CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Crestwood Medical Center

Billing Code: G0279 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0279
Insurance Median: $215
Cash Discount Price: $79
vs. Medicare Baseline: 5.32x Medicare

The contracted insurance negotiated median rate for a Diagnostic procedure preparation at Crestwood Medical Center is $215. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 5.32x the Medicare baseline. Located in One Hospital Dr Se, Huntsville, AL.

Cash / Self-Pay

$79

Average discount available for prompt cash payment at this facility.

Insurance Median

$215

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: $79 (195%)

Insurance Median: $215 (532%)

Cash: $79 (195% of Medicare)

Ins. Median: $215 (532% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 532% of the Medicare baseline (a markup of 432%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Al Bccedp	$11	27%
Node Champva	$13	32%
Veterans Eval Services	$13	32%
Tricare	$13	32%
Cigna	$21	52%
Self Pay	$49 - $118	121%
UnitedHealthcare	$51	126%
Blue Cross Blue Shield	$75	186%
Wc Hart & Cooley	$110 - $224	272%
American Employee Alliance	$110 - $224	272%
Aetna	$128 - $261	317%
Alamed	$137 - $280	339%
Wc Acs Compiq Xerox	$169 - $345	418%
Fortified	$190 - $448	470%
Core Choice	$192 - $409	475%
Prime Health	$192 - $431	475%
Coventry	$194 - $397	480%
Rockport	$196 - $401	485%
America's Choice	$201 - $448	497%
Novanet	$201 - $420	497%
Wc Al	$211 - $431	522%
Multiplan	$233 - $476	577%

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 $79.
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 Crestwood 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.