CMS Price Transparency Data

Hospital observation (per hour)

Facility: University Medical Center of Princeton at Plainsboro

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $184
Cash Discount Price: $216
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at University Medical Center of Princeton at Plainsboro is $184. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $216. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in One-Five Plainsboro Road, Plainsboro, NJ.

Cash / Self-Pay

$216

Average discount available for prompt cash payment at this facility.

Insurance Median

$184

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

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 (%)

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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	$20 - $4,231	N/A
Medicaid / KanCare	$20 - $216	N/A
Charity Care	$20	N/A
Wellcare	$22	N/A
Blue Cross Blue Shield	$43 - $162	N/A
Preferred Health Care Eliance	$56	N/A
Claim Watcher	$76	N/A
Us Family Health Plan	$76	N/A
Horizon Behavioral Health	$81	N/A
Beacon Health Options	$108	N/A
Amerihealth	$114	N/A
Magnacare	$130 - $151	N/A
Health Net	$151	N/A
Coventry	$168	N/A
Beech Street	$173 - $184	N/A
Intergroup	$173	N/A
Penn Global Medicine Embassy Only	$173	N/A
Intergrated Health Plan	$173	N/A
First Managed Care Option	$184	N/A
Private Healthcare Systems	$184	N/A
Consumer Health Network	$184	N/A
Devon Health Services	$184	N/A
Qualcare	$184 - $2,028	N/A
Allied Trades	$184	N/A
Tri-State	$184	N/A
Ie Shaffer	$184	N/A
Total Care Network	$184	N/A
Clover Health Plan	$216	N/A
VA Medical Center	$216	N/A
Life St. Francis	$216	N/A
United Behavioral Health	$216	N/A
Personnel Health Program	$216	N/A
Commercial Other	$216	N/A
Tricare	$216	N/A
Penn Behavioral Health Corporate Services	$216	N/A
Concern Plus	$216	N/A
Nj Carpenters	$216	N/A
Magellan	$216	N/A
Centivo	$216	N/A
Compsych	$216	N/A
International Pfs	$216	N/A
Managed Health Network	$216	N/A
Cigna	$216 - $3,359	N/A
Elap	$216	N/A
Princeton Theological Seminary	$1,431	N/A
UnitedHealthcare	$1,756 - $3,157	N/A

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 $216.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0378.

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 G0378.
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.