Electrical stimulation therapy
Facility: University Medical Center of Princeton at Plainsboro
Billing Code: G0283 (HCPCS)
- CPT Billing Code: G0283
- Insurance Median: $164
- Cash Discount Price: $236
- vs. Medicare Baseline: 12.92x 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 $12.69 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 1292% of the Medicare baseline (a markup of 1192%). 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 |
|---|---|---|
| Us Family Health Plan | $14 | 110% |
| Medicare (plans) | $14 - $16 | 110% |
| UnitedHealthcare | $14 - $158 | 110% |
| Tricare | $14 | 110% |
| Blue Cross Blue Shield | $14 - $178 | 110% |
| VA Medical Center | $14 | 110% |
| Aetna | $14 - $197 | 110% |
| Humana | $15 | 118% |
| Cigna | $15 - $236 | 118% |
| Clover Health Plan | $15 | 118% |
| Elap | $20 - $25 | 158% |
| Medicaid / KanCare | $22 - $236 | 173% |
| Charity Care | $22 | 173% |
| Wellcare | $24 | 189% |
| Claim Watcher | $25 | 197% |
| Centivo | $25 | 197% |
| Horizon Nj Health | $60 | 473% |
| Preferred Health Care Eliance | $61 | 481% |
| Horizon Behavioral Health | $88 | 693% |
| Beacon Health Options | $118 | 930% |
| Amerihealth | $140 | 1103% |
| Princeton Theological Seminary | $153 | 1206% |
| Magnacare | $165 - $299 | 1300% |
| Health Net | $165 | 1300% |
| Coventry | $165 | 1300% |
| Intergrated Health Plan | $189 | 1489% |
| Penn Global Medicine Embassy Only | $189 | 1489% |
| Intergroup | $189 | 1489% |
| Beech Street | $189 - $201 | 1489% |
| Devon Health Services | $201 | 1584% |
| Qualcare | $201 | 1584% |
| Tri-State | $201 | 1584% |
| Ie Shaffer | $201 | 1584% |
| Allied Trades | $201 | 1584% |
| Consumer Health Network | $201 | 1584% |
| Private Healthcare Systems | $201 | 1584% |
| Total Care Network | $201 | 1584% |
| Compsych | $236 | 1860% |
| Personnel Health Program | $236 | 1860% |
| Concern Plus | $236 | 1860% |
| Managed Health Network | $236 | 1860% |
| Penn Behavioral Health Corporate Services | $236 | 1860% |
| United Behavioral Health | $236 | 1860% |
| Nj Carpenters | $236 | 1860% |
| Magellan | $236 | 1860% |
| Life St. Francis | $236 | 1860% |
| International Pfs | $236 | 1860% |
| Commercial Other | $236 | 1860% |
| First Managed Care Option | $308 | 2427% |