CMS Price Transparency Data

Electrical stimulation therapy

Facility: Grandview Medical Center

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0283
  • Insurance Median: $90
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 7.09x Medicare
The contracted insurance negotiated median rate for a Electrical stimulation therapy at Grandview Medical Center is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 7.09x the Medicare baseline. Located in 3690 Grandview Parkway, Birmingham, AL.
Cash / Self-Pay
$44

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
$12.69

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $12.69 (100%)
Cash / Self-Pay: $44 (347%)
Insurance Median: $90 (709%)
Cash: $44 (347% of Medicare)
Ins. Median: $90 (709% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $12.69 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 709% of the Medicare baseline (a markup of 609%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Veterans Eval Services $11 87%
Tricare $11 87%
Node Champva $11 87%
Blue Advantage $12 95%
Medicare (plans) $12 95%
Cigna $12 - $171 95%
Node VA $12 95%
Hospice $12 95%
Aetna $12 95%
Node Devoted Health McR Adv $12 95%
Victory Health $12 95%
Humana $12 95%
Select Health $12 95%
UnitedHealthcare $12 - $217 95%
Viva Health $12 - $191 95%
Node Wellcare McR Adv $12 95%
Node Clover Health McR Adv $12 95%
Ambetter / Centene $18 142%
Node Us Dept of Labor $18 142%
Healthspring $21 165%
Self Pay $34 - $54 268%
Bp Health Advocate $56 441%
Blue Cross Blue Shield $56 441%
Choicecare $79 623%
Ag Administrators $79 623%
Drummond $79 623%
Alamed $79 623%
American Employee Alliance $90 709%
Value Options $112 883%
Healthchoice $112 - $135 883%
First Health $135 - $176 1064%
Multiplan $137 - $158 1080%
Blue Bell Creameries $158 1245%
USA PPO $169 1332%
Natl Comp Care $169 1332%
Coventry Work Comp Al $176 1387%
Novanet $182 1434%
Alabama Wc $191 1505%
Corvel $191 1505%
Cal-Med $191 1505%
Associated Admin $202 1592%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3690 Grandview Parkway, Birmingham, AL 35243
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals