CMS Price Transparency Data

Group therapy session

Facility: Anderson Regional Medical Center

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90853
Insurance Median: $111
Cash Discount Price: $31
vs. Medicare Baseline: 1.07x Medicare

The contracted insurance negotiated median rate for a Group therapy session at Anderson Regional Medical Center is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 1.07x the Medicare baseline. Located in 2124 14Th Street, Meridian, MS.

Cash / Self-Pay

$31

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $31 (30%)

Insurance Median: $111 (107%)

Cash: $31 (30% of Medicare)

Ins. Median: $111 (107% 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 - $161	27%
Magnolia Ms	$48 - $118	46%
Littler	$70	67%
Ppo Plus	$83	80%
Integrated Health Plan	$84 - $104	81%
First Choice Health Plan Of Ms	$85 - $165	82%
Ms Breast And Cervical	$85	82%
Triwest	$85	82%
UnitedHealthcare	$85 - $127	82%
Blue Cross Blue Shield	$87 - $127	84%
Primewell	$87 - $212	84%
Aetna	$89 - $90	86%
Shared Health	$89	86%
Wellcare	$89	86%
Christian Health Aid	$104	100%
Usa Mco	$111	107%
Advanced Health Systems Inc.	$127	122%
Ashley Furniture Stores	$152	146%
Crittenden County	$152	146%
Davidson Hospitality	$152	146%
Dunn Investment Company	$152	146%
First State Bank Trust	$152	146%
Gossett Motor Cars	$152	146%
Hospitality Management Advisors	$152	146%
Jas D Collier	$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%
State Systems	$152	146%
W W Wood Products	$152	146%
Watkins Uiberall	$152	146%
Lucent Health	$176	170%
Mpcn	$190	183%
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 $31.
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 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.