CMS Price Transparency Data

Electrical stimulation therapy

Facility: Lovelace Women's Hospital

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0283
Insurance Median: $201
Cash Discount Price: $81
vs. Medicare Baseline: 15.84x Medicare

The contracted insurance negotiated median rate for a Electrical stimulation therapy at Lovelace Women's Hospital is $201. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 15.84x the Medicare baseline. Located in 4701 Montgomery Boulevard Ne, Albuquerque, NM.

Cash / Self-Pay

$81

Average discount available for prompt cash payment at this facility.

Insurance Median

$201

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: $81 (638%)

Insurance Median: $201 (1584%)

Cash: $81 (638% of Medicare)

Ins. Median: $201 (1584% 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 1584% of the Medicare baseline (a markup of 1484%). 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
The Health Plan [2915]	$45 - $64	355%
UnitedHealthcare	$59 - $84	465%
Healthscope Benefits [2290]	$59 - $84	465%
Zelis [2385]	$112 - $159	883%
Presbyterian Health Plan [1830]	$112 - $159	883%
Benefit Management [1175]	$112 - $159	883%
Magellan Behavioral Commercial [2895]	$112 - $159	883%
Aetna	$130 - $286	1024%
Coresource [1315]	$201 - $286	1584%
Emblem Health [2430]	$201 - $286	1584%
Employee Benefit Management Services [2445]	$201 - $286	1584%
Allied Benefit Systems Inc [1030]	$201 - $286	1584%
Allied National Global Care [1035]	$201 - $286	1584%
Administrative Concepts [1005]	$201 - $286	1584%
Fmh Benefit Services [1390]	$201 - $286	1584%
Healthcost Solutions [2415]	$201 - $286	1584%
Kaiser Permanente [1560]	$201 - $286	1584%
American Medical Security [2190]	$201 - $286	1584%
Healthsmart [1505]	$201 - $296	1584%
First Health [1375]	$201 - $286	1584%
Healthnet [1495]	$201 - $286	1584%
Boon-Chapman [2375]	$201 - $286	1584%
Coventry Healthcare [1320]	$201 - $286	1584%

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 $81.
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 Lovelace Women's 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.