CMS Price Transparency Data

Group therapy session

Facility: Holmes County Hospital and Clinics

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$114
about 1.1× the $104 Medicare rate · typically $37–$144
modeled estimate · not a bill or quote
What this hospital charges insurers
$127
About the fair price
about $13 over the fair price · 1.2× Medicare
Medicare pays $104 Fair price $114 This hospital $127 Cash price $51 Hospital's list price $127

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

Highest price of the 9 MS hospitals we have prices for — worth calling around.

Cheapest $28 Priciest $127

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

A fair price for a Group therapy session is about $114 (about 1.1× the $104 Medicare rate). Holmes County Hospital and Clinics charges insurers about $127, or about $51 in cash — about the fair price. Located in Lexington, MS.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $86 - $98 83%
Blue Cross Blue Shieldmajor $127 122%
Aetnamajor $108 104%
Cignamajor $74 71%
Humanamajor $79 76%
Ambetter (Centene) $95 92%
Devoted Health $100 96%
Molina $73 - $127 70%
WellCare $98 94%
+ 10 smaller / regional plans $73 - $127
Government programs also on file: Medicare, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 239 Bowling Green Road, Lexington, MS 39095
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - State
  • Hospital Type: Critical Access Hospitals