CMS Price Transparency Data

Electrical stimulation therapy

Facility: PAM Health Rehabilitation Hospital of Houston Heights

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0283
  • Insurance Median: $107
  • Cash Discount Price: $143
  • vs. Medicare Baseline: 8.43x Medicare
The contracted insurance negotiated median rate for a Electrical stimulation therapy at PAM Health Rehabilitation Hospital of Houston Heights is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $143. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 8.43x the Medicare baseline. Located in 1917 Ashland St, Houston, TX.
Cash / Self-Pay
$143

Average discount available for prompt cash payment at this facility.

Insurance Median
$107

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: $143 (1127%)
Insurance Median: $107 (843%)
Cash: $143 (1127% of Medicare)
Ins. Median: $107 (843% 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 843% of the Medicare baseline (a markup of 743%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
America's Choice Provider Network $100 788%
Quik Trip $107 843%
USA Managed Care Organization $107 843%
Velocity Provider PPO Network $107 843%
Prime Health Services $121 954%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1917 Ashland St, Houston, TX 77008
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL