CMS Price Transparency Data

Hospital observation (per hour)

Facility: Grandview Medical Center

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $549
Cash Discount Price: $218
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Grandview Medical Center is $549. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $218. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 3690 Grandview Parkway, Birmingham, AL.

Cash / Self-Pay

$218

Average discount available for prompt cash payment at this facility.

Insurance Median

$549

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
Healthchoice	$60 - $2,572	N/A
Self Pay	$70 - $1,029	N/A
Bp Health Advocate	$116 - $1,072	N/A
Viva Health	$160 - $186	N/A
Ag Administrators	$162 - $1,500	N/A
Alamed	$162 - $1,500	N/A
Drummond	$162 - $1,500	N/A
Choicecare	$162 - $1,500	N/A
American Employee Alliance	$186 - $1,715	N/A
UnitedHealthcare	$209 - $3,200	N/A
Value Options	$232 - $2,144	N/A
First Health	$278 - $3,352	N/A
Multiplan	$283 - $3,001	N/A
Blue Bell Creameries	$325 - $3,001	N/A
USA PPO	$348 - $3,215	N/A
Natl Comp Care	$348 - $3,215	N/A
Coventry Work Comp Al	$363 - $3,352	N/A
Novanet	$375 - $3,462	N/A
Corvel	$394 - $3,644	N/A
Alabama Wc	$394 - $3,644	N/A
Cal-Med	$394 - $3,644	N/A
Associated Admin	$418 - $3,858	N/A
Blue Cross Blue Shield	$464 - $4,287	N/A
Aetna	$600	N/A
Healthspring	$750	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 $218.
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 Grandview 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.