CMS Price Transparency Data

Hospital observation (per hour)

Facility: Preston Memorial Hospital

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $338
Cash Discount Price: $233
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Preston Memorial Hospital is $338. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $233. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 150 Memorial Drive, Kingwood, WV.

Cash / Self-Pay

$233

Average discount available for prompt cash payment at this facility.

Insurance Median

$338

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

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
Aetna	$224 - $504	N/A
Uhc_Va	$224 - $336	N/A
Humana	$224 - $336	N/A
Advantra	$224 - $336	N/A
Medicare (plans)	$224 - $453	N/A
UPMC	$235 - $353	N/A
Medicaid / KanCare	$242 - $382	N/A
Blue_Cross_Highmark_Aca	$271 - $407	N/A
Blue_Cross_Highmark_Pos	$301 - $452	N/A
Blue_Cross_Highmark_Ppo	$301 - $452	N/A
Blue_Cross_Highmark_Traditional	$331 - $496	N/A
UnitedHealthcare	$336 - $504	N/A
Cigna	$343 - $515	N/A
Geha	$354 - $532	N/A
Health	$362 - $543	N/A
4_Most	$362 - $543	N/A

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 $233.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0378.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Preston Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0378.
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.