CMS Price Transparency Data

Colorectal cancer screening

Facility: University Medical Center of Princeton at Plainsboro

Billing Code: G0010 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0010
Insurance Median: $27
Cash Discount Price: $32
vs. Medicare Baseline: 0.56x Medicare

The contracted insurance negotiated median rate for a Colorectal cancer screening at University Medical Center of Princeton at Plainsboro is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 0.56x the Medicare baseline. Located in One-Five Plainsboro Road, Plainsboro, NJ.

Cash / Self-Pay

$32

Average discount available for prompt cash payment at this facility.

Insurance Median

$27

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: $32 (67%)

Insurance Median: $27 (56%)

Cash: $32 (67% of Medicare)

Ins. Median: $27 (56% 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.

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
Blue Cross Blue Shield	$6 - $53	13%
Preferred Health Care Eliance	$8	17%
Horizon Behavioral Health	$12	25%
Cigna	$12 - $55	25%
Aetna	$13 - $85	27%
Beacon Health Options	$16	33%
Magnacare	$19 - $22	40%
Princeton Theological Seminary	$21	44%
Coventry	$22	46%
Health Net	$22	46%
UnitedHealthcare	$24 - $53	50%
Intergrated Health Plan	$26	54%
Intergroup	$26	54%
Penn Global Medicine Embassy Only	$26	54%
Beech Street	$26 - $27	54%
Tri-State	$27	56%
First Managed Care Option	$27	56%
Allied Trades	$27	56%
Qualcare	$27	56%
Devon Health Services	$27	56%
Ie Shaffer	$27	56%
Private Healthcare Systems	$27	56%
Consumer Health Network	$27	56%
Total Care Network	$27	56%
United Behavioral Health	$32	67%
Life St. Francis	$32	67%
Magellan	$32	67%
Managed Health Network	$32	67%
Commercial Other	$32	67%
Penn Behavioral Health Corporate Services	$32	67%
Nj Carpenters	$32	67%
Personnel Health Program	$32	67%
Medicaid / KanCare	$32	67%
Compsych	$32	67%
Concern Plus	$32	67%
International Pfs	$32	67%
Medicare (plans)	$53 - $59	111%
Tricare	$53	111%
VA Medical Center	$53	111%
Clover Health Plan	$57	119%
Humana	$58	121%
Us Family Health Plan	$61	128%
Elap	$76 - $96	159%
Claim Watcher	$96	201%
Centivo	$96	201%

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 $32.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0010.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University Medical Center of Princeton at Plainsboro is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0010.
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.