CMS Price Transparency Data

Electrical stimulation therapy

Facility: PAM Rehabilitation Hospital of Clear Lake

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0283
Insurance Median: $41
Cash Discount Price: $54
vs. Medicare Baseline: 3.23x Medicare

The contracted insurance negotiated median rate for a Electrical stimulation therapy at PAM Rehabilitation Hospital of Clear Lake is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 3.23x the Medicare baseline. Located in 110 East Medical Center Boulevard, Webster, TX.

Cash / Self-Pay

$54

Average discount available for prompt cash payment at this facility.

Insurance Median

$41

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: $54 (426%)

Insurance Median: $41 (323%)

Cash: $54 (426% of Medicare)

Ins. Median: $41 (323% 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 323% of the Medicare baseline (a markup of 223%). 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
Aetna	$5 - $8	39%
Wellpoint (Amerigroup)	$8	63%
Curative	$9	71%
Caresource	$13	102%
Community Health Choice	$13	102%
Christus Health Plan	$22	173%
Scan Health Plan	$22	173%
Ninety Degree Benefits	$27	213%
Healthcare Highways	$30	236%
America's Choice Provider Network	$38	299%
Provider Network of America	$41	323%
Quik Trip	$41	323%
USA Managed Care Organization	$41	323%
Velocity Provider PPO Network	$41	323%
Multiplan/Phcs	$43	339%
Prime Health Services	$46	362%
Medincrease	$49	386%
Cigna	$70 - $115	552%
Memorial Hermann Health Plan	$70	552%
Select Care	$90	709%
Today's Option	$90	709%

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 $54.
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 PAM Rehabilitation Hospital of Clear Lake 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.