CMS Price Transparency Data

Hospital observation (per hour)

Facility: Englewood Hospital and Medical Center

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $544
Cash Discount Price: $75
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Englewood Hospital and Medical Center is $544. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 350 Engle St, Englewood, NJ.

Cash / Self-Pay

$75

Average discount available for prompt cash payment at this facility.

Insurance Median

$544

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
Horizon New Jersey Health - Dsnp	$55	N/A
Wellcare_755	$59	N/A
Aetna	$63 - $354	N/A
Americhoice_756	$68	N/A
Amerigroup_754	$74	N/A
Qualcare_783	$217	N/A
Multiplan	$360 - $368	N/A
Hip Health Plan	$413 - $451	N/A
Horizon	$439 - $469	N/A
Health Care Support_787	$488	N/A
Qualcare	$503	N/A
Emblem_734	$526	N/A
Bergen	$563	N/A
Coventry	$563	N/A
Heathnet Federal Services	$563	N/A
UnitedHealthcare	$751 - $4,834	N/A
Horizon New Jersey Health_674	$901	N/A
Qualcare_752	$2,199	N/A
Blue Cross Blue Shield	$2,892 - $4,023	N/A
Magnacare	$3,372	N/A
Amerihealth_757	$4,029	N/A
Magnacare_763	$4,266	N/A
Magnacare_768	$4,397	N/A
Magnacare_770	$4,397	N/A
Oxford_741	$4,728	N/A
Magnacare_769	$4,801	N/A
Cigna	$5,811	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 $75.
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 Englewood Hospital and Medical Center 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.