CMS Price Transparency Data

Electrical stimulation therapy

Facility: Charleston Area Medical Center

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0283
Insurance Median: $163
Cash Discount Price: $271
vs. Medicare Baseline: 12.84x Medicare

The contracted insurance negotiated median rate for a Electrical stimulation therapy at Charleston Area Medical Center is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $271. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 12.84x the Medicare baseline. Located in 501 Morris Street, Charleston, WV.

Cash / Self-Pay

$271

Average discount available for prompt cash payment at this facility.

Insurance Median

$163

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: $271 (2136%)

Insurance Median: $163 (1284%)

Cash: $271 (2136% of Medicare)

Ins. Median: $163 (1284% 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 1284% of the Medicare baseline (a markup of 1184%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
The Health Plan of West Virginia Inc.	$11 - $263	87%
Aetna	$11 - $266	87%
Unicare Health Plan of West Virginia Inc.	$11	87%
Triwest VA	$66	520%
Choicecare Network	$68 - $266	536%
Blue Cross Blue Shield	$68 - $247	536%
UnitedHealthcare	$70 - $266	552%
West Virginia Senior Advantage Inc.	$71	559%
Optimum Choice Inc.	$108	851%
Integrated Medical Solutions	$132	1040%
Naphcare	$136	1072%
Tricare	$163	1284%
Caresource	$169	1332%
City of Charleston	$203	1600%
Cigna	$252	1986%
Three Rivers Providers Network	$263	2072%
Healthsmart	$266	2096%
Multiplan	$266	2096%

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 $271.
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 Charleston Area 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.