CMS Price Transparency Data

Electrical stimulation therapy

Facility: PAM Health Rehabiltation Hospital of Wausau

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0283
Insurance Median: $43
Cash Discount Price: $57
vs. Medicare Baseline: 3.39x Medicare

The contracted insurance negotiated median rate for a Electrical stimulation therapy at PAM Health Rehabiltation Hospital of Wausau is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 3.39x the Medicare baseline. Located in 1111 Westwood Dr, Wausau, WI.

Cash / Self-Pay

$57

Average discount available for prompt cash payment at this facility.

Insurance Median

$43

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: $57 (449%)

Insurance Median: $43 (339%)

Cash: $57 (449% of Medicare)

Ins. Median: $43 (339% 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 339% of the Medicare baseline (a markup of 239%). 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
Network Health	$11 - $40	87%
Aetna	$12 - $46	95%
Blue Cross Blue Shield	$12 - $135	95%
Health Partners	$12 - $128	95%
Humana	$12	95%
Molina Healthcare of Wisconsin	$12	95%
Security Health Plan	$12 - $110	95%
UnitedHealthcare	$12 - $120	95%
Velocity Provider PPO Network	$14 - $43	110%
Aspirus	$29	229%
Health Payment Services	$35 - $45	276%
The Alliance	$37	292%
Quik Trip	$43	339%
USA Managed Care Organization	$43	339%
Multiplan	$46	362%
Cigna	$95	749%

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 $57.
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 Health Rehabiltation Hospital of Wausau 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.