CMS Price Transparency Data

Electrical stimulation therapy

Facility: West Valley Medical Center

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0283
Insurance Median: $59
Cash Discount Price: $170
vs. Medicare Baseline: 4.65x Medicare

The contracted insurance negotiated median rate for a Electrical stimulation therapy at West Valley Medical Center is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $170. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 4.65x the Medicare baseline. Located in 1717 Arlington Street, Caldwell, ID.

Cash / Self-Pay

$170

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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: $170 (1340%)

Insurance Median: $59 (465%)

Cash: $170 (1340% of Medicare)

Ins. Median: $59 (465% 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 465% of the Medicare baseline (a markup of 365%). 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
Blue Cross Blue Shield	$10 - $1,261	79%
Molina	$10 - $12	79%
Humana	$11 - $143	87%
St Luke's Health Partners	$11 - $110	87%
United	$11 - $101	87%
Regence Blue Shield	$11 - $12	87%
Veteran's Administration	$11 - $12	87%
Regence	$27	213%
Select Health Idaho (Eirmc Only)	$54	426%
Corizon Health	$63	496%
True Blue	$67	528%
Cigna	$95	749%
Pacificsource Health	$101	796%
Moda	$106	835%
Aetna	$134	1056%
Four Rivers Hospice	$136	1072%
Multiplan	$136	1072%
Geha PPO USA	$144	1135%
St Alphonsus Health	$153	1206%
Coventry First Health	$153	1206%

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 $170.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0283.

Insurance In-Network Protection Plan

Contact your insurance company to confirm West Valley Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0283.
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.