CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Neshoba County General Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $70
  • Cash Discount Price: $137
  • vs. Medicare Baseline: 0.60x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Neshoba County General Hospital is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $137. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.60x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$137

Average discount available for prompt cash payment at this facility.

Insurance Median
$70

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)
Cash / Self-Pay: $137 (117%)
Insurance Median: $70 (60%)
Cash: $137 (117% of Medicare)
Ins. Median: $70 (60% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 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
Tricare $61 52%
Magnolia Mcaid $64 - $70 54%
Molina Mcaid $64 - $70 54%
Mpcn Mcaid $64 - $70 54%
Humana $68 58%
Magnolia Mcr Adv-All Other Plans $68 58%
Molina Comm-All Other Plans $68 58%
Molina Mcr Adv $68 58%
UnitedHealthcare $68 - $70 58%
Wellcare Mcr Adv-All Plans $68 58%
First Choice Comm Ip/Op Only - All Plans $85 72%
Aetna $98 83%
Cigna $128 109%
Ahs Ip/Op Only-All Plans $147 125%
Blue Cross Blue Shield $157 134%
Affordable Health Care-All Plans $167 142%
Health Choice Ip/Op Only-All Plans $167 142%
Health Link Ip/Op Only-All Plans $167 142%
Geha-All Plans $177 151%
Multiplan-All Plans $177 151%
Mpcn Ip/Op Only-All Other Plans $245 208%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL