CMS Price Transparency Data

Group therapy session

Facility: Baptist Memorial Hospital - Carroll County

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90853
  • Insurance Median: $135
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Group therapy session at Baptist Memorial Hospital - Carroll County is $135. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 1.30x the Medicare baseline. Located in 631 Rb Wilson Dr, Huntingdon, TN.
Cash / Self-Pay
$33

Average discount available for prompt cash payment at this facility.

Insurance Median
$135

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$103.79

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $103.79 (100%)
Cash / Self-Pay: $33 (32%)
Insurance Median: $135 (130%)
Cash: $33 (32% of Medicare)
Ins. Median: $135 (130% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $103.79 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
Blue Cross Blue Shield $23 - $89 22%
UnitedHealthcare $40 - $84 39%
Ppo Holdings $55 53%
Magnolia Regional Health Center $58 56%
Cigna $63 - $114 61%
Littler $72 69%
Wellpoint $73 - $89 70%
Triwest $81 78%
Humana $84 - $96 81%
Vaccn $84 81%
Veterans Evaluation Services $84 81%
Aetna $89 - $91 86%
American Health Plan $89 86%
Shared Health $89 86%
First Choice Health Plan Of Ms $102 - $152 98%
Mpcn $109 105%
Multiplan $109 105%
Novasys $109 105%
Ppo Plus $123 119%
Qca $130 125%
Arlington Community Schools $131 126%
Bartlett City Schools $139 134%
City Of Bartlett $139 134%
City Of Lakeland $139 134%
Collierville Schools $139 134%
Eas Mssc Schools $139 134%
Lakeland School System $139 134%
Town Of Collierville $139 134%
Oscar $142 137%
Magnolia Tn $143 138%
First State Bank Trust $144 139%
Armstrong Relocation $152 146%
Ashley Furniture Stores $152 146%
Brimhall Foods $152 146%
Building Plastic $152 146%
Burch Food Services $152 146%
Cannon Motor Company $152 146%
Carlisle $152 146%
Crittenden County $152 146%
Davidson Hospitality $152 146%
Desoto Co Board Of Supervisors $152 146%
Dunn Investment Company $152 146%
First Community Bank $152 146%
Gossett Motor Cars $152 146%
Heavy Machines $152 146%
Hollowell Industries $152 146%
Hospitality Management Advisors $152 146%
Jas D Collier $152 146%
Malco Theaters $152 146%
Mechanical Systems $152 146%
Mid-South Transport $152 146%
Patterson Warehouses $152 146%
Radians $152 146%
Rei Nation $152 146%
Retzer Resources $152 146%
Ritchey Automotive $152 146%
Security One $152 146%
Silver Tree $152 146%
State Systems $152 146%
United Tn Holdings $152 146%
Vaughn Electric $152 146%
W G Yates $152 146%
W W Wood Products $152 146%
Watkins Uiberall $152 146%
Y K Auto Group $152 146%
Employers Health Network $169 163%
Harding Academy $169 163%
French Camp Academy $300 289%
Hattiesburg Clinic $300 289%
Heartland Catfish Company $300 289%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 631 Rb Wilson Dr, Huntingdon, TN 38344
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals