CMS Price Transparency Data

Hospital observation (per hour)

Facility: Bailey Medical Center, LLC

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $3
Cash Discount Price: $2
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Bailey Medical Center, LLC is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 10502 North 110Th East Avenue, Owasso, OK.

Cash / Self-Pay

Average discount available for prompt cash payment at this facility.

Insurance Median

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
National Association of Letter Carriers [1695]	$1 - $61	N/A
Oncology Patient Assistance Programs [2295]	$1 - $30	N/A
Healthscope Benefits [2290]	$1 - $32	N/A
Multiplan [1680]	$1 - $98	N/A
Osma Health Network [2345]	$1 - $30	N/A
Cigna	$1 - $61	N/A
Resource One Administrators [2815]	$1 - $33	N/A
Healthpartners [1500]	$1 - $61	N/A
Healthcare Highways [2210]	$1 - $33	N/A
Hooray Health [8000]	$1 - $30	N/A
Medica [2910]	$1 - $61	N/A
First Health [1375]	$1 - $98	N/A
UnitedHealthcare	$1 - $32	N/A
Pba [1775]	$1 - $61	N/A
Web Tpa [2115]	$1 - $33	N/A
Oscar Insurance Company [7005]	$1 - $30	N/A
Healthcare Solutions [1485]	$1 - $68	N/A
Universal Fidelity [2085]	$2 - $98	N/A
Group Resources [1455]	$2 - $95	N/A
Pan American Life Insurance Co [1770]	$2 - $98	N/A
Community Care [1290]	$2 - $95	N/A
Planned Administrators Inc [2360]	$2 - $98	N/A
Healthnet [1495]	$2 - $98	N/A
Employee Benefit Management Services [2445]	$2 - $95	N/A
Hometown Health [2155]	$2 - $98	N/A
Healthsmart [1505]	$2 - $102	N/A
Gilsbar [1425]	$2 - $98	N/A
The Kempton Group Administrators [2905]	$2 - $54	N/A
Pending Ssi [1616]	$2 - $120	N/A
Fmh Benefit Services [1390]	$2 - $95	N/A
Healthfirst [2395]	$2 - $98	N/A
Healthcost Solutions [2415]	$2 - $98	N/A
Mayo Clinic Health Solutions [2280]	$2 - $98	N/A
New Era Life Insurance Company [1705]	$2 - $98	N/A
PHCS [1780]	$2 - $98	N/A
Trustmark [2030]	$2 - $98	N/A
Mutual of Omaha [1685]	$2 - $98	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 $2.
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 Bailey Medical Center, LLC 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.