CMS Price Transparency Data

Hospital observation (per hour)

Facility: Gadsden Regional Medical Center

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $520
Cash Discount Price: $117
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Gadsden Regional Medical Center is $520. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1007 Goodyear Avenue, Gadsden, AL.

Cash / Self-Pay

$117

Average discount available for prompt cash payment at this facility.

Insurance Median

$520

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
Medicaid / KanCare	$17	N/A
Self Pay	$94 - $141	N/A
American Employee Alliance	$312	N/A
Aetna	$405	N/A
Multiplan	$437 - $492	N/A
Magellan Behavioral	$469	N/A
Viva Healthcare	$469	N/A
Prime Health	$547 - $564	N/A
First Health	$547 - $631	N/A
Beech Street	$570 - $1,525	N/A
Alamed Wc	$586	N/A
Focus Health	$598	N/A
Coventry Work Comp Al	$611	N/A
Work Comp	$664	N/A
UnitedHealthcare	$1,850 - $4,624	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 $117.
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 Gadsden Regional 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.