CMS Price Transparency Data

Electrical stimulation therapy

Facility: Mainehealth Mid Coast Hospital

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0283
Insurance Median: $23
Cash Discount Price: $117
vs. Medicare Baseline: 1.81x Medicare

The contracted insurance negotiated median rate for a Electrical stimulation therapy at Mainehealth Mid Coast Hospital is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 1.81x the Medicare baseline. Located in 123 Medical Center Drive, Brunswick, ME.

Cash / Self-Pay

$117

Average discount available for prompt cash payment at this facility.

Insurance Median

$23

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: $117 (922%)

Insurance Median: $23 (181%)

Cash: $117 (922% of Medicare)

Ins. Median: $23 (181% 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
Blue Cross Blue Shield	$12 - $16	95%
UnitedHealthcare	$12 - $111	95%
Humana	$12 - $14	95%
Aetna	$12 - $99	95%
Wellcare	$13 - $14	102%
Multiplan	$22 - $110	173%
Harvard Pilgrim Healthcare	$22 - $94	173%
Community Health Options	$26 - $110	205%
Cigna	$83 - $122	654%

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 $117.
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 Mainehealth Mid Coast 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.