CMS Price Transparency Data

Group therapy session

Facility: Anderson Regional Medical Center South Campus

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90853
Insurance Median: $148
Cash Discount Price: $56
vs. Medicare Baseline: 1.43x Medicare

The contracted insurance negotiated median rate for a Group therapy session at Anderson Regional Medical Center South Campus is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 1.43x the Medicare baseline. Located in 1102 Constitution Avenue, Meridian, MS.

Cash / Self-Pay

$56

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: $56 (54%)

Insurance Median: $148 (143%)

Cash: $56 (54% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Molina	$28 - $157	27%
Littler	$70	67%
UnitedHealthcare	$82 - $124	79%
Magnolia Ms	$83 - $115	80%
Ppo Plus	$83	80%
Blue Cross Blue Shield	$85 - $127	82%
Aetna	$87 - $90	84%
Integrated Health Plan	$104	100%
Advanced Health Systems Inc.	$127	122%
Ashley Furniture Stores	$148	143%
Crittenden County	$148	143%
Davidson Hospitality	$148	143%
Dunn Investment Company	$148	143%
First State Bank Trust	$148	143%
Gossett Motor Cars	$148	143%
Hospitality Management Advisors	$148	143%
Jas D Collier	$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%
State Systems	$148	143%
W W Wood Products	$148	143%
Watkins Uiberall	$148	143%
Mpcn	$185	178%
Hattiesburg Clinic	$300	289%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $56.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90853.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Anderson Regional Medical Center South Campus is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90853.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.