Electrical stimulation therapy
Facility: Mount Sinai Rehabilitation Hospital Inc
Billing Code: G0283 (HCPCS)
- CPT Billing Code: G0283
- Insurance Median: $116
- Cash Discount Price: $106
- vs. Medicare Baseline: 9.14x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 914% of the Medicare baseline (a markup of 814%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Cca Senior Care Options | $13 | 102% |
| Aetna | $13 - $299 | 102% |
| Blue Cross Blue Shield | $13 - $76 | 102% |
| Medicare (plans) | $13 - $14 | 102% |
| UnitedHealthcare | $13 - $224 | 102% |
| Cigna | $14 - $66 | 110% |
| Magnacare | $66 | 520% |
| Health Partners | $66 | 520% |
| Allegiance | $66 | 520% |
| Wc Domestic | $76 | 599% |
| Health Choices | $76 | 599% |
| Pre-Employment | $76 | 599% |
| Blue Shield - Ca | $76 | 599% |
| Blue Shield - Ny Highmark Western | $76 | 599% |
| Blue Shield - PA (Highmark) | $76 | 599% |
| Unicare | $76 | 599% |
| Blue Shield - Id (Regence) | $76 | 599% |
| Kaiser Domestic | $76 | 599% |
| Bcn Domestic | $76 | 599% |
| Blue Shield - Wa (Regence) | $76 | 599% |
| Blue Care Network | $76 | 599% |
| Blue Shield - Ny Highmark Northeastern | $76 | 599% |
| Blue Distinction Transplant | $76 | 599% |
| Blue Benefit Administrators of Massachusetts | $76 | 599% |
| Connecticut Dept of Correction | $84 | 662% |
| Health New England | $102 | 804% |
| Diversified Administrators | $116 | 914% |
| Innovative Health Plan II | $116 | 914% |
| Claimdoc | $116 | 914% |
| Pai | $131 | 1032% |
| Pan-American Life | $131 | 1032% |
| Manhattan Life | $131 | 1032% |
| Family Life Insurance Company | $131 | 1032% |
| Mvp | $131 | 1032% |
| Asrm - Reliance Standard Life Insurance | $131 | 1032% |
| Allied National Global Care | $131 | 1032% |
| Christian Care Ministry | $131 | 1032% |
| International Benefit Administrators | $131 | 1032% |
| Ghc Scw | $131 | 1032% |
| Dean Health | $131 | 1032% |
| Trinity Health Share | $131 | 1032% |
| Paramount HMO | $131 | 1032% |
| Lifetime Benefit Solutions | $131 | 1032% |
| Multiplan | $131 | 1032% |
| PHCS | $131 | 1032% |
| Medi Share | $131 | 1032% |
| Prime Health Services | $154 | 1214% |
| Health Smart | $164 | 1292% |
| Geha | $224 | 1765% |
| Harvard Pilgrim Healthcare | $224 | 1765% |
| Webtpa | $299 | 2356% |
| Hap | $299 | 2356% |
| 1199 National Benefit Fund | $299 | 2356% |
| Gravie Admin Services | $299 | 2356% |
| Allied Benefit Systems | $299 | 2356% |
| Luminare Health | $299 | 2356% |
| Meritain | $299 | 2356% |
| Nippon Life Ins | $299 | 2356% |
| Connecticare | $354 - $402 | 2790% |