CMS Price Transparency Data
Group therapy session
Facility: Bmh-Golden Triangle
Billing Code: 90853 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90853
- Insurance Median: $152
- Cash Discount Price: $107
- vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Group therapy session at Bmh-Golden Triangle is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 1.46x the Medicare baseline. Located in 2520 5Th Street N, Columbus, MS.
Cash / Self-Pay
$107
Average discount available for prompt cash payment at this facility.
Insurance Median
$152
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: $107 (103%)
Insurance Median: $152 (146%)
Cash: $107 (103% of Medicare)
Ins. Median: $152 (146% 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.
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 |
|---|---|---|
| Triwest | $81 | 78% |
| Humana | $85 - $320 | 82% |
| Ms Breast And Cervical | $85 | 82% |
| Vaccn | $85 | 82% |
| Veterans Evaluation Services | $85 | 82% |
| Devoted Health | $86 | 83% |
| Molina | $86 - $213 | 83% |
| Blue Cross Blue Shield | $87 - $127 | 84% |
| Aetna | $89 - $267 | 86% |
| American Health Plan | $89 | 86% |
| Shared Health | $89 | 86% |
| Magnolia Ms | $114 | 110% |
| Advanced Health Systems Inc. | $127 | 122% |
| First State Bank Trust | $144 | 139% |
| Arlington Community Schools | $152 | 146% |
| Armstrong Relocation | $152 | 146% |
| Ashley Furniture Stores | $152 | 146% |
| Bartlett City Schools | $152 | 146% |
| Brimhall Foods | $152 | 146% |
| Building Plastic | $152 | 146% |
| Burch Food Services | $152 | 146% |
| Cannon Motor Company | $152 | 146% |
| Carlisle | $152 | 146% |
| City Of Bartlett | $152 | 146% |
| City Of Lakeland | $152 | 146% |
| Collierville Schools | $152 | 146% |
| Crittenden County | $152 | 146% |
| Davidson Hospitality | $152 | 146% |
| Desoto Co Board Of Supervisors | $152 | 146% |
| Dunn Investment Company | $152 | 146% |
| Eas Mssc Schools | $152 | 146% |
| First Choice Health Plan Of Ms | $152 - $298 | 146% |
| First Community Bank | $152 | 146% |
| Gossett Motor Cars | $152 | 146% |
| Heavy Machines | $152 | 146% |
| Hollowell Industries | $152 | 146% |
| Hospitality Management Advisors | $152 | 146% |
| Jas D Collier | $152 | 146% |
| Lakeland School System | $152 | 146% |
| Malco Theaters | $152 | 146% |
| Mechanical Systems | $152 | 146% |
| Mid-South Transport | $152 | 146% |
| Patterson Warehouses | $152 | 146% |
| Radians | $152 | 146% |
| Rei Nation | $152 | 146% |
| Retzer Resources | $152 | 146% |
| Ritchey Automotive | $152 | 146% |
| Security One | $152 | 146% |
| Silver Tree | $152 | 146% |
| State Systems | $152 | 146% |
| Town Of Collierville | $152 | 146% |
| United Tn Holdings | $152 | 146% |
| Vaughn Electric | $152 | 146% |
| W G Yates | $152 | 146% |
| W W Wood Products | $152 | 146% |
| Watkins Uiberall | $152 | 146% |
| Y K Auto Group | $152 | 146% |
| Ppo Holdings | $162 | 156% |
| Employers Health Network | $169 | 163% |
| Harding Academy | $169 | 163% |
| Mpcn | $169 | 163% |
| Magnolia Regional Health Center | $170 | 164% |
| Littler | $213 | 205% |
| Cigna | $234 | 225% |
| Primewell | $237 | 228% |
| Delta Industries | $300 | 289% |
| French Camp Academy | $300 | 289% |
| Hattiesburg Clinic | $300 | 289% |
| Heartland Catfish Company | $300 | 289% |
| Minact | $300 | 289% |
| Multiplan | $320 | 308% |
| Novasys | $320 | 308% |
| Christian Health Aid | $341 | 329% |
| Ppo Plus | $362 | 349% |
| Qca | $383 | 369% |