Price Checker / CPT G0109
How much does Diab Manage Trn Ind/group cost?
CPT G0109 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 5.3x the fair price. This is well above fair — push back or dispute it.
Fair price
$55–$65
What this should cost
With insurance
~$280
Typical out-of-pocket
Overcharged if over
$80
Push back above this
The average hospital charge of $321 is $261 over the fair price (about 5.3x the fair rate).
What hospitals charge for Diab Manage Trn Ind/group
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| "St. John's Riverside Hospital Andrus Pavilion" Yonkers, NY | $932 | $792 | 5714% |
| "St. John's Riverside Hospital Boyce Thompson Pavilion" Yonkers, NY | $932 | $792 | 5714% |
| "St. John's Riverside Hospital Dobbs Ferry Pavilion" Yonkers, NY | $932 | $792 | 5714% |
| "St. John's Riverside Hospital" YONKERS, NY | $932 | $792 | 5714% |
| "St. John's Riverside Hospital Park Care Pavilion" Yonkers, NY | $932 | $792 | 5714% |
| Merit Health Wesley HATTIESBURG, MS | $423 | $89 | 2536% |
| Grandview Medical Center BIRMINGHAM, AL | $253 | $38 | 1478% |
| Pennsylvania Hospital Hall Mercer Philadelphia, PA | $223 | $223 | 1291% |
| Pennsylvania Hospital PHILADELPHIA, PA | $223 | $223 | 1291% |
| "Lutheran Children's Hospital" , IN | $200 | $60 | 1148% |
| Lutheran Hospital CLEVELAND, IN | $200 | $72 | 1148% |
| Houlton Regional Hospital HOULTON, ME | $120 | $120 | 649% |
| Spencer Municipal Hospital SPENCER, IA | $112 | $84 | 596% |
| Tennova Healthcare - Clarksville CLARKSVILLE, TN | $104 | $22 | 549% |
| Jefferson Memorial Hospital , TN | $83 | $18 | 415% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Diab Manage Trn Ind/group
CPT code G0109 refers to diab manage trn ind/group (billing description: "Diab manage trn ind/group"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $16 in a facility (hospital or surgery center) and $16 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.