CMS Price Transparency Data

Hospital observation (per hour)

Facility: Saint Mary's Hospital

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $215
Cash Discount Price: $146
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Saint Mary's Hospital is $215. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 56 Franklin Street, Waterbury, CT.

Cash / Self-Pay

$146

Average discount available for prompt cash payment at this facility.

Insurance Median

$215

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

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
Carelon Behavioral Health	$132	N/A
Health New England	$141	N/A
Aetna	$187 - $233	N/A
Allied National Global Care	$204	N/A
Asrm - Reliance Standard Life Insurance	$204	N/A
Christian Care Ministry	$204	N/A
Dean Health	$204	N/A
Fallon Health	$204	N/A
Family Life Insurance Company	$204	N/A
Ghc Scw	$204	N/A
International Benefit Administrators	$204	N/A
Lifetime Benefit Solutions	$204	N/A
Manhattan Life	$204	N/A
Medi Share	$204	N/A
Multiplan	$204	N/A
Mvp	$204	N/A
PHCS	$204	N/A
Pai	$204	N/A
Pan-American Life	$204	N/A
Paramount HMO	$204	N/A
Trinity Health Share	$204	N/A
Prime Health Services	$212	N/A
Connecticare	$219 - $232	N/A
Health Smart	$225	N/A
1199 National Benefit Fund	$233	N/A
Allied Benefit Systems	$233	N/A
Gravie Admin Services	$233	N/A
Hap	$233	N/A
Luminare Health	$233	N/A
Meritain	$233	N/A
Nippon Life Ins	$233	N/A
Webtpa	$233	N/A
United Behavioral Health Eap	$265	N/A
UnitedHealthcare	$265 - $7,184	N/A
Cigna	$1,194 - $9,628	N/A
Geha	$7,184	N/A
Harvard Pilgrim Healthcare	$7,184	N/A
Allegiance	$9,628	N/A
Health Partners	$9,628	N/A
Magnacare	$9,628	N/A

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 $146.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0378.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Saint Mary's Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0378.
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.