Mississippi

What Medicare pays in Mississippi

Billed charges against Medicare allowed amounts in Mississippi, across the 246 procedures Medicare covers most often.

246Procedures
14,925,341Services covered
3.1xBilled vs allowed
#29Rank of 61

Providers here billed the most above the national figure for removal of cataract with insertion of prosthetic lens. The average was $2,251.79 against a national $1,027.76. That is 2.2 times as much.

Whose price this is

These are Medicare figures. The billed column is what providers asked for. The allowed column is what Medicare agreed to pay. Neither is what an uninsured patient gets charged, and neither is what a private insurer negotiates.

The gap between the two columns is the point. A hospital billing three times what Medicare allows tells you the billed number was never a price. It was an opening position.

The 40 most common procedures in Mississippi

ProcedureBilled hereAllowedGapvs national billed
Ground mileage, per statute mile$31.03$10.253.0x1.17x
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$191.82$105.981.8x0.70x
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes$55.76$20.692.7x0.81x
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$135.16$74.641.8x0.72x
Therapy procedure using functional activities$65.06$27.982.3x0.87x
Insertion of needle into vein for collection of blood sample$18.85$8.452.2x0.86x
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$181.18$70.462.6x0.89x
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes$61.29$24.492.5x0.84x
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's$34.75$14.762.4x0.80x
Detection test by nucleic acid for organism, amplified probe technique$64.79$34.301.9x1.02x
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$242.24$107.862.2x0.74x
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count$38.21$7.545.1x1.03x
Therapy procedure using manual technique, each 15 minutes$59.14$19.093.1x0.87x
Injection of drug or substance under skin or into muscle$43.10$11.763.7x0.78x
Hemoglobin a1c level$52.32$9.465.5x0.90x
Blood test, comprehensive group of blood chemicals$68.25$10.266.7x1.11x
Destruction of precancer skin growth, 2-14 growths$34.85$5.506.3x1.59x
X-ray of chest, 1 view$41.77$8.395.0x0.80x
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only$53.39$7.497.1x1.19x
Blood test, lipids (cholesterol and triglycerides)$65.47$13.015.0x0.68x
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more$290.29$141.722.0x0.71x
Pathology examination of tissue using a microscope, intermediate complexity$205.66$45.494.5x1.11x
Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg$0.78$0.751.0x0.33x
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month$97.62$54.891.8x0.86x
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report$72.14$12.515.8x1.05x
Established patient complete exam of visual system$170.98$110.621.5x0.75x
Administration of influenza virus vaccine$31.46$25.591.2x0.77x
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit$196.36$114.151.7x0.70x
Rotary wing air mileage, per statute mile$367.24$40.209.1x1.03x
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled$1.18$1.111.1x0.68x
Emergency department visit with high level of medical decision making$1,537.97$163.259.4x1.25x
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$499.60$157.503.2x0.88x
Automated urinalysis test$14.89$2.186.8x0.98x
X-ray of chest, 2 views$67.02$15.964.2x0.93x
Detection test for candida species (yeast), amplified probe technique$64.05$34.351.9x1.06x
Imaging of retina$86.76$34.992.5x0.70x
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care$32.95$8.034.1x0.85x
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more$125.48$61.122.1x0.81x
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more$188.55$93.222.0x0.71x
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more$260.89$147.651.8x0.64x

The last column compares this state against the national average for the same code. Above 1.00 means providers here billed more.

Source: CMS Medicare Physician & Other Practitioners, by Geography and Service. Weighted by service volume across places of service.

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