.D.Matthew Young
Orthopaedic Surgery Physician
NPI 1568889699
See commercial rates for Matthew YoungKurt Kratz, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1225142920
See commercial rates for Kurt Kratz, M.D.Charles Borum, M.D.
Specialist
NPI 1417042979
See commercial rates for Charles Borum, M.D.Johnny Ingram, M.D.
Family Medicine Physician
NPI 1437100419
See commercial rates for Johnny Ingram, M.D.Jose Serio, FNP
Family Nurse Practitioner
NPI 1265443063
See commercial rates for Jose Serio, FNPDelphia Clarke, M.D.
Diagnostic Radiology Physician
NPI 1255316873
See commercial rates for Delphia Clarke, M.D.Benjamin Kidder, MD
Neurology Physician
NPI 1114259975
See commercial rates for Benjamin Kidder, MDLeslie England, MD
Infectious Disease Physician
NPI 1720014939
See commercial rates for Leslie England, MDDedri Ivory, M.D.
Rheumatology Physician
NPI 1851585004
See commercial rates for Dedri Ivory, M.D.Clifford Tillman
Gastroenterology Physician
NPI 1053309732
See commercial rates for Clifford TillmanKevin Mcdonnell, M.D.
Diagnostic Radiology Physician
NPI 1578548533
See commercial rates for Kevin Mcdonnell, M.D.Ryan Case, MD
Otolaryngology Physician
NPI 1891992061
See commercial rates for Ryan Case, MDJoel Duff, MD
Urology Physician
NPI 1386038651
See commercial rates for Joel Duff, MDFarhad Sani, M.D.
Diagnostic Radiology Physician
NPI 1235337072
See commercial rates for Farhad Sani, M.D.Vikramaditya Dulam, M.D.
Cardiovascular Disease Physician
NPI 1194767806
See commercial rates for Vikramaditya Dulam, M.D.Aaron Smith, M.D.
Ophthalmology Physician
NPI 1659650166
See commercial rates for Aaron Smith, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Merit Health Natchez reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $675.2M | 1025.3% |
| Inpatient | $305.6M | 464.1% |
| Outpatient | $369.6M | 561.3% |
| Contractual allowances and discounts | -$609.3M | -925.3% |
| Net patient revenue | $65.8M | 100.0% |
| Operating expenses | -$58M | -88.1% |
| Operating income from patient care | $7.8M | 11.9% |
| Other income | $162,652 | 0.2% |
| Other expenses | -$346 | -0.0% |
| Net income | $8M | 12.2% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $131.7M | 19.6% |
| Medicaid (including managed care) | $116M | 17.2% |
| Other payers and self-pay | $426M | 63.2% |
| Total charges | $673.7M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830963, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Merit Health Natchez's latest cost report.
11.9%
Operating margin
Operating income from patient care / net patient revenue
12.1%
Total margin
Net income / net patient revenue plus other income
16.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
46% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$37.45
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
33.8%
Return on assets
Net income for a year / total assets
76.6%
Return on equity
Net income for a year / fund balance
0.15
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
1.02
Current ratio
Current assets / current liabilities
0.83
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
54 days
Days in patient receivables
Net patient receivables / daily net patient revenue
74 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.78
Asset turnover
Total revenue for a year / total assets
73.5 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 830963, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Merit Health Natchez owned and owed at the end of its reporting period (Sep 2025), across all fund types: $23.7M in total assets and a $10.4M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $32,712 | 0.1% |
| Patient receivables, net | $9.7M | 40.8% |
| Inventory | $1.2M | 5.2% |
| Total current assets | $12M | 50.6% |
| Property and equipment, net of depreciation | $5.9M | 24.9% |
| Investments and other assets | $5.8M | 24.6% |
| Total assets | $23.7M | 100.0% |
| Current liabilities | $11.7M | 49.4% |
| Long-term debt | $1.6M | 6.6% |
| Total liabilities | $13.3M | 56.0% |
| Fund balance (net assets) | $10.4M | 44.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830963, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Merit Health Natchez provided without full payment, as reported on Worksheet S-10 of its cost report.
$2.2M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$6.3M
Bad debt
Patient bills written off as uncollectible, at charges
$2.5M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$2.7M
Total unreimbursed and uncompensated care
4.7% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 830963, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Merit Health Natchez's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Sep 2022 | Sep 2023 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $65.9M | $64M | $58.7M | $58M | $66.8M | $65.8M |
| Operating expenses | $61.8M | $57.7M | $58.2M | $56.8M | $61.3M | $58M |
| Operating margin | 6.3% | 10.0% | 0.9% | 2.1% | 8.4% | 11.9% |
| Net income | $11M | $7.9M | $3M | $4.4M | $6.9M | $8M |
| Total assets | $33.5M | $28.4M | $24M | $24.7M | $22.4M | $23.7M |
| Discharges | 2,945 | 2,821 | 2,659 | 2,354 | 2,276 | 2,298 |
| Inpatient days | 13,968 | 14,779 | 12,816 | 11,590 | 11,602 | 11,056 |
| Medicare Advantage days | 73 | 619 | 2,093 | 2,599 | 2,671 | 2,598 |
| Beds | 179 | 179 | 179 | 151 | 151 | 151 |
| Employees (FTE) | 329 | 318 | 295 | 290 | 286 | 272 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830963, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Merit Health Natchez reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Emergency | $2.4M | $6.6M | $55.6M | 0.12 | 13,199 |
| Operating room | $1.2M | $4.3M | $57.2M | 0.07 | 10,839 |
| Laboratory | $799,176 | $3.8M | $118.7M | 0.03 | 3,326 |
| Drugs charged to patients | $2.7M | $95.5M | 0.03 | ||
| Delivery room & labor room | $992,044 | $2.5M | $7.9M | 0.32 | 4,930 |
| Physical therapy | $1.1M | $2.1M | $16.2M | 0.13 | 2,018 |
| Radiology-diagnostic | $716,068 | $2M | $34.2M | 0.06 | 2,049 |
| Medical supplies charged to patient | $1.5M | $17.1M | 0.09 | ||
| Respiratory therapy | $641,799 | $1.4M | $12.1M | 0.12 | 1,120 |
| Recovery room | $499,065 | $1.3M | $15.3M | 0.09 | 2,903 |
| Observation beds (non-distinct part | $1.3M | $6.1M | 0.22 | ||
| Ct scan | $236,798 | $1.2M | $90.7M | 0.01 | 5,442 |
| Electrocardiology | $223,971 | $867,513 | $22.1M | 0.04 | 4,532 |
| Whole blood & packed red blood cell | $857,180 | $5M | 0.17 | 139 | |
| Renal dialysis | $733,415 | $4M | 0.18 | 905 | |
| Occupational therapy | $349,557 | $676,586 | $6.5M | 0.10 | 809 |
| Impl. dev. charged to patients | $622,465 | $4.4M | 0.14 | ||
| Radioisotope | $81,442 | $500,253 | $21.3M | 0.02 | 1,280 |
| Mri | $134,794 | $447,488 | $14.2M | 0.03 | 1,667 |
| Ultra sound | $205,490 | $432,556 | $9.8M | 0.04 | 590 |
| Speech pathology | $193,017 | $379,182 | $3.9M | 0.10 | 485 |
| Anesthesiology | $249,871 | $11.9M | 0.02 | 2,252 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $3.8M | $12.3M | $28.4M | 0.43 | 29,537 |
| Subprovider - irf | $1M | $3.4M | $7.1M | 0.48 | 10,240 |
| Nursery | $784,830 | $2M | $2.9M | 0.71 | 2,093 |
| Intensive care unit | $415,376 | $1.7M | $5.7M | 0.29 | 7,748 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.4M | $14.4M | 57,880 | $37.78 | 23,011 |
| Operation of plant | $630,442 | $4.1M | 22,947 | $27.47 | 3,595 |
| Employee benefits department | $166,812 | $2.9M | 3,884 | $42.95 | 746 |
| Cap rel costs-mvble equip | $2M | ||||
| Cap rel costs-bldg & fixt | $1.7M | 162,474 | |||
| Nursing administration | $1.2M | $1.6M | 27,279 | $49.33 | 4,741 |
| Central services & supply | $297,188 | $1.1M | 11,235 | $26.45 | 2,256 |
| Dietary | $1.1M | 7,512 | |||
| Pharmacy | $672,409 | $797,183 | 13,744 | $48.92 | 1,328 |
| Housekeeping | $447,106 | $794,688 | 31,110 | $14.37 | 2,624 |
| Medical records & library | $382,759 | $793,265 | 13,162 | $29.08 | 5,007 |
| Social service | $312,142 | $295,261 | 7,528 | $41.46 | 1,271 |
| Cafeteria | $285,161 | 1,880 | |||
| Laundry & linen service | $232,395 | 400 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830963, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Merit Health Natchez for an inpatient stay.
1.57
Case mix index
Higher than 36% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
42.8%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
567
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.43 | 1.44 | 1.72 | 1.65 | 1.63 | 1.66 | 1.57 |
| Wage index | 0.790 | 0.782 | 0.790 | 0.825 | 0.799 | 0.782 | 0.770 |
| Readmissions adjustment | -0.23% | -0.38% | -0.19% | -0.26% | -0.13% | -0.17% | -0.22% |
| Value-based purchasing adjustment | -0.40% | +0.74% | +0.74% | +1.00% | -1.52% | -0.59% | -1.01% |
| Medicare inpatient stays | 1,642 | 1,642 | 988 | 794 | 683 | 581 | 567 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Merit Health Natchez reports to Medicare as owners or with operational control.
