CMS Price Transparency Data

Family therapy session

Facility: Holmes County Hospital and Clinics

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $148
Cash Discount Price: $78
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Holmes County Hospital and Clinics is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.82x the Medicare baseline. Located in 239 Bowling Green Road, Lexington, MS.

Cash / Self-Pay

$78

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

$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)

Cash / Self-Pay: $78 (43%)

Insurance Median: $148 (82%)

Cash: $78 (43% of Medicare)

Ins. Median: $148 (82% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 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
Cigna	$113	62%
Tricare	$120	66%
Humana	$122	67%
Ms-Can-Molina-Lex	$126	69%
Mpcn-Lex	$127	70%
Ms-Can-Magnolia-Lex	$127	70%
Ms-Can-Truecare-Lex	$129	71%
Medadv_Uhc-Lex	$133	73%
Firstchoice-Lex	$136	75%
Ambetter / Centene	$146	81%
Medadv_Primewell-Lex	$146	81%
Medicare (plans)	$146	81%
Primewell-Lex	$146	81%
Va_Ccn-Lex	$146	81%
Medadv_Uhcdsnp-Lex	$151	83%
Wellcare-Lex	$151	83%
Ppoplus	$152	84%
Devoted_Health-Lex	$154	85%
Firsthealth-Lex	$156	86%
Multiplan-Lex	$156	86%
Aetna	$166	92%
Phcs-Lex	$176	97%
Advhealth-Lex	$195	108%
Blue Cross Blue Shield	$195	108%
Magnolia-Chip-Lex	$195	108%
Molina-Chip-Lex	$195	108%
Molina_Exchange-Lex	$195	108%
Truecare-Chip-Lex	$195	108%

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 $78.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90847.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Holmes County Hospital and Clinics is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90847.
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.