CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Washakie Medical Center

Billing Code: G0279 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0279
Insurance Median: $54
Cash Discount Price: $42
vs. Medicare Baseline: 1.34x Medicare

The contracted insurance negotiated median rate for a Diagnostic procedure preparation at Washakie Medical Center is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.34x the Medicare baseline. Located in 400 South 15Th Street, Worland, WY.

Cash / Self-Pay

$42

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)

Cash / Self-Pay: $42 (104%)

Insurance Median: $54 (134%)

Cash: $42 (104% of Medicare)

Ins. Median: $54 (134% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $40.41 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
Banner Health	$27 - $30	67%
Humana	$27 - $30	67%
Interwest Health	$27 - $61	67%
Medica	$27 - $59	67%
Prime Health Services	$27 - $61	67%
Triwest Healthcare Alliance Corp - VA Ccn	$27 - $30	67%
UnitedHealthcare	$27 - $51	67%
Blue Cross Blue Shield	$53 - $59	131%
First Choice Health Network	$53 - $59	131%
Hue Health, Inc	$53 - $59	131%
Imagine Health, LLC (Wka Wise Provider Network)	$53 - $59	131%
Mountain Health Cooperative (Co-Op)	$53 - $59	131%
Cigna	$54 - $60	134%
Coventry	$54 - $60	134%
Multiplan	$54 - $60	134%

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 $42.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0279.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Washakie Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0279.
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.