CMS Price Transparency Data
Group therapy session
Facility: Baptist Memorial Hospital Booneville
Billing Code: 90853 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90853
- Insurance Median: $148
- Cash Discount Price: $35
- vs. Medicare Baseline: 1.43x Medicare
The contracted insurance negotiated median rate for a Group therapy session at Baptist Memorial Hospital Booneville is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 1.43x the Medicare baseline. Located in 100 Hospital Street, Booneville, MS.
Cash / Self-Pay
$35
Average discount available for prompt cash payment at this facility.
Insurance Median
$148
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$103.79
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $103.79 (100%)
Cash / Self-Pay: $35 (34%)
Insurance Median: $148 (143%)
Cash: $35 (34% of Medicare)
Ins. Median: $148 (143% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $103.79 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Ppo Holdings | $55 | 53% |
| Magnolia Regional Health Center | $58 | 56% |
| Littler | $73 | 70% |
| Molina | $73 - $152 | 70% |
| Triwest | $79 | 76% |
| Cigna | $80 | 77% |
| Humana | $82 - $96 | 79% |
| Ms Breast And Cervical | $82 | 79% |
| Vaccn | $82 | 79% |
| Veterans Evaluation Services | $82 | 79% |
| Devoted Health | $84 | 81% |
| Blue Cross Blue Shield | $85 - $127 | 82% |
| Aetna | $87 - $91 | 84% |
| American Health Plan | $87 | 84% |
| Shared Health | $87 | 84% |
| First Choice Health Plan Of Ms | $102 - $148 | 98% |
| Multiplan | $110 | 106% |
| Novasys | $110 | 106% |
| Magnolia Ms | $111 | 107% |
| Christian Health Aid | $117 | 113% |
| Ppo Plus | $124 | 119% |
| Advanced Health Systems Inc. | $127 | 122% |
| Qca | $131 | 126% |
| First State Bank Trust | $140 | 135% |
| Arlington Community Schools | $148 | 143% |
| Armstrong Relocation | $148 | 143% |
| Ashley Furniture Stores | $148 | 143% |
| Bartlett City Schools | $148 | 143% |
| Brimhall Foods | $148 | 143% |
| Building Plastic | $148 | 143% |
| Burch Food Services | $148 | 143% |
| Cannon Motor Company | $148 | 143% |
| Carlisle | $148 | 143% |
| City Of Bartlett | $148 | 143% |
| City Of Lakeland | $148 | 143% |
| Collierville Schools | $148 | 143% |
| Crittenden County | $148 | 143% |
| Davidson Hospitality | $148 | 143% |
| Desoto Co Board Of Supervisors | $148 | 143% |
| Dunn Investment Company | $148 | 143% |
| Eas Mssc Schools | $148 | 143% |
| First Community Bank | $148 | 143% |
| Gossett Motor Cars | $148 | 143% |
| Heavy Machines | $148 | 143% |
| Hollowell Industries | $148 | 143% |
| Hospitality Management Advisors | $148 | 143% |
| Jas D Collier | $148 | 143% |
| Lakeland School System | $148 | 143% |
| Malco Theaters | $148 | 143% |
| Mechanical Systems | $148 | 143% |
| Mid-South Transport | $148 | 143% |
| Patterson Warehouses | $148 | 143% |
| Radians | $148 | 143% |
| Rei Nation | $148 | 143% |
| Retzer Resources | $148 | 143% |
| Ritchey Automotive | $148 | 143% |
| Security One | $148 | 143% |
| Silver Tree | $148 | 143% |
| State Systems | $148 | 143% |
| Town Of Collierville | $148 | 143% |
| United Tn Holdings | $148 | 143% |
| Vaughn Electric | $148 | 143% |
| W G Yates | $148 | 143% |
| W W Wood Products | $148 | 143% |
| Watkins Uiberall | $148 | 143% |
| Y K Auto Group | $148 | 143% |
| Employers Health Network | $165 | 159% |
| Harding Academy | $165 | 159% |
| Mpcn | $165 | 159% |
| Primewell | $231 | 223% |
| Delta Industries | $300 | 289% |
| French Camp Academy | $300 | 289% |
| Hattiesburg Clinic | $300 | 289% |
| Heartland Catfish Company | $300 | 289% |
| Minact | $300 | 289% |