Multimodal Large Language Models (MLLMs) show promise for image-based regression tasks, but current approaches face key limitations. Recent methods fine-tune MLLMs using preset output vocabularies and generic task-level prompts (e.g., "How would you rate this image?"), assuming this mimics human rating behavior. Our analysis reveals that these approaches provide no benefit over image-only training. Models using preset vocabularies and generic prompts perform equivalently to image-only models, failing to leverage semantic understanding from textual input. We propose Regression via Transformer-Based Classification (RvTC), which replaces vocabulary-constrained classification with a flexible bin-based approach. Unlike approaches that address discretization errors through complex distributional modeling, RvTC eliminates manual vocabulary crafting through straightforward bin increase, achieving state-of-the-art performance on four image assessment datasets using only images. More importantly, we demonstrate that data-specific prompts dramatically improve performance. Unlike generic task descriptions, prompts containing semantic information about specific images enable MLLMs to leverage cross-modal understanding. On the AVA dataset, adding challenge titles to prompts substantially improves our already state-of-the-art image-only baseline. We demonstrate through empirical evidence from the AVA and AGIQA-3k datasets that MLLMs benefit from semantic prompt information, surpassing mere statistical biases. We validate RvTC across two different MLLM architectures, demonstrating consistent improvements and method generalizability.