CMS Price Transparency Data

Hospital observation (per hour)

Facility: Mercyone Oelwein Medical Center

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $103
Cash Discount Price: $79
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Mercyone Oelwein Medical Center is $103. 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 N/A, this hospital’s rate is N/A the Medicare baseline. Located in 201 Eighth Avenue Se, Oelwein, IA.

Cash / Self-Pay

$79

Average discount available for prompt cash payment at this facility.

Insurance Median

$103

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
Medicare (plans)	$41 - $64	N/A
Iowa Total Care	$42 - $58	N/A
Medicaid / KanCare	$42 - $59	N/A
Blue Cross Blue Shield	$44 - $61	N/A
UnitedHealthcare	$47 - $129	N/A
Aetna	$51 - $138	N/A
Amish Hospital Aid	$59 - $82	N/A
Centivo	$66 - $92	N/A
Ambetter / Centene	$74 - $103	N/A
Medical Associates	$79 - $110	N/A
Health Choices	$79 - $110	N/A
Nova	$89 - $124	N/A
Claimdoc	$89 - $124	N/A
Geha	$93 - $129	N/A
Luminare Health	$99 - $138	N/A
Asr Health Benefits	$99 - $138	N/A
First Health	$99 - $138	N/A
Medical Mutual	$99 - $138	N/A
1199 National Benefit Fund	$99 - $138	N/A
Allied Benefit Systems	$99 - $138	N/A
Lucent Health	$99 - $138	N/A
Trustmark Small Business Benefits	$99 - $138	N/A
Webtpa	$99 - $138	N/A
Meritain	$99 - $138	N/A
Christian Brother Services	$99 - $138	N/A
Coventry	$99 - $138	N/A
Health Partners	$104 - $144	N/A
Multiplan	$105 - $146	N/A
Auxiant	$106 - $147	N/A
Midlands Choice	$106 - $147	N/A
Cigna	$106 - $147	N/A
Midlands	$106 - $147	N/A
Medica	$106 - $147	N/A
Crime Victim Assistance	$108 - $150	N/A
Iowa Dept of Public Health	$108 - $150	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 $79.
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 Mercyone Oelwein 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.