Mississippi · 96160

Administration And Interpretation Of Patient-Focused Health Risk Assessment in Mississippi

Mississippi Medicare Avg
$1.26
30% below national avg
National Medicare Avg
$1.82
All states combined
Billed Charge (MS)
$79.18
What providers submit
Est. Commercial (MS)
$4.00
National avg: $5.41
Est. Cash / Self-Pay (MS)
$23.14
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

465
Services in MS
68
Providers
N/A
Min Payment
N/A
Max Payment

Mississippi Pricing in Context

In Mississippi, CPT code 96160 (Administration And Interpretation Of Patient-Focused Health Risk Assessment) carries an average Medicare payment of $1.26 — 30% below the national benchmark of $1.82. 68 providers across the state submitted claims for this procedure in 2023, performing 465 total services. Individual payments in MS ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Mississippi is $79.18, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Mississippi sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Medicine procedures, the estimated commercial insurance price in Mississippi lands near $4.00, with self-pay cash prices typically around $23.14. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Administration And Interpretation Of Patient-Focused Health Risk Assessment cost in Mississippi?

The average Medicare payment for Administration And Interpretation Of Patient-Focused Health Risk Assessment in Mississippi is $1.26, which is 30% below the national average of $1.82. Providers in MS typically bill $79.18 for this procedure.

What does Administration And Interpretation Of Patient-Focused Health Risk Assessment cost with insurance in Mississippi?

With commercial insurance in Mississippi, Administration And Interpretation Of Patient-Focused Health Risk Assessment costs an estimated $4.00. Without insurance, the estimated cash price is $23.14. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Administration And Interpretation Of Patient-Focused Health Risk Assessment in Mississippi?

68 providers in Mississippi billed Medicare for Administration And Interpretation Of Patient-Focused Health Risk Assessment in 2023, performing 465 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Administration And Interpretation Of Patient-Focused Health Risk Assessment cheaper in Mississippi than the national average?

Yes — Administration And Interpretation Of Patient-Focused Health Risk Assessment costs 30% below the national average in Mississippi. The state average Medicare payment is $1.26 compared to $1.82 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial