Diagnostic procedure preparation
Facility: Johnson Memorial Hospital
Billing Code: G0279 (HCPCS)
- CPT Billing Code: G0279
- Insurance Median: $466
- Cash Discount Price: $386
- vs. Medicare Baseline: 11.53x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1153% of the Medicare baseline (a markup of 1053%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicare (plans) | $13 - $14 | 32% |
| Aetna | $13 - $656 | 32% |
| Blue Cross Blue Shield | $13 - $106 | 32% |
| UnitedHealthcare | $13 - $841 | 32% |
| Cigna | $14 - $768 | 35% |
| Cca Senior Care Options | $14 | 35% |
| Connecticut Dept of Correction | $16 | 40% |
| Blue Benefit Administrators of Massachusetts | $106 | 262% |
| Blue Shield - PA (Highmark) | $106 | 262% |
| Blue Shield - Wa (Regence) | $106 | 262% |
| Bcn Domestic | $106 | 262% |
| Blue Shield - Id (Regence) | $106 | 262% |
| Blue Shield - Ny Highmark Western | $106 | 262% |
| Pre-Employment | $106 | 262% |
| Blue Shield - Ny Highmark Northeastern | $106 | 262% |
| Blue Care Network | $106 | 262% |
| Health Choices | $106 | 262% |
| Wc Domestic | $106 | 262% |
| Kaiser Domestic | $106 | 262% |
| Blue Shield - Ca | $106 | 262% |
| Blue Distinction Transplant | $106 | 262% |
| Harvard Pilgrim Healthcare | $151 - $193 | 374% |
| Geha | $151 - $193 | 374% |
| Innovative Health Plan II | $337 - $505 | 834% |
| Diversified Administrators | $337 - $505 | 834% |
| Claimdoc | $337 - $505 | 834% |
| Health New England | $365 - $547 | 903% |
| Wellpoint | $387 - $493 | 958% |
| Unicare | $387 - $493 | 958% |
| Centivo | $421 - $631 | 1042% |
| Nippon Life Ins | $438 - $656 | 1084% |
| 1199 National Benefit Fund | $438 - $656 | 1084% |
| Hap | $438 - $656 | 1084% |
| Gravie Admin Services | $438 - $656 | 1084% |
| Webtpa | $438 - $656 | 1084% |
| Allied Benefit Systems | $438 - $656 | 1084% |
| Meritain | $438 - $656 | 1084% |
| Luminare Health | $438 - $656 | 1084% |
| Prime Health Services | $449 - $673 | 1111% |
| Paramount HMO | $466 - $698 | 1153% |
| Multiplan | $466 - $698 | 1153% |
| Medi Share | $466 - $698 | 1153% |
| PHCS | $466 - $698 | 1153% |
| Lifetime Benefit Solutions | $466 - $698 | 1153% |
| Family Life Insurance Company | $466 - $698 | 1153% |
| International Benefit Administrators | $466 - $698 | 1153% |
| Allied National Global Care | $466 - $698 | 1153% |
| Trinity Health Share | $466 - $698 | 1153% |
| Dean Health | $466 - $698 | 1153% |
| Manhattan Life | $466 - $698 | 1153% |
| Ghc Scw | $466 - $698 | 1153% |
| Pai | $466 - $698 | 1153% |
| Mvp | $466 - $698 | 1153% |
| Asrm - Reliance Standard Life Insurance | $466 - $698 | 1153% |
| Pan-American Life | $466 - $698 | 1153% |
| Christian Care Ministry | $466 - $698 | 1153% |
| Health Smart | $477 - $715 | 1180% |
| Magnacare | $512 - $768 | 1267% |
| Health Partners | $512 - $768 | 1267% |
| Allegiance | $512 - $768 | 1267% |
| Connecticare | $544 - $869 | 1346% |
| United Behavioral Health Eap | $561 - $841 | 1388% |