CMS Price Transparency Data

Electrical stimulation therapy

Facility: Rehabilitation Hospital of Wisconsin

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0283
  • Insurance Median: $137
  • Cash Discount Price: $137
  • vs. Medicare Baseline: 10.80x Medicare
The contracted insurance negotiated median rate for a Electrical stimulation therapy at Rehabilitation Hospital of Wisconsin is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $137. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 10.80x the Medicare baseline. Located in 1625 Coldwater Creek Dr, Waukesha, WI.
Cash / Self-Pay
$137

Average discount available for prompt cash payment at this facility.

Insurance Median
$137

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: $137 (1080%)
Insurance Median: $137 (1080%)
Cash: $137 (1080% of Medicare)
Ins. Median: $137 (1080% 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 1080% of the Medicare baseline (a markup of 980%). 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.

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
Alliance PPO $95 749%
Medica (Under Dean) $95 749%
Dean PPO Hmo/Pos $95 749%
UnitedHealthcare $96 - $137 757%
Trilogy PPO $99 - $137 780%
Wps "Insurance" PPO $100 788%
PHCS Savility $103 812%
Hps Solutions PPO $104 820%
Aetna $107 - $137 843%
Health Eos Poc $110 867%
Coventry/First Health PPO $113 890%
Hps (Other) $113 890%
Health Eos Multiplan $117 922%
PHCS / Multiplan $126 993%
Cigna $137 1080%
Network Health - Aca $137 1080%
Centivo Broad $137 1080%
Blue Cross Blue Shield $137 1080%
Unity Health Plan and Unity Quartz(Hmo/Pos) $137 1080%
Together With Cchp $137 1080%
Community Care, Inc $137 1080%
Molina (Fka Care Wisconsin) $137 1080%
VA - Primary Only - Authorization Required $137 1080%
Managed Health Services (Mhs) $137 1080%
Medicaid / KanCare $137 1080%
Centivo Narrow/Value $137 1080%
Network Health - Commercial $137 1080%
Icare McD $137 1080%
Security Health Plan - Advocare $137 1080%
Quartz (Self Funded) / Unity Health Plan (Hmo/Pos) $137 1080%
All Savers $137 1080%
Children's Communty Health Plan(Cchp) $137 1080%
Medicare (plans) $137 1080%
Humana $137 1080%
Centivo Intermediate/Median $137 1080%
Wellcare McR $137 1080%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1625 Coldwater Creek Dr, Waukesha, WI 53188
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL