CMS Price Transparency Data

Electrical stimulation therapy

Facility: Mary Hitchcock Memorial Hospital

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0283
  • Insurance Median: $35
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.76x Medicare
The contracted insurance negotiated median rate for a Electrical stimulation therapy at Mary Hitchcock Memorial Hospital is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 2.76x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$35

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%)
Insurance Median: $35 (276%)
Ins. Median: $35 (276% 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 276% of the Medicare baseline (a markup of 176%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Harvard Pilgrim Health Care of Ne $9 - $69 71%
Granite State Health Plan $11 - $12 87%
Beacon Health Strategies/Carelon $11 87%
Wellsense Health Plan $11 - $13 87%
Amerihealth Caritas Nh $11 87%
Blue Cross Blue Shield $12 - $105 95%
UnitedHealthcare $12 - $53 95%
Mvp $12 - $43 95%
Martin's Point Health Care $12 95%
Martin's Point Generations Advantage $12 95%
Cigna $12 - $13 95%
Ambetter / Centene $13 - $41 102%
Aetna $13 - $2,224 102%
Wellcare Health Plans $13 102%
Tufts Health Plan $37 - $47 292%
Mass General Brigham Health Plan $38 299%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Medical Center Drive, Lebanon, NH 03756
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals