CMS Price Transparency Data

Hospital observation (per hour)

Facility: Hillcrest Medical Center

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $40
Cash Discount Price: $46
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Hillcrest Medical Center is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1120 South Utica Avenue, Tulsa, OK.

Cash / Self-Pay

$46

Average discount available for prompt cash payment at this facility.

Insurance Median

$40

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 (%)

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Black Lung [6055]	$1 - $75	N/A
Hooray Health [8000]	$1 - $75	N/A
Oscar Insurance Company [7005]	$1 - $75	N/A
Osma Health Network [2345]	$1 - $75	N/A
Healthcare Highways [2210]	$1 - $116	N/A
Lucent Health [6000]	$1 - $75	N/A
Oncology Patient Assistance Programs [2295]	$1 - $75	N/A
Healthscope Benefits [2290]	$2 - $95	N/A
The Kempton Group Administrators [2905]	$2 - $135	N/A
UnitedHealthcare	$2 - $95	N/A
Resource One Administrators [2815]	$2 - $116	N/A
Web Tpa [2115]	$2 - $116	N/A
Medica [2910]	$3 - $170	N/A
Pba [1775]	$3 - $156	N/A
National Association of Letter Carriers [1695]	$3 - $156	N/A
Multiplan [1680]	$3 - $258	N/A
Employee Benefit Management Services [2445]	$4 - $219	N/A
Allied National Global Care [1035]	$4 - $258	N/A
New Era Life Insurance Company [1705]	$4 - $258	N/A
Administrative Concepts [1005]	$4 - $258	N/A
PHCS [1780]	$4 - $258	N/A
Universal Fidelity [2085]	$4 - $258	N/A
Healthfirst [2395]	$4 - $258	N/A
Allied Benefit Systems Inc [1030]	$4 - $258	N/A
Healthcost Solutions [2415]	$4 - $258	N/A
Pan American Life Insurance Co [1770]	$4 - $258	N/A
Trustmark [2030]	$4 - $258	N/A
Mayo Clinic Health Solutions [2280]	$4 - $258	N/A
Planned Administrators Inc [2360]	$4 - $258	N/A
Mutual of Omaha [1685]	$4 - $258	N/A
Hometown Health [2155]	$4 - $258	N/A
Pending Ssi [1616]	$5 - $300	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 $46.
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 Hillcrest 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.