CMS Price Transparency Data

Electrical stimulation therapy

Facility: Margaretville Memorial Hospital

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0283
Insurance Median: $81
Cash Discount Price: $127
vs. Medicare Baseline: 6.38x Medicare

The contracted insurance negotiated median rate for a Electrical stimulation therapy at Margaretville Memorial Hospital is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $127. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 6.38x the Medicare baseline. Located in 42084 State Highway 28, Margaretville, NY.

Cash / Self-Pay

$127

Average discount available for prompt cash payment at this facility.

Insurance Median

$81

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%)

Cash / Self-Pay: $127 (1001%)

Insurance Median: $81 (638%)

Cash: $127 (1001% of Medicare)

Ins. Median: $81 (638% 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 638% of the Medicare baseline (a markup of 538%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Mvp	$49	386%
UnitedHealthcare	$56 - $176	441%
Hamaspik (McR)	$56	441%
Mvp Gold (McR)	$56	441%
Blue Cross Blue Shield	$56 - $88	441%
Aetna	$56 - $83	441%
Medicare (plans)	$56 - $84	441%
Affinity By Molina McR	$59	465%
Cdphp	$61	481%
Magnacare Standard	$89	701%
Todays Options	$92	725%
Self-Pay	$97	764%
Multiplan	$104	820%
First Health	$114	898%
Emblem Select Care (Exchange)	$154	1214%
Emblem Ghi/Hip Ppo/Cbp	$156	1229%
Oxford Exchange	$158	1245%
Emblem Ghi/Hip Hmo/Epo/Pos	$181	1426%
Mvp Exchange	$238	1875%
Mvp Hmo/Ppo	$280	2206%
Magnacare Preferred	$413	3255%

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 $127.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0283.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Margaretville Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0283.
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.