CMS Price Transparency Data

Hospital observation (per hour)

Facility: Lovelace Women's Hospital

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $7
Cash Discount Price: $2
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Lovelace Women's Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 4701 Montgomery Boulevard Ne, Albuquerque, NM.

Cash / Self-Pay

Average discount available for prompt cash payment at this facility.

Insurance Median

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
UnitedHealthcare	$1 - $67	N/A
Healthscope Benefits [2290]	$1 - $67	N/A
The Health Plan [2915]	$1 - $52	N/A
Magellan Behavioral Commercial [2895]	$2 - $128	N/A
Presbyterian Health Plan [1830]	$2 - $128	N/A
Corvel Corp [2235]	$2 - $102	N/A
Worker's Comp [2125]	$2 - $105	N/A
Enablecomp [1350]	$2 - $105	N/A
Zelis [2385]	$2 - $128	N/A
Benefit Management [1175]	$2 - $128	N/A
Aetna	$4 - $230	N/A
Mutual of Omaha [1685]	$4 - $230	N/A
Healthcost Solutions [2415]	$4 - $230	N/A
National Telephone Cooperative [1700]	$4 - $230	N/A
Boon-Chapman [2375]	$4 - $230	N/A
Kaiser Permanente [1560]	$4 - $230	N/A
Allied National Global Care [1035]	$4 - $230	N/A
Allied Benefit Systems Inc [1030]	$4 - $230	N/A
Administrative Concepts [1005]	$4 - $230	N/A
Coresource [1315]	$4 - $230	N/A
Fmh Benefit Services [1390]	$4 - $230	N/A
Pan American Life Insurance Co [1770]	$4 - $230	N/A
Coventry Healthcare [1320]	$4 - $230	N/A
PHCS [1780]	$4 - $230	N/A
Emblem Health [2430]	$4 - $230	N/A
Trustmark [2030]	$4 - $230	N/A
Multiplan [1680]	$4 - $230	N/A
First Health [1375]	$4 - $230	N/A
American Medical Security [2190]	$4 - $230	N/A
Healthsmart [1505]	$4 - $237	N/A
Healthnet [1495]	$4 - $230	N/A
Northamerica Administrators [1725]	$4 - $230	N/A
Employee Benefit Management Services [2445]	$4 - $230	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 $2.
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 Lovelace Women's Hospital 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.