CMS Price Transparency Data

Electrical stimulation therapy

Facility: St Luke's Sugar Land Hospital

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0283
Insurance Median: $190
Cash Discount Price: $99
vs. Medicare Baseline: 14.97x Medicare

The contracted insurance negotiated median rate for a Electrical stimulation therapy at St Luke's Sugar Land Hospital is $190. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $99. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 14.97x the Medicare baseline. Located in 1317 Lake Pointe Parkway, Sugar Land, TX.

Cash / Self-Pay

$99

Average discount available for prompt cash payment at this facility.

Insurance Median

$190

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: $99 (780%)

Insurance Median: $190 (1497%)

Cash: $99 (780% of Medicare)

Ins. Median: $190 (1497% 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 1497% of the Medicare baseline (a markup of 1397%). 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
Blue Cross Blue Shield	$21 - $46	165%
UnitedHealthcare	$73 - $244	575%
Tchpchip	$95 - $127	749%
Cigna	$100 - $206	788%
United	$128 - $520	1009%
Chc	$150 - $162	1182%
Texastruechoice	$150 - $162	1182%
Coventry	$177 - $192	1395%
First Health	$177 - $192	1395%
Humana	$177 - $192	1395%
Healthsmart	$190 - $206	1497%
Interlink	$190 - $206	1497%
Multiplan	$204 - $221	1608%
USA Health Network	$231 - $251	1820%
Mhealth Network	$272 - $295	2143%

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 $99.
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 St Luke's Sugar Land 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.