CMS Price Transparency Data

Drug screening test

Facility: Saint Alphonsus Regional Medical Center

Billing Code: G0480 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$151

about 1.3× the $114 Medicare rate · typically $94–$204

modeled estimate · not a bill or quote

What this hospital charges insurers

$144

About the fair price

about $7 under the fair price · 1.3× Medicare

Medicare pays $114 Fair price $151 This hospital $144 Cash price $463

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

On the higher side — 7 of 8 other ID hospitals charge less.

Cheapest $103 Priciest $172

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Drug screening test is about $151 (about 1.3× the $114 Medicare rate). Saint Alphonsus Regional Medical Center charges insurers about $144, or about $463 in cash — about the fair price. Located in Boise, ID.

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✓ Cigna HumanaKaiser 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	$112	98%
Blue Cross Blue Shieldmajor	$73 - $172	64%
Aetnamajor	$116	101%
Cignamajor	$446	390%
Moda Health	$114 - $222	100%
Molina	$270	236%
Priority Health	$446	390%
+ 4 smaller / regional plans	$117 - $446

Government programs also on file: Medicare, Medicaid.

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 463), 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 Saint Alphonsus 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 Saint Alphonsus Regional Medical Center

Compare: Drug screening test at other ID hospitals

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