CMS Price Transparency Data

Hospital observation (per hour)

Facility: University Medical Center

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $147
Cash Discount Price: $65
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at University Medical Center is $147. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.

Cash / Self-Pay

$65

Average discount available for prompt cash payment at this facility.

Insurance Median

$147

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
Operating Engineers	$5 - $147	N/A
Teamsters Local 14	$5 - $147	N/A
Caesar's Entertainment	$5 - $147	N/A
So Ca Pipe Trades H&W	$5	N/A
Teamsters Local 631	$5 - $147	N/A
Ufcw Local 711 Retail Clerks	$5 - $147	N/A
Blue Cross Blue Shield	$5 - $10	N/A
Plumbers & Pipefitters Loc 525	$5 - $147	N/A
Laborers Health and Welfare	$5 - $147	N/A
California Ironwork Field Welfare	$5	N/A
Electrical Workers	$5 - $147	N/A
Bricklayers Local 13	$5 - $147	N/A
Boyd Group	$5 - $147	N/A
Teamsters Local 986	$5 - $147	N/A
Southwest Carpenters H&W	$5	N/A
Sheet Metal Workers	$5	N/A
Sierra Health and Life	$10	N/A
Molina	$10	N/A
Ambetter / Centene	$10	N/A
Aetna	$107 - $4,700	N/A
Clark County Self Funded	$147	N/A
Nevada Hand	$147	N/A
Employee Painters Trust	$147	N/A
Culinary Workers Hwf	$147	N/A
Mgm Grand	$147	N/A
City of North Las Vegas	$147	N/A
Switch	$147	N/A
Las Vegas Metro Police Dept	$147	N/A
City of Henderson	$147	N/A
Cement Masons & Plasters H&W	$147	N/A
Wynn Resorts	$147	N/A
Resorts World Las Vegas	$147	N/A
Mirage Las Vegas	$147	N/A
Clark County Firefighters 1908	$147	N/A
Clark County EPO	$147	N/A
Las Vegas Firefighters 1285	$147	N/A
Jw Marriott	$1,355	N/A
Las Vegas Sand Corps	$2,925	N/A
American Postal Workers Health Plan	$2,925	N/A
UnitedHealthcare	$2,925	N/A
Surest	$2,925	N/A
Nevada Energy	$4,700	N/A
Coventry	$4,700	N/A
Mail Handlers Benefit Plan	$4,700	N/A
First Health	$6,026	N/A
Three Rivers Provider Network	$6,026	N/A
Health Net	$6,026	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 $65.
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 University 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.