CMS Price Transparency Data

Electrical stimulation therapy

Facility: Othello Community Hospital

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0283
  • Insurance Median: $121
  • Cash Discount Price: $169
  • vs. Medicare Baseline: 9.54x Medicare
The contracted insurance negotiated median rate for a Electrical stimulation therapy at Othello Community Hospital is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $169. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 9.54x the Medicare baseline. Located in 315 North 14Th Avenue, Othello, WA.
Cash / Self-Pay
$169

Average discount available for prompt cash payment at this facility.

Insurance Median
$121

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: $169 (1332%)
Insurance Median: $121 (954%)
Cash: $169 (1332% of Medicare)
Ins. Median: $121 (954% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 954% of the Medicare baseline (a markup of 854%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Cocare - All Plans $38 - $153 299%
Molina - All Other Plans $38 - $155 299%
UnitedHealthcare $38 - $361 299%
Amerigroup McAid $38 - $153 299%
Molina McAid $38 - $153 299%
Chp - All Other Plans $38 - $155 299%
Kaiser - All Plans $38 - $153 299%
Chp McAid $38 - $153 299%
Ambetter / Centene $38 - $155 299%
Gau - All Plans $38 - $153 299%
Medicare (plans) $44 - $180 347%
Tricare $58 - $234 457%
Triwest - All Plans $58 - $234 457%
Travelers - All Plans $71 - $289 559%
Tpsc - All Plans $71 - $289 559%
Asuris - All Plans $71 - $289 559%
Hma - All Plans $71 - $289 559%
Veterans Admin - All Plans $71 - $289 559%
Hmso - All Plans $71 - $289 559%
Commercial Other - All Plans $71 - $289 559%
Blue Cross Blue Shield $75 - $303 591%
Cigna $79 - $321 623%
First Choice - All Plans $80 - $325 630%
Aetna $84 - $339 662%
Humana $89 - $361 701%
Chp McR Adv $89 - $361 701%
Health Alliance McR Adv - All Plans $89 - $361 701%
Molina McAre $89 - $361 701%
Wellcare McR Adv - All Plans $89 - $361 701%

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