CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Othello Community Hospital

Billing Code: G0279 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0279
  • Insurance Median: $56
  • Cash Discount Price: $86
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Diagnostic procedure preparation at Othello Community Hospital is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.39x the Medicare baseline. Located in 315 North 14Th Avenue, Othello, WA.
Cash / Self-Pay
$86

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

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: $86 (213%)
Insurance Median: $56 (139%)
Cash: $86 (213% of Medicare)
Ins. Median: $56 (139% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Cocare - All Plans $24 - $51 59%
Kaiser - All Plans $24 - $51 59%
UnitedHealthcare $24 - $121 59%
Chp McAid $24 - $51 59%
Amerigroup McAid $24 - $51 59%
Molina McAid $24 - $51 59%
Gau - All Plans $24 - $51 59%
Ambetter / Centene $24 - $52 59%
Chp - All Other Plans $25 - $52 62%
Molina - All Other Plans $25 - $52 62%
Medicare (plans) $29 - $60 72%
Triwest - All Plans $37 - $78 92%
Tricare $37 - $78 92%
Hma - All Plans $46 - $97 114%
Commercial Other - All Plans $46 - $97 114%
Hmso - All Plans $46 - $97 114%
Veterans Admin - All Plans $46 - $97 114%
Travelers - All Plans $46 - $97 114%
Asuris - All Plans $46 - $97 114%
Tpsc - All Plans $46 - $97 114%
Blue Cross Blue Shield $48 - $101 119%
Cigna $51 - $107 126%
First Choice - All Plans $52 - $109 129%
Aetna $54 - $114 134%
Molina McAre $58 - $121 144%
Wellcare McR Adv - All Plans $58 - $121 144%
Health Alliance McR Adv - All Plans $58 - $121 144%
Chp McR Adv $58 - $121 144%
Humana $58 - $121 144%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 North 14Th Avenue, Othello, WA 99344
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals