CMS Price Transparency Data

Electrical stimulation therapy

Facility: Methodist Celina Medical Center

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0283
Insurance Median: $20
Cash Discount Price: $138
vs. Medicare Baseline: 1.58x Medicare

The contracted insurance negotiated median rate for a Electrical stimulation therapy at Methodist Celina Medical Center is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $138. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 1.58x the Medicare baseline. Located in 1500 S Dallas Parkway, Celina, TX.

Cash / Self-Pay

$138

Average discount available for prompt cash payment at this facility.

Insurance Median

$20

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: $138 (1087%)

Insurance Median: $20 (158%)

Cash: $138 (1087% of Medicare)

Ins. Median: $20 (158% 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.

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
Aetna	$13 - $21	102%
American Health Advantage of Texas [7099]	$13	102%
Blue Cross Blue Shield	$13 - $1,437	102%
Cigna	$13 - $14	102%
McS Advantage, Inc Classicare [7021]	$13	102%
Medicare (plans)	$13 - $14	102%
UnitedHealthcare	$13 - $14	102%
Ust Health Proof [1005]	$13	102%
Wellcare [7016]	$13	102%
Humana	$14	110%
Southwestern Health Resources Swhr [7015]	$14	110%
Oscar Insurance Company [2057]	$17	134%
Molina [3017]	$18	142%
Kempton Group Administrators, Tower Extrusions [3061]	$20	158%
Wellpoint Marketplace Exchange [3071]	$20	158%
90 Degree Benefit [3057]	$21	165%
Allied National [2031]	$21	165%
Entrust/90 Degree [2058]	$21	165%
Department of Labor [8004]	$25	197%
Evry Health [1013]	$25	197%
Generic Workers Comp Tx Non Par [9010]	$25	197%
Generic Workers Comp Tx Par [8002]	$25	197%
Generic Workers Comp Tx Par [9011]	$25	197%
Sana Benefits [3069]	$25	197%
Velocity [3070]	$25	197%
Health Plans Inc [5017]	$32	252%
Medical Cost Containment Professionals [3059]	$32	252%
Medicaid / KanCare	$208	1639%

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 $138.
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 Methodist Celina Medical Center 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.