CMS Price Transparency Data

Hospital observation (per hour)

Facility: South Lincoln Medical Center - Cah

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $495
Cash Discount Price: $655
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at South Lincoln Medical Center - Cah is $495. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $655. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 711 Onyx Street, Kemmerer, WY.

Cash / Self-Pay

$655

Average discount available for prompt cash payment at this facility.

Insurance Median

$495

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
Aetna	$85 - $1,556	N/A
Blue Cross Blue Shield	$85 - $1,376	N/A
Humana	$85 - $852	N/A
Altius Health Plans - All Plans	$147 - $1,474	N/A
Cigna	$147 - $1,474	N/A
Great West Healthcare - All Plans	$147 - $1,474	N/A
Integrated Hp - All Plans	$147 - $1,474	N/A
UnitedHealthcare	$147 - $1,474	N/A
Winhealth Partners - All Plans	$147 - $1,474	N/A
Ccn - All Plans	$156 - $1,556	N/A
Geha - All Plans	$156 - $1,556	N/A
Health Infonet/First Choice - All Plans	$156 - $1,556	N/A
Three Rivers - All Plans	$156 - $1,556	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 $655.
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 South Lincoln Medical Center - Cah 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.