CMS Price Transparency Data

Hospital observation (per hour)

Facility: Hillcrest Hospital Henryetta

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $48
Cash Discount Price: $18
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Hillcrest Hospital Henryetta is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 2401 W Main, Henryetta, OK.

Cash / Self-Pay

$18

Average discount available for prompt cash payment at this facility.

Insurance Median

$48

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
Pending Ssi [1616]	$1 - $60	N/A
Lucent Health [6000]	$15	N/A
Black Lung [6055]	$15	N/A
Cigna	$33	N/A
Healthpartners [1500]	$33	N/A
National Association of Letter Carriers [1695]	$33	N/A
Pba [1775]	$33	N/A
Global Health [1430]	$37	N/A
Multiplan [1680]	$41 - $52	N/A
First Health [1375]	$41 - $52	N/A
Healthcare Solutions [1485]	$43	N/A
Group Resources [1455]	$48	N/A
Fmh Benefit Services [1390]	$48	N/A
Community Care [1290]	$48	N/A
PHCS [1780]	$48 - $52	N/A
Healthsmart [1505]	$51	N/A
Trustmark [2030]	$52	N/A
New Era Life Insurance Company [1705]	$52	N/A
Allied Benefit Systems Inc [1030]	$52	N/A
Gilsbar [1425]	$52	N/A
Allied National Global Care [1035]	$52	N/A
Healthnet [1495]	$52	N/A
Administrative Concepts [1005]	$52	N/A
Pan American Life Insurance Co [1770]	$52	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 $18.
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 Hillcrest Hospital Henryetta 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.