CMS Price Transparency Data

Hospital observation (per hour)

Facility: Childrens Hospital of the Kings Daughters Inc

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $222
Cash Discount Price: $277
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Childrens Hospital of the Kings Daughters Inc is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $277. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 601 Children's Lane, Norfolk, VA.

Cash / Self-Pay

$277

Average discount available for prompt cash payment at this facility.

Insurance Median

$222

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
Amerihealth Caritas	$50 - $118	N/A
Healthy Blue	$50 - $118	N/A
Wellcare	$51 - $121	N/A
Carolina Complete Health	$51 - $120	N/A
Sentara Health Plans	$100 - $237	N/A
Cigna	$143 - $340	N/A
Virginia Health Network	$151 - $410	N/A
UnitedHealthcare	$163 - $421	N/A
Aetna	$177 - $421	N/A
Medcost	$183 - $471	N/A
First Health	$194 - $461	N/A
PHCS	$198 - $487	N/A
Multiplan	$198 - $471	N/A
Vhn	$198 - $487	N/A
Johns Hopkins Healthcare	$205 - $487	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 $277.
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 Childrens Hospital of the Kings Daughters Inc 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.