▸ Hospital · MS · CCN 250042

Delta Health-northwest Regional

1970 HOSPITAL DRIVE, CLARKSDALE, MS, 250042

Compliance grade

86/100

Procedures tracked

117

of 209 target codes

Payers

with negotiated rates

Rates published

1,008

last crawl 2026-05-24

▸ Compare with other hospitals All MS hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://www.deltahealthsystem.org/documents/640586958_delta-regional-medical-center_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychiatric diagnostic evaluation	CPT	90791	0	$549	$274.5	—	—	—
Psychotherapy 30 minutes	CPT	90832	0	$549	$274.5	—	—	—
Psychotherapy 45 minutes	CPT	90834	0	$549	$274.5	—	—	—
Psychotherapy 60 minutes	CPT	90837	0	$549	$274.5	—	—	—
emergency
ED visit level 1	CPT	99281	0	$288	$144	—	—	—
ED visit level 2	CPT	99282	0	$536	$268	—	—	—
ED visit level 3	CPT	99283	0	$941	$470.5	—	—	—
ED visit level 4	CPT	99284	0	$1,466	$733	—	—	—
ED visit level 5	CPT	99285	0	$2,105	$1,052.5	—	—	—
Critical care, first hour	CPT	99291	0	$2,948	$1,474	—	—	—
imaging
CT head without contrast	CPT	70450	0	$396	$198	—	—	—
CT head with contrast	CPT	70460	0	$665	$332.5	—	—	—
CT head with and without contrast	CPT	70470	0	$665	$332.5	—	—	—
CT neck with contrast	CPT	70491	0	$665	$332.5	—	—	—
MRI brain without contrast	CPT	70551	0	$860	$430	—	—	—
MRI brain with contrast	CPT	70552	0	$1,354	$677	—	—	—
MRI brain with and without contrast	CPT	70553	0	$1,354	$677	—	—	—
Chest X-ray single view	CPT	71045	0	$323	$161.5	—	—	—
Chest X-ray 2 views	CPT	71046	0	$323	$161.5	—	—	—
Chest X-ray 3 views	CPT	71047	0	$323	$161.5	—	—	—
CT chest without contrast	CPT	71250	0	$396	$198	—	—	—
CT chest with contrast	CPT	71260	0	$665	$332.5	—	—	—
CT chest with and without contrast	CPT	71270	0	$665	$332.5	—	—	—
MRI chest without contrast	CPT	71550	0	$860	$430	—	—	—
MRI chest with contrast	CPT	71551	0	$2,715	$1,357.5	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$396	$198	—	—	—
CT cervical spine without contrast	CPT	72125	0	$396	$198	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$396	$198	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$396	$198	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$860	$430	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$860	$430	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$860	$430	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$1,354	$677	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$1,354	$677	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$1,354	$677	—	—	—
CT pelvis without contrast	CPT	72192	0	$396	$198	—	—	—
CT pelvis with contrast	CPT	72193	0	$665	$332.5	—	—	—
Shoulder X-ray	CPT	73030	0	$323	$161.5	—	—	—
Humerus X-ray	CPT	73060	0	$323	$161.5	—	—	—
Hand X-ray 3 views	CPT	73130	0	$323	$161.5	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$860	$430	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$1,354	$677	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$323	$161.5	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$323	$161.5	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$860	$430	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$1,354	$677	—	—	—
CT abdomen without contrast	CPT	74150	0	$396	$198	—	—	—
CT abdomen with contrast	CPT	74160	0	$665	$332.5	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$665	$332.5	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$859	$429.5	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$1,353	$676.5	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$1,353	$676.5	—	—	—
MRI abdomen without contrast	CPT	74181	0	$860	$430	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$1,354	$677	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$396	$198	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$396	$198	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$396	$198	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$396	$198	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$396	$198	—	—	—
