CMS Price Transparency Data

Drug screening test

Facility: Valleywise Health Medical Center

Billing Code: G0480 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$112

about 1.0× the $114 Medicare rate · typically $76–$144

modeled estimate · not a bill or quote

What this hospital charges insurers

$117

About the fair price

about $5 over the fair price · 1.0× Medicare

Medicare pays $114 Fair price $112 This hospital $117 Cash price $132 Hospital's list price $350

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

On the higher side — 6 of 8 other AZ hospitals charge less.

Cheapest $78 Priciest $129

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a Drug screening test is about $112 (about 1.0× the $114 Medicare rate). Valleywise Health Medical Center charges insurers about $117, or about $132 in cash — about the fair price. Located in Phoenix, AZ.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$114 - $137	100%
Blue Cross Blue Shieldmajor	$80 - $320	70%
Aetnamajor	$92 - $228	80%
Cignamajor	$80 - $280	70%
Humanamajor	$114	100%
Banner Health	$114 - $117	100%
Devoted Health	$114	100%
Health Net	$114 - $219	100%
Molina	$126 - $129	110%
Oscar Health	$160	140%
+ 10 smaller / regional plans	$114 - $262

Government programs also on file: Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 132), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: G0480.

Insurance Before you use insurance

Call your insurance company to confirm Valleywise Health Medical Center is in-network.
Ask your insurer whether prior approval is required for HCPCS code G0480.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Valleywise Health Medical Center

Compare: Drug screening test at other AZ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.