CMS Price Transparency Data

Electrical stimulation therapy

Facility: Southwestern Vermont Medical Center

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0283
Insurance Median: $12
Cash Discount Price: $74
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a Electrical stimulation therapy at Southwestern Vermont Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $74. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 0.95x the Medicare baseline. Located in 100 Hospital Drive, Bennington, VT.

Cash / Self-Pay

$74

Average discount available for prompt cash payment at this facility.

Insurance Median

$12

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: $74 (583%)

Insurance Median: $12 (95%)

Cash: $74 (583% of Medicare)

Ins. Median: $12 (95% 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.

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
Fidelis	$9 - $13	71%
Wellcare	$10 - $12	79%
Humana	$10 - $12	79%
Mvp	$10 - $19	79%
Hne	$10 - $12	79%
Cdphp	$10 - $26	79%
Blue Cross Blue Shield	$10 - $15	79%
Cigna	$10 - $19	79%
Aetna	$10 - $12	79%
UnitedHealthcare	$10 - $17	79%
Health New England	$12	95%
Tufts	$16	126%
Allegiance	$17	134%
Harvard Pilgrim	$19	150%

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 $74.
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 Southwestern Vermont Medical Center 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.