CMS Price Transparency Data

Hospital observation (per hour)

Facility: West Valley Medical Center

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $258
Cash Discount Price: $375
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at West Valley Medical Center is $258. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $375. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1717 Arlington Street, Caldwell, ID.

Cash / Self-Pay

$375

Average discount available for prompt cash payment at this facility.

Insurance Median

$258

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
Blue Cross Blue Shield	$43 - $409	N/A
Regence Blue Shield	$50	N/A
Select Health Idaho (Eirmc Only)	$92 - $137	N/A
Regence	$100	N/A
Corizon Health	$106 - $159	N/A
True Blue	$113 - $170	N/A
Cigna	$161 - $241	N/A
Pacificsource Health	$171 - $257	N/A
United	$171 - $257	N/A
Moda	$179 - $268	N/A
St Luke's Health Partners	$187 - $280	N/A
Four Rivers Hospice	$230 - $345	N/A
Multiplan	$230 - $345	N/A
Humana	$241 - $362	N/A
Geha PPO USA	$244 - $366	N/A
Coventry First Health	$258 - $388	N/A
St Alphonsus Health	$258 - $388	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 $375.
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 West Valley 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.