CMS Price Transparency Data

Electrical stimulation therapy

Facility: Ira Davenport Memorial Hospital

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0283
Insurance Median: $44
Cash Discount Price: $65
vs. Medicare Baseline: 3.47x Medicare

The contracted insurance negotiated median rate for a Electrical stimulation therapy at Ira Davenport Memorial Hospital is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 3.47x the Medicare baseline. Located in 7571 State Route 54, Bath, NY.

Cash / Self-Pay

$65

Average discount available for prompt cash payment at this facility.

Insurance Median

$44

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: $65 (512%)

Insurance Median: $44 (347%)

Cash: $65 (512% of Medicare)

Ins. Median: $44 (347% 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 347% of the Medicare baseline (a markup of 247%). 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
Empire	$10 - $12	79%
Amerihealth Caritas McR Adv - All Plans	$12	95%
Tricare	$12	95%
Humana	$12 - $60	95%
Blue Cross Blue Shield	$12 - $202	95%
Fidelis	$17 - $29	134%
Fidelis Care - Exchange - All Plans	$36 - $37	284%
Geisinger - All Plans	$38 - $39	299%
Mvp Health Plan - All Plans	$40 - $41	315%
Cigna	$40 - $41	315%
Independent Health - All Plans	$42 - $43	331%
UPMC - All Plans	$45 - $46	355%
Pomco Inc - All Plans	$47 - $48	370%
UnitedHealthcare	$49 - $70	386%
Aetna	$49 - $59	386%
Emblem Health - All Plans	$57 - $59	449%
Emblem/Ghi	$61	481%
Martins Point - All Plans	$65 - $66	512%
Healthnow - All Plans	$214 - $219	1686%

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 $65.
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 Ira Davenport 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.