CMS Price Transparency Data

Electrical stimulation therapy

Facility: Craig Hospital

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0283
Insurance Median: $40
Cash Discount Price: $21
vs. Medicare Baseline: 3.15x Medicare

The contracted insurance negotiated median rate for a Electrical stimulation therapy at Craig Hospital is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 3.15x the Medicare baseline. Located in 3425 S Clarkson St, Englewood, CO.

Cash / Self-Pay

$21

Average discount available for prompt cash payment at this facility.

Insurance Median

$40

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$12.69

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $12.69 (100%)

Cash / Self-Pay: $21 (165%)

Insurance Median: $40 (315%)

Cash: $21 (165% of Medicare)

Ins. Median: $40 (315% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $12.69 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 315% of the Medicare baseline (a markup of 215%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Veterans Administration	$11	87%
Cms	$13	102%
UnitedHealthcare	$13 - $866	102%
Kaiser	$29	229%
Blue Cross Blue Shield	$30	236%
Carisk Outcomes	$31	244%
Zenith	$33	260%
Aetna	$35	276%
Paradigm	$36	284%
Corvel Worker's Comp	$36	284%
Liberty Mutual Worker's Comp	$36	284%
Midwest Employers Casualty	$38	299%
Rocky Mountain Health Plan	$38	299%
Fcci Worker's Comp	$39	307%
Great-West Healthcare	$39	307%
Prime Health Services	$39	307%
Geha/Ppo USA	$39	307%
Coventry/First Health	$39	307%
First Choice Health	$40	315%
General Reinsurance	$41 - $44	323%
Three Rivers Provider Network	$41 - $42	323%
Multiplan/Phcs	$41	323%
Focus Worker's Comp	$41	323%
Provider Network of America	$41	323%
Wyoming Worker's Comp	$41	323%
Allstate	$44	347%
Tricare	$44	347%
Up & Up	$46	362%
National Provider Network	$46	362%
Cigna	$161	1269%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $21.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0283.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Craig Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0283.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.