CMS Price Transparency Data

Hospital observation (per hour)

Facility: St Francis Hospital

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $128
Cash Discount Price: $111
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at St Francis Hospital is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1215 Franciscan Dr, Litchfield, IL.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

$128

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 (%)

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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	$27 - $180	N/A
Clear Spring Health of Illinois	$27 - $180	N/A
Humana	$27 - $180	N/A
Aetna	$28 - $180	N/A
UnitedHealthcare	$28 - $180	N/A
Molina Healthcare	$28 - $180	N/A
Amish Community	$36 - $50	N/A
Celtic Insurance Company	$65 - $396	N/A
Claim Doc	$67 - $450	N/A
Hopetrust	$74 - $450	N/A
Wellfirst	$82 - $116	N/A
First Health	$95 - $134	N/A
Caterpillar, Inc.	$103 - $144	N/A
Current Health Solutions	$108 - $151	N/A
Multiplan/Phcs	$109 - $153	N/A
Healthlink	$109 - $154	N/A
Consociate Group	$109 - $153	N/A
Cigna	$114 - $160	N/A
Provider Network of America	$115 - $162	N/A
Healthcare Finest Network (Hfn)	$115 - $162	N/A
Healthscope	$128 - $180	N/A
Illinois Breast and Cervical Cancer Program	$128 - $180	N/A
Health Alliance Medical Plans	$128 - $180	N/A
Naphcare	$128 - $180	N/A
Interplan	$128 - $180	N/A
Live360	$128 - $180	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 $111.
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 St Francis Hospital 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.