CHS Community Health Systems Inc
5% or greater indirect ownership interest, 100%, since 2014
Community Health Systems Inc
5% or greater indirect ownership interest, 100%, since 2014
Health Management Associates LLC
5% or greater indirect ownership interest, 100%, since 2014
Health Management Associates LP
5% or greater indirect ownership interest, 100%, since 2014
Hma-tri Holdings LLC
5% or greater indirect ownership interest, 100%, since 2015
Mississippi Hma Holdings II LLC
5% or greater direct ownership interest, 100%, since 2015
Sources: CMS Hospital All Owners.
The officers and board members on Merit Health Natchez's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 10 of 13 are shown.
Accountable care organization (Medicare Shared Savings Program)
CHSPSC ACO 14, LLC
ACO A3724, current agreement since 2022. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Merit Health Natchez's legal name.
Nrmc rehab care unit
CCN 25T084, certified 2001, Medicare prospective payment
Natchez hospital company llc
CCN 25U084, certified 2020, Medicare prospective payment
Source: Worksheet S-2 Part I of Merit Health Natchez's latest Medicare cost report (HCRIS).
About Merit Health Natchez's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Merit Health Natchez range from $675 to $4,636 across 4 insurers. Blue Cross Blue Shield's rate is $1,180. The median at nearby comparable hospitals is $761. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Merit Health Natchez range from $375 to $1,180 across 3 insurers. Cigna's rate is $375. The median at nearby comparable hospitals is $737. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Merit Health Natchez range from $660 to $4,847 across 4 insurers. Blue Cross Blue Shield's rate is $660. The median at nearby comparable hospitals is $1,697. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Merit Health Natchez range from $3,105 to $4,555 across 3 insurers. UnitedHealthcare's rate is $4,555. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Merit Health Natchez range from $104 to $620 across 4 insurers. UnitedHealthcare's rate is $200. The median at nearby comparable hospitals is $193. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Merit Health Natchez range from $8,978 to $22,129 across 3 insurers. Aetna's rate is $8,978. The median at nearby comparable hospitals is $19,010. What a patient pays depends on their plan's deductible, coinsurance and network status.
Merit Health Natchez has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
CMS reports no Medicare-funded interns or residents at Merit Health Natchez for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Merit Health Natchez's base inpatient payments by an estimated 0.22% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (114 discharges), heart failure and shock with mcc (38 discharges), simple pneumonia and pleurisy with mcc (22 discharges).
Merit Health Natchez's Medicare case mix index is 1.57 for fiscal year 2027, higher than 36% of hospitals paid under the inpatient prospective payment system.
Merit Health Natchez reported 2,298 inpatient discharges and 11,056 inpatient days from Oct 1, 2024 to Sep 30, 2025.
Merit Health Natchez reported 272 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
Merit Health Natchez reported $65.8M in net patient revenue on $675.2M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of 11.9%, and net income of $8M.
Merit Health Natchez reported $2.7M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $2.2M of charity care at cost.
Merit Health Natchez's Medicare enrollment lists Jason Kevin Johnson as Executive Vice President since 2026.
Insurers' price transparency files list Merit Health Natchez under employer identification number 37-1756496 (Merit Health Natchez). 50 health plans and networks list 37-1756496 for it.
155 clinicians who bill Medicare list Merit Health Natchez as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are diagnostic radiology physician (34), family nurse practitioner (28), internal medicine physician (14).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Merit Health Natchez, effective 2025.
In its Medicare enrollment, Merit Health Natchez reports CHS Community Health Systems Inc as 5% or greater indirect ownership interest (100%).
CMS lists 31 services at Merit Health Natchez, including Adult Inpatient Psychiatric Care, Anesthesia, Cardiac Catheterization Lab, Clinical Laboratory, Coronary Care Unit, CT Scan.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Merit Health Natchez came from ZIP codes 39120 (666), 39069 (81), 71373 (69).
Merit Health Natchez has 151 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 179 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Merit Health Natchez is located at 54 Seargent 's' Prentiss Drive, Natchez, MS 39120. Its main phone number is (601) 443-2100.
Merit Health Natchez's CMS Certification Number (CCN), also called its Medicare provider number, is 250084.
The National Provider Identifier (NPI) on file for Merit Health Natchez is 1164821559.
Merit Health Natchez is affiliated with Community Health Systems.
Merit Health Natchez lists 33 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
336 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers