CMS Price Transparency Data

Hospital observation (per hour)

Facility: Cheshire Medical Center

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $94
Cash Discount Price: $159
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Cheshire Medical Center is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $159. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$159

Average discount available for prompt cash payment at this facility.

Insurance Median

$94

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 (%)

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
Amerihealth Caritas Nh	$6 - $134	N/A
Wellsense Health Plan	$7 - $151	N/A
Granite State Health Plan	$9 - $183	N/A
Harvard Pilgrim Health Care of Ne	$11 - $4,778	N/A
Maine Community Health Options	$24 - $494	N/A
Cigna	$26 - $544	N/A
Mvp	$26 - $544	N/A
UnitedHealthcare	$32 - $833	N/A
Tufts Health Plan	$34 - $701	N/A
Aetna	$36 - $751	N/A
Blue Cross Blue Shield	$41 - $872	N/A
First Health/Hcvm	$45 - $933	N/A
PHCS	$48 - $988	N/A
Mass General Brigham Health Plan	$53 - $1,098	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 $159.
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 Cheshire 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.