CMS Price Transparency Data

Trauma team activation

Facility: S E Lackey Memorial Hospital

Billing Code: G0390 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$1,255
about 0.9× the $1,362 Medicare rate · typically $513–$2,708
modeled estimate · not a bill or quote
What this hospital charges insurers
$714
Below the fair price — a good deal
about $541 under the fair price · 0.5× Medicare
Medicare pays $1,362 Fair price $1,255 This hospital $714 Cash price $4,031 Hospital's list price $4,031

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

A typical price — 5 charge more and 3 charge less, among the 9 MS hospitals compared.

Cheapest $650 Priciest $1,187

Black dot = this hospital, among the 9 MS hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Trauma team activation is about $1,255 (about 0.9× the $1,362 Medicare rate). S E Lackey Memorial Hospital charges insurers about $714, or about $4,031 in cash — below the fair price — a good deal. Located in Forest, MS.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $678 - $3,023 50%
Blue Cross Blue Shieldmajor $2,339 - $3,023 172%
Aetnamajor $500 37%
Cignamajor $2,419 178%
HealthPartners $3,346 246%
WellCare $1,693 124%
+ 4 smaller / regional plans $714 - $3,225
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 330 N Broad Street, Forest, MS 39074
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals