CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Neshoba County General Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$83
about 0.9× the $95 Medicare rate · typically $54–$89
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
Below the fair price — a good deal
about $28 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $83 This hospital $55 Cash price $141 Hospital's list price $201

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

One of the lower prices — 5 of 8 other MS hospitals charge more for the same procedure.

Cheapest $48 Priciest $65

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

A fair price for a Office visit, established patient (20-29 min) is about $83 (about 0.9× the $95 Medicare rate). Neshoba County General Hospital charges insurers about $55, or about $141 in cash — below the fair price — a good deal. Located in Philadelphia, 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 $43 - $121 45%
Blue Cross Blue Shieldmajor $128 - $193 134%
Aetnamajor $80 - $121 84%
Cignamajor $104 - $157 109%
Humanamajor $55 58%
GEHA $144 - $218 151%
Molina $43 - $56 45%
WellCare $55 58%
+ 9 smaller / regional plans $43 - $302
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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