CMS Price Transparency Data

Drug screening test

Facility: El Centro Regional Medical Center

Billing Code: G0480 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$124

about 1.1× the $114 Medicare rate · typically $83–$217

modeled estimate · not a bill or quote

Medicare pays $114 Fair price $124 Cash price $60 Hospital's list price $85

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.

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	$17 - $217	15%
Blue Cross Blue Shieldmajor	$23 - $359	20%
Aetnamajor	$15 - $190	13%
Cignamajor	$26 - $324	23%
Humanamajor	$32 - $402	28%
Ambetter (Centene)	$36 - $445	31%
Health Net	$31 - $389	27%
Molina	$35 - $475	31%
+ 9 smaller / regional plans	$21 - $432

Government programs also on file: Medicaid, 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 60), 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 El Centro Regional 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 El Centro Regional Medical Center

Compare: Drug screening test at other CA hospitals

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