CMS Price Transparency Data

Hospital observation (per hour)

Facility: Washakie Medical Center

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $90
Cash Discount Price: $62
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Washakie Medical Center is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 400 South 15Th Street, Worland, WY.

Cash / Self-Pay

$62

Average discount available for prompt cash payment at this facility.

Insurance Median

$90

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

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 (%)

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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	$46	N/A
Humana	$46	N/A
Medica	$46 - $90	N/A
Triwest Healthcare Alliance Corp - VA Ccn	$46	N/A
UnitedHealthcare	$46 - $87	N/A
Interwest Health	$47 - $93	N/A
Prime Health Services	$47 - $93	N/A
Blue Cross Blue Shield	$90	N/A
First Choice Health Network	$90	N/A
Hue Health, Inc	$90	N/A
Imagine Health, LLC (Wka Wise Provider Network)	$90	N/A
Mountain Health Cooperative (Co-Op)	$90	N/A
Coventry	$91	N/A
Cigna	$92	N/A
Multiplan	$92	N/A

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 $62.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0378.

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 G0378.
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.