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Critical Access HospitalVoluntary Non-Profit - Private

Lackey Memorial Hospital

Forest, MS

330 Broad Street, Forest, MS 39074(601) 469-4151

31

In-network payers

289

Disclosed rate categories

35

Beds

About this hospital

Lackey Memorial Hospital is a 35-bed voluntary non-profit - private hospital in Forest, MS. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 289 disclosed rate categories.

CCN (Medicare provider number)

251300

NPI

1306909734

Type

Critical Access Hospital

Ownership

Voluntary Non-Profit - Private

Beds

35

Insurance Accepted

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

Prices for common services

The 24 services Lackey Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data.

Mammography

Screening mammography, bilateral

CPT 77067

$110 - $462

from 4 insurers · median $393

UnitedHealthcare$421
Insurer A*$110
Insurer B*$365
Insurer C*$462
Medicare $92Nearby hospitals $174126% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$222 - $602

from 4 insurers · median $388

Aetna$500
Insurer A*$222
Insurer B*$275
Insurer C*$602
Medicare $356Nearby hospitals $62338% below nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$3,183 - $21,390

from 2 insurers · median $12,287

Blue Cross$21,390
Insurer A*$3,183
Medicare $10,860Nearby hospitals $12,907In line with nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$85 - $275

from 4 insurers · median $163

Aetna$130
Insurer A*$85
Insurer B*$195
Insurer C*$275
Medicare $107Nearby hospitals $40660% below nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$172 - $959

from 4 insurers · median $370

Cigna$172
Insurer A*$366
Insurer B*$373
Insurer C*$959
Medicare $558Nearby hospitals $358In line with nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$326 - $1,305

from 3 insurers · median $762

UnitedHealthcare$1,305
Insurer A*$326
Insurer B*$762
Medicare $1,223Nearby hospitals $1,09330% below nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$3,183 - $4,062

from 2 insurers · median $3,623

Blue Cross$4,062
Insurer A*$3,183
Medicare $6,176Nearby hospitals $4,79724% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$253 - $1,305

from 3 insurers · median $568

UnitedHealthcare$1,305
Insurer A*$253
Insurer B*$568
Medicare $927Nearby hospitals $1,14350% below nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$162 - $333

from 4 insurers · median $287

Aetna$300
Insurer A*$162
Insurer B*$275
Insurer C*$333
Medicare $244Nearby hospitals $50944% below nearby hospitals

Typical for a hospital with this service line

CT imaging

CT angiography of chest blood vessels

CPT 71275

$139 - $500

from 4 insurers · median $339

Aetna$267
Insurer A*$139
Insurer B*$410
Insurer C*$500
Medicare $179Nearby hospitals $50633% below nearby hospitals

Typical for a hospital with this service line

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$1,883 - $6,524

from 2 insurers · median $4,203

Blue Cross$6,524
Insurer A*$1,883
Medicare $3,307Nearby hospitals $3,997In line with nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$64 - $124

from 4 insurers · median $84

Aetna$64
Insurer A*$67
Insurer B*$100
Insurer C*$124
Medicare $89Nearby hospitals $10218% below nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic removal of pelvic lesions

CPT 58662

$3,183 - $12,065

from 2 insurers · median $7,624

Blue Cross$12,065
Insurer A*$3,183
Medicare $6,176Nearby hospitals $7,1946% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$362 - $1,305

from 4 insurers · median $575

UnitedHealthcare$1,305
Insurer A*$362
Insurer B*$388
Insurer C*$762
Medicare $1,223Nearby hospitals $1,28555% below nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$67 - $329

from 4 insurers · median $273

Cigna$285
Insurer A*$67
Insurer B*$260
Insurer C*$329
Medicare $107Nearby hospitals $21726% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$1,521 - $1,883

from 3 insurers · median $1,815

Blue Cross$1,521
Insurer A*$1,815
Insurer B*$1,883
Medicare $2,358Nearby hospitals $1,794In line with nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Laparoscopic repair of an initial inguinal hernia

CPT 49650

$3,183 - $4,058

from 2 insurers · median $3,621

UnitedHealthcare$3,183
Insurer A*$4,058
Medicare $6,176Nearby hospitals $7,19450% below nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic removal of an ovary or fallopian tube

CPT 58661

$3,183 - $5,354

from 2 insurers · median $4,268

Blue Cross$5,354
Insurer A*$3,183
Medicare $6,176Nearby hospitals $7,19441% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$281 - $787

from 4 insurers · median $385

Aetna$394
Insurer A*$281
Insurer B*$375
Insurer C*$787
Medicare $356Nearby hospitals $76450% below nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Bone-density scan of the spine and hip

CPT 77080

$55 - $259

from 4 insurers · median $223

Aetna$55
Insurer A*$221
Insurer B*$224
Insurer C*$259
Medicare $107Nearby hospitals $15345% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Transvaginal pelvic ultrasound

CPT 76830

$128 - $329

from 4 insurers · median $271

Cigna$285
Insurer A*$128
Insurer B*$256
Insurer C*$329
Medicare $107Nearby hospitals $17852% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Ultrasound of veins in one limb or a limited bilateral study

CPT 93971

$71 - $350

from 4 insurers · median $274

Cigna$280
Insurer A*$71
Insurer B*$267
Insurer C*$350
Medicare $107Nearby hospitals $19044% above nearby hospitals

Typical for a hospital with this service line

Lung function and sleep

Attended overnight sleep study

CPT 95810

$1,519 - $1,899

from 3 insurers · median $1,703

Blue Cross$1,703
Insurer A*$1,519
Insurer B*$1,899
Medicare $877Nearby hospitals $1,46716% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Tonsillectomy and adenoidectomy, patient under age 12

CPT 42820

$1,883 - $3,293

from 2 insurers · median $2,588

Blue Cross$3,293
Insurer A*$1,883
Medicare $6,048Nearby hospitals $2,8278% below nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Lackey Memorial Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
170%
63
Insurer B*16
156%
67
Insurer C*14
91%
113
Insurer D*24
78%
914

How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Lackey Memorial Hospital.

Location

330 Broad Street, Forest, MS 39074

(601) 469-4151

Get directions

Frequently asked questions

About Lackey Memorial Hospital's rates and hospital price transparency.

How much does an MRI cost at Lackey Memorial Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Lackey Memorial Hospital range from $281 to $787 across 4 insurers. Aetna's rate is $394. The median at nearby comparable hospitals is $764. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Lackey Memorial Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Lackey Memorial Hospital range from $222 to $602 across 4 insurers. Aetna's rate is $500. The median at nearby comparable hospitals is $623. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Lackey Memorial Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Lackey Memorial Hospital range from $326 to $1,305 across 3 insurers. UnitedHealthcare's rate is $1,305. The median at nearby comparable hospitals is $1,093. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Lackey Memorial Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Lackey Memorial Hospital range from $110 to $462 across 4 insurers. UnitedHealthcare's rate is $421. The median at nearby comparable hospitals is $174. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Lackey Memorial Hospital have?

Lackey Memorial Hospital has 35 beds. Facility type: Critical Access Hospital.

Where is Lackey Memorial Hospital and what is its phone number?

Lackey Memorial Hospital is located at 330 Broad Street, Forest, MS 39074. Its main phone number is (601) 469-4151.

What is Lackey Memorial Hospital's CCN (Medicare provider number)?

Lackey Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 251300.

What is Lackey Memorial Hospital's NPI number?

The National Provider Identifier (NPI) on file for Lackey Memorial Hospital is 1306909734.

Which insurance plans are in network at Lackey Memorial Hospital?

Lackey Memorial Hospital lists 31 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for Lackey Memorial Hospital?

289 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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