CMS Price Transparency Data

Hospital observation (per hour)

Facility: Community Hospital

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $92
Cash Discount Price: $84
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Community Hospital is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 2000 Campbell Drive, Torrington, WY.

Cash / Self-Pay

$84

Average discount available for prompt cash payment at this facility.

Insurance Median

$92

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 (%)

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
UnitedHealthcare	$42 - $180	N/A
Banner Health	$42 - $84	N/A
Cigna	$42 - $184	N/A
Triwest Healthcare Alliance Corp - VA Ccn	$42 - $84	N/A
Naphcare	$42 - $84	N/A
Humana	$42 - $84	N/A
Prime Health Services	$43 - $186	N/A
Interwest Health	$43 - $186	N/A
Medica	$43 - $180	N/A
Mountain Health Cooperative (Co-Op)	$90 - $180	N/A
Blue Cross Blue Shield	$90 - $180	N/A
Imagine Health, LLC (Wka Wise Provider Network)	$90 - $180	N/A
Hue Health, Inc	$90 - $180	N/A
First Choice Health Network	$90 - $180	N/A
Coventry	$91 - $182	N/A
First Health	$91 - $182	N/A
Midlands Choice	$91 - $182	N/A
Multiplan	$92 - $184	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 $84.
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 Community Hospital 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.