CMS Price Transparency Data

Electrical stimulation therapy

Facility: Frisbie Memorial Hospital

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0283
Insurance Median: $66
Cash Discount Price: $219
vs. Medicare Baseline: 5.20x Medicare

The contracted insurance negotiated median rate for a Electrical stimulation therapy at Frisbie Memorial Hospital is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $219. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 5.20x the Medicare baseline. Located in 11 Whitehall Road, Rochester, NH.

Cash / Self-Pay

$219

Average discount available for prompt cash payment at this facility.

Insurance Median

$66

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$12.69

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $12.69 (100%)

Cash / Self-Pay: $219 (1726%)

Insurance Median: $66 (520%)

Cash: $219 (1726% of Medicare)

Ins. Median: $66 (520% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $12.69 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 520% of the Medicare baseline (a markup of 420%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$11 - $129	87%
Blue Cross Blue Shield	$11 - $90	87%
Humana	$11 - $13	87%
United VA Ccn	$11 - $13	87%
Cigna	$12 - $13	95%
Evernorth Behavioral Health	$12 - $13	95%
Martin's Point Health	$12 - $13	95%
United	$12 - $135	95%
Amerihealth Caritas	$18	142%
Ambetter / Centene	$20 - $23	158%
Well Sense Health Plan	$26 - $27	205%
Harvard Pilgrim	$57 - $91	449%
Maine Community Health	$61 - $108	481%
Tufts Health Plan	$73 - $128	575%
Evernorth	$170 - $179	1340%

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 $219.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0283.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Frisbie Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0283.
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.