CMS Price Transparency Data

Drug screening test

Facility: Delta Memorial Hospital

Billing Code: G0480 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$99
about 0.9× the $114 Medicare rate · typically $53–$173
modeled estimate · not a bill or quote
Medicare pays $114 Fair price $99 Cash price $93 Hospital's list price $116

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $13 - $248 11%
Blue Cross Blue Shieldmajor $37 - $130 32%
Humanamajor $13 - $93 11%
WellCare $13 - $92 11%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 811 Highway 65 South, Dumas, AR 71639
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals