CMS Price Transparency Data

Diagnostic procedure preparation

Facility: St Francis Hospital & Medical Center

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$39

about 1.0× the $40 Medicare rate · typically $14–$80

modeled estimate · not a bill or quote

What this hospital charges insurers

$16

Below the fair price — a good deal

about $23 under the fair price · 0.4× Medicare

Medicare pays $40 Fair price $39 This hospital $16 Cash price $354 Hospital's list price $644

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

Lowest price of the 7 CT hospitals we have prices for — a strong deal.

Cheapest $16 Priciest $106

Black dot = this hospital, among the 7 CT hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Diagnostic procedure preparation is about $39 (about 1.0× the $40 Medicare rate). St Francis Hospital & Medical Center charges insurers about $16, or about $354 in cash — below the fair price — a good deal. Located in Hartford, CT.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$14 - $193	35%
Blue Cross Blue Shieldmajor	$12 - $212	30%
Aetnamajor	$13 - $572	32%
Cignamajor	$14 - $618	35%
Kaiser Permanentemajor	$16	40%
Dean Health Plan	$350 - $526	866%
GEHA	$151 - $193	374%
Harvard Pilgrim	$151 - $193	374%
HealthPartners	$334 - $502	827%
MagnaCare	$334 - $502	827%
MVP Health Care	$350 - $526	866%
Paramount	$350 - $526	866%
UniCare	$141 - $212	349%
+ 30 smaller / regional plans	$14 - $657

Government programs also on file: Medicare.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 354), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: G0279.

Insurance Before you use insurance

Call your insurance company to confirm St Francis Hospital & Medical Center is in-network.
Ask your insurer whether prior approval is required for HCPCS code G0279.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Francis Hospital & Medical Center

Compare: Diagnostic procedure preparation at other CT hospitals

Insurance negotiated median for the same procedure, sorted lowest first.