CMS Price Transparency Data

Drug screening test

Facility: Piedmont Walton Hospital

Billing Code: G0480 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$140

about 1.2× the $114 Medicare rate · typically $108–$228

modeled estimate · not a bill or quote

What this hospital charges insurers

$103

Below the fair price — a good deal

about $37 under the fair price · 0.9× Medicare

Medicare pays $114 Fair price $140 This hospital $103 Cash price $153 Hospital's list price $510

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

One of the lower prices — 4 of 8 other GA hospitals charge more for the same procedure.

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 $140 (about 1.2× the $114 Medicare rate). Piedmont Walton Hospital charges insurers about $103, or about $153 in cash — below the fair price — a good deal. Located in Monroe, GA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente CignaHumana

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	$103	90%
Blue Cross Blue Shieldmajor	$237	207%
Aetnamajor	$363	317%
Kaiser Permanentemajor	$434	379%
+ 3 smaller / regional plans	$347 - $459

Government programs also on file: Medicaid.

Excludes 3 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 153), 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 Piedmont Walton Hospital 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 Piedmont Walton Hospital

Compare: Drug screening test at other GA hospitals

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