Diagnostic procedure preparation
Facility: Atlanticare Regional Medical Center - City Campus
Billing Code: G0279 (HCPCS)
- CPT Billing Code: G0279
- Insurance Median: $133
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 3.29x 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 329% of the Medicare baseline (a markup of 229%). 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 |
|---|---|---|
| Americhoice | $22 | 54% |
| UnitedHealthcare | $22 - $121 | 54% |
| Horizon | $24 - $120 | 59% |
| Wellcare | $24 | 59% |
| Self Pay | $26 | 64% |
| Devoted Health Plan | $53 | 131% |
| Magnacare | $68 - $154 | 168% |
| Cigna | $72 - $86 | 178% |
| Global Exchange Managed Care | $77 | 191% |
| Qualcare Commercial | $86 | 213% |
| Evernorth | $86 | 213% |
| Great West Life | $86 | 213% |
| Aetna | $98 - $141 | 243% |
| Health Partners Plan | $102 | 252% |
| Amerihealth | $110 - $144 | 272% |
| Mutual of Omaha | $111 | 275% |
| Active Care Plus | $111 | 275% |
| Qualcare Wc | $111 | 275% |
| First McO | $111 | 275% |
| Consumer Health Network (Chn) | $120 - $154 | 297% |
| Donio Trucking | $120 | 297% |
| Oxford | $128 | 317% |
| Devon/ Ullicare | $128 | 317% |
| Coventry Health Care | $137 | 339% |
| Private Healthcare System (PHCS) | $137 | 339% |
| Blue Cross Blue Shield | $141 | 349% |
| Health Payors Org | $145 | 359% |
| Health South | $145 | 359% |
| Prime Health Services | $145 | 359% |
| Metrahealth of Nj | $145 | 359% |
| Three Rivers Provider Network (Trpn) | $145 | 359% |
| Active Care Nj Pip | $154 | 381% |
| Department of Corrections | $154 | 381% |
| Provider Select, Inc | $154 | 381% |
| Health Network Inc | $154 | 381% |
| Choice Care | $154 | 381% |
| Intergroup Preferred Program | $154 | 381% |
| Multiplan | $154 | 381% |
| Galaxy Health Network | $154 | 381% |
| Metracomp | $154 | 381% |
| Beech Street | $154 | 381% |
| McS Commercial | $154 | 381% |
| Atlantis Health Plan | $158 | 391% |
| Master Care Inc | $158 | 391% |
| National Health Plan | $162 | 401% |
| McSi/Mrsi No Fault | $162 | 401% |
| Community Care Network | $162 | 401% |
| McSi/Mrsi Worker's Comp | $162 | 401% |
| Health Network America | $162 | 401% |
| Advance Healthcare System | $162 | 401% |
| Delta Dental | $350 | 866% |