CMS Price Transparency Data

Colorectal cancer screening

Facility: Jfk University Medical Center

Billing Code: G0010 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0010
  • Insurance Median: $62
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Colorectal cancer screening at Jfk University Medical Center is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 1.30x the Medicare baseline. Located in 65 James Street, Edison, NJ.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$47.84

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $47.84 (100%)
Cash / Self-Pay: $49 (102%)
Insurance Median: $62 (130%)
Cash: $49 (102% of Medicare)
Ins. Median: $62 (130% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $47.84 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.

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
Aetna $14 - $79 29%
UnitedHealthcare $15 - $73 31%
Clover $16 33%
Seoul Medical Group $19 40%
Oxford - Jri@Oumc $44 92%
Amerigroup $46 - $51 96%
Horizon $46 - $82 96%
Vaccn $46 - $51 96%
Wellcare $46 - $51 96%
United Community/Americhoice $48 - $54 100%
Blue Cross Blue Shield $51 107%
Karna $51 107%
Activecare First McO $62 130%
Intergroup $62 130%
Bergen Risk $66 138%
Prime Health $70 146%
Oxford $73 153%
Multiplan - PHCS $75 157%
Brighton Health Plan $79 165%
Qualcare $81 169%
Amerihealth $83 173%
Cigna $85 178%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 65 James Street, Edison, NJ 08818
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals