CMS Price Transparency Data

Hospital observation (per hour)

Facility: Pioneer Medical Center

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $149
Cash Discount Price: $126
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Pioneer Medical Center is $149. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $126. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 301 W 7Th Ave, Big Timber, MT.

Cash / Self-Pay

$126

Average discount available for prompt cash payment at this facility.

Insurance Median

$149

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	$71 - $130	N/A
Health Info Net McR Adv	$71	N/A
Humana	$71 - $144	N/A
Healtnet Federal-All Plans	$71	N/A
UnitedHealthcare	$71 - $149	N/A
Triwest VA Pccc-All Plans	$71	N/A
Rocky Mountain Health Network-All Plans	$110	N/A
Allegiance Provider-All Plans	$133	N/A
Mountain Health Co-Op Hpn	$138	N/A
6 Degrees Health-All Plans	$149	N/A
Fedmed Network-All Plans	$149	N/A
Pacific Steel & Recycling-All Plans	$149	N/A
Ebms Select Care Network-All Plans	$149	N/A
City of Billings-All Plans	$149	N/A
Pacific Source-All Plans	$149	N/A
Mountain Health Co-Op-All Other Plans	$149	N/A
Community Health Ntwk-All Plans	$149	N/A
Interwest PPO	$149	N/A
First Choice Big Sky-All Plans	$149	N/A
First Health-All Plans	$149	N/A
Americas Choice-All Plans	$149	N/A
Three Rivers-All Plans	$149	N/A
Health Info Net Standard-All Other Plans	$152	N/A
Health Info Net Peak/Equity	$152	N/A
Mountain Health Co-Op Ppo/Pos	$154	N/A
Interwest Health Traditional-All Other Plans	$157	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 $126.
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 Pioneer Medical Center 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.