CMS Price Transparency Data

Hospital observation (per hour)

Facility: Methodist Hospital Stone Oak

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $105
Cash Discount Price: $245
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Methodist Hospital Stone Oak is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $245. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1139 E Sonterra Blvd,, San Antonio, TX.

Cash / Self-Pay

$245

Average discount available for prompt cash payment at this facility.

Insurance Median

$105

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
Amerigroup	$16 - $114	N/A
United	$26 - $204	N/A
Blue Cross Blue Shield	$31 - $240	N/A
Superior	$39 - $301	N/A
Aetna	$53 - $406	N/A
National Choicecare	$58 - $156	N/A
Texas Healthcare Foundation Heb	$58 - $156	N/A
Tx Healthcare Foundation	$58 - $406	N/A
Healthsmart Preferred Care	$64 - $447	N/A
Independent Medical Systems	$64 - $447	N/A
Physician Cooperative of Texas	$64 - $171	N/A
Haa Preferred Partners	$70 - $488	N/A
Coastal Comp Health Networks	$75 - $528	N/A
National Healthcare Solutions	$75 - $528	N/A
Multiplan	$79 - $691	N/A
Triwest Health Alliance	$79 - $609	N/A
Tml Intergovernmental Ebp	$81 - $218	N/A
Triwest VA Pccc	$87 - $609	N/A
USA Managed Care	$87 - $233	N/A
Blue Bell	$93 - $650	N/A
Directcare America	$93 - $650	N/A
Managed Healthcare	$99 - $691	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 $245.
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 Methodist Hospital Stone Oak 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.