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See a sample rate comparisonHCPCS G9101 Fee Schedule
HCPCS G9101 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 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)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Medicare Demonstration Projects |
| Complexity Level | Low |
National average reimbursement for HCPCS G9101 by major payers:
$52.14
BCBS / Anthem
$9.62
UnitedHealthcare
$0.25
Aetna
$6.85
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G9101.
HCPCS G9101
5 of 25 sample ratesHigher to lower in this preview
Scottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$24.73Published rateUjuka Iloabuchi
Atlanta Womens Health Group, P.C.
$14.30Published rateSmith Of Georgia, Smith Northview Hospitalists
Smith Of Georgia
$11.10Published rateGeorge Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$8.46Published rateCindy Chang
Miguel A Arenas Md PC
$5.96Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G9101 vs. Other Medicare Demonstration Projects Codes
The table lists codes related to G9101. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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) |
| G9102-HCPCS | Low | Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; clinical or pathologic M0, unresectable 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 G9101. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9101 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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