CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Arh Our Lady of the Way

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$35
about 0.9× the $40 Medicare rate · typically $17–$89
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $35 Cash price $40 Hospital's list price $67

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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
UnitedHealthcaremajor $13 32%
Blue Cross Blue Shieldmajor $13 - $120 32%
Aetnamajor $13 - $59 32%
Humanamajor $13 32%
Molina $14 35%
WellCare $13 - $14 32%
+ 1 smaller / regional plan $44

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 11203 Main Street, Martin, KY 41649
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals