▸ Hospital · MS · CCN 251335

John C Stennis Memorial Hospital

14365 HIGHWAY 16 WEST, DEKALB, MS, 39328

25 bedsCritical Access Hospitals2

Compliance grade

86/100

Procedures tracked

156

of 209 target codes

Payers

with negotiated rates

Rates published

2,688

last crawl 2026-05-24

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

Source MRF: https://ochsner-craft.s3.amazonaws.com/core/271757642_kemper-cah-inc.-_standardcharges.csv.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	0	—	—	—	—	—
Psychiatric diagnostic evaluation	CPT	90791	0	$615	$424.35	—	—	—
Psychiatric eval with medical services	CPT	90792	0	$260	$179.4	—	—	—
Psychotherapy 30 minutes	CPT	90832	0	$376	$259.44	—	—	—
Psychotherapy 45 minutes	CPT	90834	0	$376	$259.44	—	—	—
Psychotherapy 60 minutes	CPT	90837	0	$569.33	$392.84	—	—	—
emergency
ED visit level 1	CPT	99281	0	$275	$189.75	—	—	—
ED visit level 2	CPT	99282	0	$550	$379.5	—	—	—
ED visit level 3	CPT	99283	0	$850	$586.5	—	—	—
ED visit level 4	CPT	99284	0	$1,200	$828	—	—	—
ED visit level 5	CPT	99285	0	$1,500	$1,035	—	—	—
Critical care, first hour	CPT	99291	0	$1,648	$1,137.12	—	—	—
imaging
CT head without contrast	CPT	70450	0	$1,390	$959.1	—	—	—
CT head with contrast	CPT	70460	0	$1,860	$1,283.4	—	—	—
CT head with and without contrast	CPT	70470	0	$2,280	$1,573.2	—	—	—
CT neck with contrast	CPT	70491	0	$1,941	$1,339.29	—	—	—
MRI brain without contrast	CPT	70551	0	$2,363	$1,630.47	—	—	—
MRI brain with contrast	CPT	70552	0	$2,718	$1,875.42	—	—	—
MRI brain with and without contrast	CPT	70553	0	$3,264	$2,252.16	—	—	—
Chest X-ray single view	CPT	71045	0	$250	$172.5	—	—	—
Chest X-ray 2 views	CPT	71046	0	$250	$172.5	—	—	—
Chest X-ray 3 views	CPT	71047	0	$394	$271.86	—	—	—
CT chest without contrast	CPT	71250	0	$1,142	$787.98	—	—	—
CT chest with contrast	CPT	71260	0	$2,212	$1,526.28	—	—	—
CT chest with and without contrast	CPT	71270	0	$2,427	$1,674.63	—	—	—
MRI chest without contrast	CPT	71550	0	$2,697	$1,860.93	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$262	$180.78	—	—	—
CT cervical spine without contrast	CPT	72125	0	$1,430	$986.7	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$1,430	$986.7	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$1,430	$986.7	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$2,029	$1,400.01	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$2,212	$1,526.28	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$2,101	$1,449.69	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$2,417	$1,667.73	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$2,798	$1,930.62	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$2,901	$2,001.69	—	—	—
CT pelvis without contrast	CPT	72192	0	$1,142	$787.98	—	—	—
CT pelvis with contrast	CPT	72193	0	$1,941	$1,339.29	—	—	—
Shoulder X-ray	CPT	73030	0	$525	$362.25	—	—	—
Humerus X-ray	CPT	73060	0	$240	$165.6	—	—	—
Hand X-ray 3 views	CPT	73130	0	$479	$330.51	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$1,723	$1,188.87	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$4,760	$3,284.4	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$384	$264.96	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$524	$361.56	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$1,606	$1,108.14	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$4,768	$3,289.92	—	—	—
CT abdomen without contrast	CPT	74150	0	$1,142	$787.98	—	—	—
CT abdomen with contrast	CPT	74160	0	$1,860	$1,283.4	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$2,218	$1,530.42	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$1,540	$1,062.6	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$2,355	$1,624.95	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$2,657	$1,833.33	—	—	—
MRI abdomen without contrast	CPT	74181	0	$2,496	$1,722.24	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$3,446	$2,377.74	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$631	$435.39	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$524	$361.56	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$524	$361.56	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$524	$361.56	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$524	$361.56	—	—	—
Obstetric ultrasound with fetal anatomy	CPT	76811	0	$480	$331.2	—	—	—
Transvaginal ultrasound	CPT	76830	0	$444	$306.36	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$560	$386.4	—	—	—
Scrotal ultrasound	CPT	76870	0	$444	$306.36	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$346	$238.74	—	—	—
Diagnostic mammography bilateral	CPT	77066	0	$384	$264.96	—	—	—
Screening mammography bilateral	CPT	77067	0	$355	$244.95	—	—	—
EKG tracing only	CPT	93005	0	$250	$172.5	—	—	—
EKG interpretation only	CPT	93010	0	$30	$20.7	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$1,691	$1,166.79	—	—	—
Transthoracic echocardiogram	CPT	93307	0	$108	$74.52	—	—	—
inpatient
COPD w MCC	MS-DRG	190	0	$14,357	$9,906.46	—	—	—
COPD w CC	MS-DRG	191	0	$20,257	$13,978	—	—	—
COPD w/o CC/MCC	MS-DRG	192	0	$13,452	$9,281.69	—	—	—
Simple pneumonia & pleurisy w CC	MS-DRG	194	0	$19,328	$13,336	—	—	—
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	0	$29,158	$20,119	—	—	—
Heart failure & shock w MCC	MS-DRG	291	0	$14,965	$10,326	—	—	—
Heart failure & shock w CC	MS-DRG	292	0	$8,946.9	$6,173.36	—	—	—
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	0	$11,821	$8,156.26	—	—	—
Kidney/UTI w MCC	MS-DRG	689	0	$12,834	$8,855.52	—	—	—
Kidney/UTI w/o MCC	MS-DRG	690	0	$13,433	$9,268.7	—	—	—
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	0	$18,537	$12,790	—	—	—
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	0	$17,050	$11,765	—	—	—
Initial hospital care, moderate complexity	CPT	99222	0	$185	$127.65	—	—	—
Initial hospital care, high complexity	CPT	99223	0	$275	$189.75	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$46	$31.74	—	—	—
General health panel	CPT	80050	0	$106	$73.14	—	—	—
Electrolyte panel	CPT	80051	0	$87	$60.03	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$33	$22.77	—	—	—
Lipid panel	CPT	80061	0	$84	$57.96	—	—	—
Renal function panel	CPT	80069	0	$268	$184.92	—	—	—
Hepatic function panel	CPT	80076	0	$44	$30.36	—	—	—
Urinalysis non-automated	CPT	81002	0	$46	$31.74	—	—	—
Urinalysis automated	CPT	81003	0	$46	$31.74	—	—	—
Glucose quantitative	CPT	82947	0	$95	$65.55	—	—	—
Hemoglobin A1c	CPT	83036	0	$109.15	$75.31	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$63	$43.47	—	—	—
Complete blood count with automated differential	CPT	85025	0	$68	$46.92	—	—	—
Complete blood count without differential	CPT	85027	0	$95	$65.55	—	—	—
Urine culture bacterial	CPT	87086	0	$53	$36.57	—	—	—
Urine culture identification	CPT	87088	0	$27.5	$18.98	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$207	$142.83	—	—	—
maternity
Fetal non-stress test	CPT	59025	0	$451.36	$311.44	—	—	—
Vaginal delivery only	CPT	59409	0	$2,080	$1,435.2	—	—	—
office
Office visit, new patient, 15-29 min	CPT	99202	0	$259	$178.71	—	—	—
Office visit, new patient, 30-44 minutes	CPT	99203	0	$276	$190.44	—	—	—
Office visit, new patient, 45-59 min	CPT	99204	0	$414	$285.66	—	—	—
Office visit, new patient, 60-74 min	CPT	99205	0	$484.53	$334.33	—	—	—
Office visit, established patient, 5 min	CPT	99211	0	$310.82	$214.47	—	—	—
Office visit, established patient, 10-19 min	CPT	99212	0	$201	$138.69	—	—	—
Office visit, established patient, 20-29 minutes	CPT	99213	0	$256	$176.64	—	—	—
Office visit, established patient, 30-39 minutes	CPT	99214	0	$445.82	$307.62	—	—	—
Office visit, established patient, 40-54 min	CPT	99215	0	$431	$297.39	—	—	—
preventive
Upper GI endoscopy diagnostic	CPT	43235	0	$2,189.1	$1,510.48	—	—	—
Upper GI endoscopy with biopsy	CPT	43239	0	$2,278.5	$1,572.17	—	—	—
Sigmoidoscopy diagnostic	CPT	45330	0	$1,117.34	$770.96	—	—	—
Sigmoidoscopy with biopsy	CPT	45331	0	$1,511	$1,042.59	—	—	—
Colonoscopy diagnostic	CPT	45378	0	$1,864.5	$1,286.51	—	—	—
Colonoscopy with biopsy	CPT	45380	0	$1,938.2	$1,337.36	—	—	—
Colonoscopy with polyp removal	CPT	45385	0	$2,614.3	$1,803.87	—	—	—
surgery
Total shoulder arthroplasty	CPT	23472	0	—	—	—	—	—
Hip hemiarthroplasty	CPT	27125	0	—	—	—	—	—
Total hip replacement	CPT	27130	0	—	—	—	—	—
Total knee replacement	CPT	27447	0	—	—	—	—	—
Knee revision arthroplasty single component	CPT	27486	0	—	—	—	—	—
Knee revision arthroplasty all components	CPT	27487	0	—	—	—	—	—
Shoulder arthroscopy with decompression	CPT	29826	0	—	—	—	—	—
Shoulder arthroscopy with rotator cuff repair	CPT	29827	0	—	—	—	—	—
Knee arthroscopy with meniscectomy	CPT	29881	0	—	—	—	—	—
ACL reconstruction	CPT	29888	0	—	—	—	—	—
CABG single arterial graft	CPT	33533	0	—	—	—	—	—
CABG 2 arterial grafts	CPT	33534	0	—	—	—	—	—
CABG 3 arterial grafts	CPT	33535	0	—	—	—	—	—
CABG 4+ arterial grafts	CPT	33536	0	—	—	—	—	—
Open appendectomy	CPT	44950	0	—	—	—	—	—
Laparoscopic appendectomy	CPT	44970	0	—	—	—	—	—
Major joint replacement w/o MCC	MS-DRG	470	0	—	—	—	—	—
Laparoscopic cholecystectomy	CPT	47562	0	$2,635	$1,818.15	—	—	—
Lap cholecystectomy with cholangiography	CPT	47563	0	—	—	—	—	—
Lap inguinal hernia repair	CPT	49650	0	—	—	—	—	—
Total abdominal hysterectomy	CPT	58150	0	$2,917	$2,012.73	—	—	—
Vaginal hysterectomy	CPT	58260	0	—	—	—	—	—
Lap-assisted vaginal hysterectomy	CPT	58550	0	—	—	—	—	—
Lap-assisted vaginal hysterectomy >250g	CPT	58552	0	—	—	—	—	—
Lap salpingo-oophorectomy	CPT	58661	0	—	—	—	—	—
Complex cataract surgery	CPT	66982	0	—	—	—	—	—
Cataract surgery with lens implant	CPT	66984	0	—	—	—	—	—
Intravitreal injection	CPT	67028	0	$1,100	$759	—	—	—
Vitrectomy mechanical	CPT	67042	0	—	—	—	—	—
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	0	—	—	—	—	—
PCI single major coronary artery	CPT	92920	0	—	—	—	—	—
PCI with drug-eluting stent	CPT	92928	0	—	—	—	—	—
PCI bypass graft	CPT	92937	0	—	—	—	—	—
Left heart catheterization	CPT	93452	0	—	—	—	—	—
Coronary angiography with cath	CPT	93455	0	—	—	—	—	—
Coronary angiography with bypass cath	CPT	93458	0	—	—	—	—	—

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.