CMS Price Transparency Data

Electrical stimulation therapy

Facility: Kootenai Health

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0283
Insurance Median: $15
Cash Discount Price: $71
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a Electrical stimulation therapy at Kootenai Health is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 1.18x the Medicare baseline. Located in 2003 Kootenai Health Way, Coeur D'Alene, ID.

Cash / Self-Pay

$71

Average discount available for prompt cash payment at this facility.

Insurance Median

$15

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: $71 (559%)

Insurance Median: $15 (118%)

Cash: $71 (559% of Medicare)

Ins. Median: $15 (118% 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.

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
Wellpoint	$10 - $13	79%
Magellan	$10 - $13	79%
Blue Cross Blue Shield	$12 - $85	95%
Molina Healthcare of Idaho	$12 - $35	95%
Pacificsource	$12 - $77	95%
Humana	$12	95%
Premera	$12 - $58	95%
Aetna	$12 - $78	95%
Regence Blue Shield of Idaho	$12	95%
UnitedHealthcare	$12 - $85	95%
Coordinated Care of Washington	$13	102%
Molina Healthcare of Washington	$13	102%
Group Health/Kaiser	$43	339%
Mountain Health Co-Op	$73	575%
Cigna	$77 - $78	607%
First Choice Health (Ameriben)	$80 - $81	630%
Interwest Health	$80	630%

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 $71.
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 Kootenai Health 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.