CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Holmes County Hospital and Clinics

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $123
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 0.68x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Holmes County Hospital and Clinics is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.68x the Medicare baseline. Located in 239 Bowling Green Road, Lexington, MS.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$123

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: $63 (35%)
Insurance Median: $123 (68%)
Cash: $63 (35% of Medicare)
Ins. Median: $123 (68% 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.

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 $91 50%
Tricare $96 53%
Humana $98 54%
Mpcn-Lex $102 56%
Medadv_Uhc-Lex $107 59%
Firstchoice-Lex $110 61%
Ambetter / Centene $118 65%
Medadv_Primewell-Lex $118 65%
Medicare (plans) $118 65%
Primewell-Lex $118 65%
Va_Ccn-Lex $118 65%
Medadv_Uhcdsnp-Lex $121 67%
Wellcare-Lex $121 67%
Ppoplus $122 67%
Devoted_Health-Lex $124 68%
Firsthealth-Lex $126 69%
Ms-Can-Molina-Lex $126 69%
Multiplan-Lex $126 69%
Ms-Can-Magnolia-Lex $127 70%
Ms-Can-Truecare-Lex $129 71%
Aetna $133 73%
Phcs-Lex $141 78%
Advhealth-Lex $157 87%
Blue Cross Blue Shield $157 87%
Magnolia-Chip-Lex $157 87%
Molina-Chip-Lex $157 87%
Molina_Exchange-Lex $157 87%
Truecare-Chip-Lex $157 87%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

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