CMS Price Transparency Data

Electrical stimulation therapy

Facility: PAM Specialty Hospital of Denver

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0283
Insurance Median: $152
Cash Discount Price: $208
vs. Medicare Baseline: 11.98x Medicare

The contracted insurance negotiated median rate for a Electrical stimulation therapy at PAM Specialty Hospital of Denver is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $208. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 11.98x the Medicare baseline. Located in 1690 N Meade St, Denver, CO.

Cash / Self-Pay

$208

Average discount available for prompt cash payment at this facility.

Insurance Median

$152

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: $208 (1639%)

Insurance Median: $152 (1198%)

Cash: $208 (1639% of Medicare)

Ins. Median: $152 (1198% 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 1198% of the Medicare baseline (a markup of 1098%). 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
Galaxy Health Network	$110 - $161	867%
America's Choice	$118 - $173	930%
Quik Trip	$126 - $185	993%
Velocity Provider PPO Network	$126 - $185	993%
USA Managed Care Organization	$126 - $185	993%
Provider Network of America	$126 - $185	993%
Fara	$135 - $198	1064%
Multiplan	$135 - $198	1064%
Evolutions Healthcare System	$135 - $198	1064%
Integrated Health Plan	$138 - $203	1087%
Prime Health Services	$143 - $210	1127%
Fortified Provider Network	$143 - $210	1127%
First Choice of the Midwest	$143 - $210	1127%
Three Rivers Provider Network	$143 - $210	1127%

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 $208.
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 PAM Specialty Hospital of Denver 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.