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See a sample rate comparisonHCPCS G9100 Fee Schedule
HCPCS G9100 is classified under Procedures / Professional Services, in the Medicare Demonstration Projects subgroup.
Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; post R0 resection (with or without neoadjuvant therapy) with no evidence of disease recurrence, progression, or metastases (for use in a Medicare-approved demonstration project)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Medicare Demonstration Projects |
| Complexity Level | Low |
National average reimbursement for HCPCS G9100 by major payers:
$58.99
BCBS / Anthem
$9.62
UnitedHealthcare
$0.25
Aetna
$8.55
Cigna
Compare published rates across providers.
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HCPCS G9100
5 of 25 sample ratesHigher to lower in this preview
Piedmont Newton Hospital, Inc., Newton Medical Center
Piedmont Newton Hospital Inc
$19.98Published rateCabrini Sutherland
Surgical Specialists Of Charlotte, PA
$13.91Published rateAlicia Encinas
Miguel A Arenas Md PC
$10.18Published rateJulie Webster
Musc Community Physicians
$8.43Published rateCarolina Radiology Associates LLC
Carolina Radiology Associates, LLC
$6.88Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G9100 vs. Other Medicare Demonstration Projects Codes
The table lists codes related to G9100. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9099-HCPCS | Low | Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a Medicare-approved demonstration project) |
| G9100-HCPCS | Low | Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; post R0 resection (with or without neoadjuvant therapy) with no evidence of disease recurrence, progression, or metastases (for use in a Medicare-approved demonstration project) |
| G9101-HCPCS | Low | Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; post R1 or R2 resection (with or without neoadjuvant therapy) with no evidence of disease progression, or metastases (for use in a Medicare-approved demonstration project) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9100. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9100 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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