CMS Price Transparency Data

Drug screening test

Facility: AHMC Seton Medical Center

Billing Code: G0480 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$128

about 1.1× the $114 Medicare rate · typically $95–$190

modeled estimate · not a bill or quote

What this hospital charges insurers

$112

Below the fair price — a good deal

about $16 under the fair price · 1.0× Medicare

Medicare pays $114 Fair price $128 This hospital $112 Cash price $118 Hospital's list price $148

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $83 Priciest $112

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

A fair price for a Drug screening test is about $128 (about 1.1× the $114 Medicare rate). AHMC Seton Medical Center charges insurers about $112, or about $118 in cash — below the fair price — a good deal. Located in Daly City, CA.

What each insurance company pays

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

6 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 - $229	100%
Blue Cross Blue Shieldmajor	$77 - $728	67%
Aetnamajor	$100 - $112	87%
Cignamajor	$148	129%
Humanamajor	$112	98%
Kaiser Permanentemajor	$64 - $121	56%
Health Net	$112 - $114	98%
+ 28 smaller / regional plans	$64 - $206

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 8 rental-network / third-party entries (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 118), 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 AHMC Seton 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 AHMC Seton Medical Center

Compare: Drug screening test at other CA hospitals

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