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Short Term Acute Care HospitalProprietary

Merit Health River Oaks

Community Health Systems · Flowood, MS

1030 River Oaks Drive, Flowood, MS 39232(601) 932-1030

1 of 5

CMS star rating

158

Beds

6,404

Inpatient discharges a year

$187.2M

Net patient revenue a year

32

In-network payers

About this hospital

Merit Health River Oaks is a 158-bed proprietary hospital in Flowood, MS, affiliated with Community Health Systems. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 338 disclosed rate categories.

  • Disproportionate share hospital
  • ACO participant
CCN
250138
NPI
1396792032
Health system
Community Health Systems
Teaching
No Medicare-funded residents
County
Rankin County
Metro area
Jackson, MS MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
1984
Last CMS survey
1993

Prices for common services

The 24 services Merit Health River Oaks 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.

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$7,594 - $74,786

from 4 insurers · median $13,665

Aetna$74,786
Insurer A*$7,594
Insurer B*$8,064
Insurer C*$19,265
Medicare $9,535Nearby hospitals $7,43584% above nearby hospitals

130 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$30,279 - $53,148

from 2 insurers · median $41,713

Cigna$30,279
Insurer A*$53,148
Medicare $21,461Nearby hospitals $33,72324% above nearby hospitals

28 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery

Laparoscopic radical prostatectomy

CPT 55866

$7,594 - $19,265

from 3 insurers · median $12,406

Cigna$19,265
Insurer A*$7,594
Insurer B*$12,406
Medicare $9,535Nearby hospitals $9,20735% above nearby hospitals

130 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$18,363 - $28,197

from 3 insurers · median $22,262

Cigna$18,363
Insurer A*$22,262
Insurer B*$28,197
Medicare $11,106Nearby hospitals $17,19030% above nearby hospitals

16 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Merit Health River Oaks

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*18
731%
123
Insurer B*22
191%
220
Insurer C*19
178%
92
Insurer D*22
125%
18

How we chose these services: 10 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 2 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 River Oaks, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    1 of 5 stars

    • 134 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.64%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 20 services
    • 334 affiliated clinicians
    See doctors and services
  • Finances

    $187.2M net patient revenue

    • Operating margin on patient care 12.5%
    • $6.7M unreimbursed and uncompensated care
    • $26.5M net income
    See finances
  • Ownership and leadership

    Owned by CHS Community Health Systems Inc

    • Private (for profit)
    • Justin D Pitt, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Merit Health River Oaks in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
64-0626874River Oaks Hospital LLC50Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 45 more1396792032 River Oaks Hospital LLC1578967261 River Oaks Hospital LLC1013127414 River Oaks Hospital LLC

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.

Location

1030 River Oaks Drive, Flowood, MS 39232

(601) 932-1030

Get directions

Frequently asked questions

About Merit Health River Oaks's rates and hospital price transparency.

How much does an MRI cost at Merit Health River Oaks?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Merit Health River Oaks range from $650 to $764 across 3 insurers. Blue Cross Blue Shield's rate is $716. The median at nearby comparable hospitals is $699. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Merit Health River Oaks?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Merit Health River Oaks range from $400 to $764 across 3 insurers. UnitedHealthcare's rate is $764. The median at nearby comparable hospitals is $541. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Merit Health River Oaks?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Merit Health River Oaks range from $676 to $16,131 across 4 insurers. Blue Cross Blue Shield's rate is $676. The median at nearby comparable hospitals is $1,333. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Merit Health River Oaks?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Merit Health River Oaks range from $100 to $200 across 2 insurers. UnitedHealthcare's rate is $200. The median at nearby comparable hospitals is $119. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Merit Health River Oaks?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Merit Health River Oaks range from $18,363 to $28,197 across 3 insurers. Cigna's rate is $18,363. The median at nearby comparable hospitals is $17,190. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Merit Health River Oaks's CMS star rating?

Merit Health River Oaks has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.

Is Merit Health River Oaks a teaching hospital?

CMS reports no Medicare-funded interns or residents at Merit Health River Oaks for fiscal year 2027.

Does Medicare penalize Merit Health River Oaks for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Merit Health River Oaks's base inpatient payments by an estimated 0.64% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Merit Health River Oaks?

In 2024, the most common were major hip and knee joint replacement or reattachment of lower extremity without mcc (106 discharges), septicemia or severe sepsis without mv >96 hours with mcc (97 discharges), percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/ (33 discharges).

What is Merit Health River Oaks's case mix index?

Merit Health River Oaks's Medicare case mix index is 2.17 for fiscal year 2027, higher than 87% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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.

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CodingPricingPayer contractsCompliance
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  • Missing, duplicate and outdated charge lines identified
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