Obstetric ultrasound with fetal anatomy	CPT	76811	0	$859	$429.5	—	—	—
Transvaginal ultrasound	CPT	76830	0	$396	$198	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$396	$198	—	—	—
Scrotal ultrasound	CPT	76870	0	$396	$198	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$244	$122	—	—	—
Diagnostic mammography bilateral	CPT	77066	0	$300	$150	—	—	—
Screening mammography bilateral	CPT	77067	0	$265	$132.5	—	—	—
EKG tracing only	CPT	93005	0	$221	$110.5	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$1,932	$966	—	—	—
Transthoracic echocardiogram	CPT	93307	0	$897	$448.5	—	—	—
Stress echocardiogram	CPT	93350	0	$1,932	$966	—	—	—
inpatient
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	0	$46,891	$23,445	—	—	—
GI hemorrhage w CC	MS-DRG	378	0	$16,917	$8,458.55	—	—	—
Kidney/UTI w/o MCC	MS-DRG	690	0	$99,355	$49,677	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$268	$134	—	—	—
General health panel	CPT	80050	0	$432	$216	—	—	—
Electrolyte panel	CPT	80051	0	$159	$79.5	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$292	$146	—	—	—
Lipid panel	CPT	80061	0	$218	$109	—	—	—
Renal function panel	CPT	80069	0	$441	$220.5	—	—	—
Hepatic function panel	CPT	80076	0	$287	$143.5	—	—	—
Urinalysis non-automated	CPT	81002	0	$32	$16	—	—	—
Urinalysis automated	CPT	81003	0	$37	$18.5	—	—	—
Glucose quantitative	CPT	82947	0	$45	$22.5	—	—	—
Hemoglobin A1c	CPT	83036	0	$79	$39.5	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$78	$39	—	—	—
Complete blood count with automated differential	CPT	85025	0	$72	$36	—	—	—
Complete blood count without differential	CPT	85027	0	$66	$33	—	—	—
Urine culture bacterial	CPT	87086	0	$90	$45	—	—	—
Urine culture identification	CPT	87088	0	$65	$32.5	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$188	$94	—	—	—
maternity
Fetal non-stress test	CPT	59025	0	$671	$335.5	—	—	—
office
Office visit, new patient, 15-29 min	CPT	99202	0	$296	$148	—	—	—
Office visit, new patient, 30-44 minutes	CPT	99203	0	$57	$28.5	—	—	—
Office visit, new patient, 45-59 min	CPT	99204	0	$84	$42	—	—	—
Office visit, new patient, 60-74 min	CPT	99205	0	$299	$149.5	—	—	—
Office visit, established patient, 5 min	CPT	99211	0	$28	$14	—	—	—
Office visit, established patient, 10-19 min	CPT	99212	0	$296	$148	—	—	—
Office visit, established patient, 20-29 minutes	CPT	99213	0	$40	$20	—	—	—
Office visit, established patient, 30-39 minutes	CPT	99214	0	$57	$28.5	—	—	—
Office visit, established patient, 40-54 min	CPT	99215	0	$74	$37	—	—	—
preventive
Upper GI endoscopy diagnostic	CPT	43235	0	$3,915.31	$1,957.65	—	—	—
Upper GI endoscopy with biopsy	CPT	43239	0	$4,240.17	$2,120.08	—	—	—
Sigmoidoscopy diagnostic	CPT	45330	0	$3,051.35	$1,525.68	—	—	—
Sigmoidoscopy with biopsy	CPT	45331	0	$3,889.08	$1,944.54	—	—	—
Colonoscopy diagnostic	CPT	45378	0	$3,098.35	$1,549.18	—	—	—
Colonoscopy with biopsy	CPT	45380	0	$4,198	$2,099	—	—	—
Colonoscopy with polyp removal	CPT	45385	0	$4,198	$2,099	—	—	—
surgery
Total knee replacement	CPT	27447	0	$10,868	$5,434.2	—	—	—
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	0	$36,697	$18,349	—	—	—
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	0	$26,804	$13,402	—	—	—
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	0	$85,948	$42,974	—	—	—
OR procedure for obesity w MCC	MS-DRG	619	0	$44,973	$22,487	—	—	—
PCI single major coronary artery	CPT	92920	0	$19,075	$9,537.66	—	—	—
PCI with drug-eluting stent	CPT	92928	0	$40,767	$20,384	—	—	—
PCI bypass graft	CPT	92937	0	$40,767	$20,384	—	—	—
Coronary angiography with cath	CPT	93455	0	$11,362	$5,681	—	—	—
Coronary angiography with bypass cath	CPT	93458	0	$10,821	$5,410.28	—	—	—