CMS Price Transparency Data

Electrical stimulation therapy

Facility: Presence St Marys Hospital

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0283
  • Insurance Median: $13
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Electrical stimulation therapy at Presence St Marys Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 1.02x the Medicare baseline. Located in 500 W Court St, Kankakee, IL.
Cash / Self-Pay
$12

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $12 (95%)
Insurance Median: $13 (102%)
Cash: $12 (95% of Medicare)
Ins. Median: $13 (102% 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.

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
Devoted Health $12 95%
Tricare $12 95%
UnitedHealthcare $12 - $15 95%
Longevity Health Plan of Illinois $12 95%
Cigna $12 95%
Clear Spring Health of Illinois $12 95%
Celtic (Wellcare) $12 95%
Aetna $12 - $26 95%
Resurrection Physicians Provider Group IPA $12 95%
Self-Pay $12 95%
Medicare (plans) $12 95%
Ravenswood Physicians Associates IPA $12 95%
Blue Cross Blue Shield $12 - $26 95%
Essential Health Partners $12 - $14 95%
Village Md Chicago $12 95%
Humana $12 - $26 95%
United Behavioral Health $12 95%
Molina $13 - $28 102%
Meridian $13 - $28 102%
Zing Health Provider Network $13 102%
Provider Partners Health Plan (Pphp) $13 102%
Access Community Health Network $15 118%
Clifton Health System $19 150%
Ambetter / Centene $20 158%
Countycare $26 205%
Medicaid / KanCare $26 205%
Imagine Health Network, Inc. $148 1166%
Community Partners Health Plan $148 1166%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 W Court St, Kankakee, IL 60901
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals