Holmes County Hospital and Clinics
239 Bowling Green Road, Lexington, MS 39095 · 88 Priced Procedures
Typical commercial prices here are +45% above the fair benchmark (1.45×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Cash-Arbitrage Bifurcated Pricer
Holmes County Hospital and Clinics maintains elevated commercial insurance contracts (1.45× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 78% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.35× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 78% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.45× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Captive ER (0.8×) & laboratory (2.0×) services average 1.06× higher multiples than routine shoppable care (1.6×)
- Even at low-cost facilities (1.45× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Consolidated metro market (HHI 2,330) limits in-network hospital competition (Moderately Concentrated (1,500–2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Holmes County Hospital and Clinics
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 88 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Breast lump removal CPT Code: 19120 | $1,943 | 0.5× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,572 | 1.6× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,528 | 1.6× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,411 | 1.1× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $940 | 1.6× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $756 | 1.7× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $765 | 1.5× |
| MRI, lower back (no contrast) CPT Code: 72148 | $721 | 2.1× |
| Blood transfusion CPT Code: 36430 | $658 | 1.3× |
| CT scan, head (with contrast) CPT Code: 70460 | $438 | 1.8× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $438 | 1.7× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $450 | 1.5× |
| MRI, brain (no contrast) CPT Code: 70551 | $450 | 1.3× |
| MRI, knee or other leg joint CPT Code: 73721 | $450 | 1.2× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $414 | 1.5× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $269 | 1.5× |
| CT scan, head (no contrast) CPT Code: 70450 | $212 | 1.3× |
| CT scan, pelvis CPT Code: 72192 | $212 | 1.3× |
| CT scan, sinuses CPT Code: 70486 | $212 | 1.3× |
| CT scan, chest (no contrast) CPT Code: 71250 | $212 | 1.3× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $212 | 1.3× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $212 | 1.3× |
| X-ray, lower back CPT Code: 72110 | $182 | 1.6× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $182 | 1.4× |
| Ultrasound, pelvis CPT Code: 76856 | $182 | 1.4× |
Audit a Bill or Quote at Holmes County Hospital and Clinics (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Self-Pay Cash Rate ($777) Beats Your Bill
Holmes County Hospital and Clinics's published 45 CFR § 180 self-pay cash rate is $777 (vs. $1,943 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $3,875 Fair BaseRate ($4,000 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($3,875).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Holmes County Hospital and Clinics as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Holmes County Hospital and Clinics.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.