CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Riverview Regional Medical Center

Billing Code: G0279 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0279
Insurance Median: $11
Cash Discount Price: $11
vs. Medicare Baseline: 0.27x Medicare

The contracted insurance negotiated median rate for a Diagnostic procedure preparation at Riverview Regional Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 0.27x the Medicare baseline. Located in 600 South Third Street, Gadsden, AL.

Cash / Self-Pay

$11

Average discount available for prompt cash payment at this facility.

Insurance Median

$11

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: $11 (27%)

Insurance Median: $11 (27%)

Cash: $11 (27% of Medicare)

Ins. Median: $11 (27% 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
Devoted Health	$11	27%
Simpra Advantage	$11	27%
UnitedHealthcare	$11 - $227	27%
Blue Cross Blue Shield	$11 - $65	27%
Medicare (plans)	$11	27%
Evernorth Behavioral Health	$11	27%
Health Service Center	$11	27%
Cigna	$11	27%
Viva Health	$11	27%
Humana	$11	27%
Tricare	$11	27%
Employer Direct Healthcare	$16	40%
Naphcare	$17	42%
Occunet	$22	54%

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 $11.
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 Riverview Regional 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.