CMS Price Transparency Data

Hospital observation (per hour)

Facility: Southcoast Hospitals Group

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $91
Cash Discount Price: $70
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Southcoast Hospitals Group is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 363 Highland Avenue, Fall River, MA.

Cash / Self-Pay

$70

Average discount available for prompt cash payment at this facility.

Insurance Median

$91

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
Wellsense Health Plan Clarity Connectorcare & Meta	$30	N/A
Medicare (plans)	$34	N/A
Tufts [1010701]	$58	N/A
Mass General Brigham Health Plan Commercial [10122	$78	N/A
Mass General Brigham Health Plan Connectorcare [10	$78	N/A
Group Insurance Service Center [1013001]	$83	N/A
Innovative Health Plan [1025001]	$83	N/A
Priority Health [1015001]	$83	N/A
PHCS [1000125]	$90	N/A
Wellpoint [1000102]	$90	N/A
Cigna	$91	N/A
Aetna	$106	N/A
First Health [1000130]	$106	N/A
Blue Cross Blue Shield	$111 - $5,082	N/A
Tufts Health Public Plans [1010213]	$412 - $769	N/A
Wellsense Health Plan [1010202]	$669	N/A
Harvard Pilgrim [1010602]	$3,528	N/A
UnitedHealthcare	$7,481	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 $70.
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 Southcoast Hospitals Group 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.