CMS Price Transparency Data
Group therapy session
Facility: Bmh-Calhoun
Billing Code: 90853 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90853
- Insurance Median: $173
- Cash Discount Price: $116
- vs. Medicare Baseline: 1.67x Medicare
The contracted insurance negotiated median rate for a Group therapy session at Bmh-Calhoun is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 1.67x the Medicare baseline. Located in 140 Burke-Calhoun City Road, Calhoun City, MS.
Cash / Self-Pay
$116
Average discount available for prompt cash payment at this facility.
Insurance Median
$173
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: $116 (112%)
Insurance Median: $173 (167%)
Cash: $116 (112% of Medicare)
Ins. Median: $173 (167% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| PPO Holdings | $85 | 82% |
| Magnolia Regional Health Center | $90 | 87% |
| Veterans Evaluation Services | $92 | 89% |
| Tricare | $92 | 89% |
| Molina | $94 - $178 | 91% |
| Triwest | $96 | 92% |
| Ms Breast and Cervical | $96 | 92% |
| Vaccn | $96 | 92% |
| Devoted Health | $98 | 94% |
| Blue Cross Blue Shield | $99 - $127 | 95% |
| American Health Plan | $101 | 97% |
| Aetna | $101 - $146 | 97% |
| Humana | $101 - $179 | 97% |
| Primewell | $101 | 97% |
| Shared Health | $101 | 97% |
| Magnolia Ms | $110 | 106% |
| Littler | $112 | 108% |
| Cigna | $123 | 119% |
| First Choice Health Plan of Ms | $144 | 139% |
| Burch Food Services | $164 | 158% |
| First State Bank Trust | $164 | 158% |
| Radians | $173 | 167% |
| Y K Auto Group | $173 | 167% |
| Hospitality Management Advisors | $173 | 167% |
| Patterson Warehouses | $173 | 167% |
| City of Lakeland | $173 | 167% |
| Cannon Motor Company | $173 | 167% |
| City of Bartlett | $173 | 167% |
| Crittenden County | $173 | 167% |
| Hollowell Industries | $173 | 167% |
| Town of Collierville | $173 | 167% |
| Eas Mssc Schools | $173 | 167% |
| Rei Nation | $173 | 167% |
| Building Plastic | $173 | 167% |
| W W Wood Products | $173 | 167% |
| W G Yates | $173 | 167% |
| Desoto Co Board of Supervisors | $173 | 167% |
| Collierville Schools | $173 | 167% |
| Davidson Hospitality | $173 | 167% |
| Gossett Motor Cars | $173 | 167% |
| Heavy Machines | $173 | 167% |
| Security One | $173 | 167% |
| Retzer Resources | $173 | 167% |
| Lakeland School System | $173 | 167% |
| Arlington Community Schools | $173 | 167% |
| Mechanical Systems | $173 | 167% |
| Watkins Uiberall | $173 | 167% |
| State Systems | $173 | 167% |
| Dunn Investment Company | $173 | 167% |
| Armstrong Relocation | $173 | 167% |
| First Community Bank | $173 | 167% |
| Malco Theaters | $173 | 167% |
| Mid-South Transport | $173 | 167% |
| Carlisle | $173 | 167% |
| Brimhall Foods | $173 | 167% |
| Bartlett City Schools | $173 | 167% |
| Vaughn Electric | $173 | 167% |
| Silver Tree | $173 | 167% |
| Jas D Collier | $173 | 167% |
| United Tn Holdings | $173 | 167% |
| Ashley Furniture Stores | $173 | 167% |
| Ritchey Automotive | $173 | 167% |
| Christian Health Aid | $179 | 172% |
| Advanced Health Systems Inc. | $179 | 172% |
| PPO Plus | $190 | 183% |
| Harding Academy | $193 | 186% |
| Employers Health Network | $193 | 186% |
| Qca | $202 | 195% |
| Multiplan | $202 | 195% |
| Heartland Catfish Company | $300 | 289% |
| Minact | $300 | 289% |
| Hattiesburg Clinic | $300 | 289% |
| French Camp Academy | $300 | 289% |
| Delta Industries | $300 | 289% |