CMS Price Transparency Data

Electrical stimulation therapy

Facility: Davis County Hospital

Billing Code: G0283 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$56
about 4.3× the $13 Medicare rate · typically $13–$148
modeled estimate · not a bill or quote
Medicare pays $13 Fair price $56 Cash price $71 Hospital's list price $71

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser Permanente

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
Blue Cross Blue Shieldmajor $128 - $141 1009%
Aetnamajor $36 284%
Amerigroup $39 - $44 307%
Molina $44 347%
+ 9 smaller / regional plans $38 - $67
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 509 North Madison Street, Bloomfield, IA 52537
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals