CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Curry General Hospital

Billing Code: G0279 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0279
Insurance Median: $609
Cash Discount Price: $641
vs. Medicare Baseline: 15.07x Medicare

The contracted insurance negotiated median rate for a Diagnostic procedure preparation at Curry General Hospital is $609. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $641. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 15.07x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$641

Average discount available for prompt cash payment at this facility.

Insurance Median

$609

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)

Cash / Self-Pay: $641 (1586%)

Insurance Median: $609 (1507%)

Cash: $641 (1586% of Medicare)

Ins. Median: $609 (1507% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $40.41 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 1507% of the Medicare baseline (a markup of 1407%). 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
Partnership Health Plan of Calif Mdcd HMO [2008]	$32	79%
First Choice [528]	$129	319%
First Choice Health Admin [1294]	$129	319%
Tricare	$200	495%
Covid19 Hrsa Uninsured Testing and Treatment Fund [2271]	$278	688%
Medicare (plans)	$278 - $417	688%
Blue Cross Blue Shield	$327 - $641	809%
Medicaid / KanCare	$404 - $417	1000%
Department of Corrections [1051]	$417	1032%
Pacificsource [1148]	$545	1349%
Coordinated Care Commercial [1649]	$545	1349%
Moda [512]	$550 - $577	1361%
Multiplan [1131]	$583	1443%
Operating Engineers [1144]	$609	1507%
Regence [1351]	$609 - $641	1507%
Asuris [1258]	$609	1507%
Coventry First Health Managed Care [1774]	$628	1554%
Providence Health Plan [567]	$628	1554%
Providence Health Plan Plm Alt [1692]	$628	1554%
Coventry Health [1046]	$628	1554%
Cigna	$628 - $641	1554%
Mailhandlers Benefit Pln [547]	$641	1586%
Trustmark [524]	$641	1586%
Zenith Administrators [586]	$641	1586%
Employee Bene Admin Mgmt [525]	$641	1586%
Aetna	$641	1586%
UnitedHealthcare	$641	1586%
Meritain [550]	$641	1586%
Nw Sheet Metal Workers [597]	$641	1586%
Geha [531]	$641	1586%
Allcare [1695]	$2,000	4949%
Allcare Alt [2598]	$2,000	4949%

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 $641.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0279.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Curry General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0279.
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.