CMS Price Transparency Data
Hospital observation (per hour)
Facility: St James Hospital
Billing Code: G0378 (HCPCS)
The BaseRate · fair price low confidence
A fair price for this
$95
modeled fair price · typically $46–$563
modeled estimate · not a bill or quote
Fair price $95 Hospital's list price $94
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✓ Cigna HumanaKaiser 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 | $80 | — |
| Blue Cross Blue Shieldmajor | $87 - $362 | — |
| Aetnamajor | $89 | — |
| Cignamajor | $49 - $89 | — |
| GEHA | $80 | — |
| PacificSource | $66 - $89 | — |
| + 5 smaller / regional plans | $49 - $89 |