CMS Price Transparency Data

Drug screening test

Facility: Shenandoah Medical Center

Billing Code: G0480 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$131

about 1.1× the $114 Medicare rate · typically $67–$340

modeled estimate · not a bill or quote

What this hospital charges insurers

$88

Below the fair price — a good deal

about $43 under the fair price · 0.8× Medicare

Medicare pays $114 Fair price $131 This hospital $88 Cash price $112 Hospital's list price $172

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

A typical price — 5 charge more and 3 charge less, among the 9 IA hospitals compared.

Cheapest $77 Priciest $113

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

A fair price for a Drug screening test is about $131 (about 1.1× the $114 Medicare rate). Shenandoah Medical Center charges insurers about $88, or about $112 in cash — below the fair price — a good deal. Located in Shenandoah, IA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$38 - $642	33%
Blue Cross Blue Shieldmajor	$88	77%
Aetnamajor	$39 - $629	34%
Amerigroup	$39 - $220	34%
Molina	$38 - $223	33%
WellCare	$39 - $223	34%
+ 3 smaller / regional plans	$38 - $218

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 112), 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 Shenandoah 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 Shenandoah Medical Center

Compare: Drug screening test at other IA hospitals

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