CMS Price Transparency Data

Electrical stimulation therapy

Facility: Rush Memorial Hospital

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0283
Insurance Median: $145
Cash Discount Price: $158
vs. Medicare Baseline: 11.43x Medicare

The contracted insurance negotiated median rate for a Electrical stimulation therapy at Rush Memorial Hospital is $145. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $158. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 11.43x the Medicare baseline. Located in 1300 N Main St, Rushville, IN.

Cash / Self-Pay

$158

Average discount available for prompt cash payment at this facility.

Insurance Median

$145

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: $158 (1245%)

Insurance Median: $145 (1143%)

Cash: $158 (1245% of Medicare)

Ins. Median: $145 (1143% 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 1143% of the Medicare baseline (a markup of 1043%). 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
Health Net	$60 - $64	473%
My True Advantage - All Plans	$63 - $67	496%
Caresource McR Adv	$63 - $67	496%
UnitedHealthcare	$63 - $173	496%
Humana	$64 - $199	504%
Aetna	$64 - $199	504%
Blue Cross Blue Shield	$65 - $158	512%
Today's Option McR Adv-All Plans	$65 - $69	512%
Viant Beech St McR Adv	$65 - $69	512%
Caresource Marketplace-All Other Plans	$101 - $107	796%
Cigna	$164 - $173	1292%
Phcs-All Plans	$164 - $173	1292%
Coventry/First Health-All Plans	$184 - $194	1450%
Consumers Life Ins-All Plans	$184 - $194	1450%
Sagamore-All Plans	$188 - $199	1481%
Siho-All Plans	$188 - $199	1481%
Multiplan-All Plans	$190 - $201	1497%
Community Health Alliance-All Plans	$192 - $203	1513%
Encore Health Services-All Plans	$200 - $212	1576%

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 $158.
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 Rush Memorial Hospital 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.