CMS Price Transparency Data

Drug screening test

Facility: Northside Hospital Forsyth

Billing Code: G0480 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$153

about 1.3× the $114 Medicare rate · typically $81–$221

modeled estimate · not a bill or quote

What this hospital charges insurers

$109

Below the fair price — a good deal

about $44 under the fair price · 1.0× Medicare

Medicare pays $114 Fair price $153 This hospital $109 Cash price $123 Hospital's list price $164

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $76 Priciest $110

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

A fair price for a Drug screening test is about $153 (about 1.3× the $114 Medicare rate). Northside Hospital Forsyth charges insurers about $109, or about $123 in cash — below the fair price — a good deal. Located in Cumming, GA.

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	$13 - $112	11%
Blue Cross Blue Shieldmajor	$75 - $540	66%
Aetnamajor	$54 - $367	47%
Cignamajor	$15 - $340	13%
Humanamajor	$106 - $117	93%
Kaiser Permanentemajor	$70 - $470	61%
Ambetter (Centene)	$20 - $254	17%
Amerigroup	$13 - $77	11%
CareSource	$40 - $201	35%
Clover Health	$105 - $118	92%
Health Net	$32 - $162	28%
Oscar Health	$107 - $172	94%
WellCare	$108 - $116	94%
+ 17 smaller / regional plans	$43 - $540

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

Excludes 7 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 123), 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 Northside Hospital Forsyth 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 Northside Hospital Forsyth

Compare: Drug screening test at other GA hospitals

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