CMS Price Transparency Data

Drug screening test

Facility: Presence St Marys Hospital

Billing Code: G0480 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$83

about 0.7× the $114 Medicare rate · typically $41–$98

modeled estimate · not a bill or quote

What this hospital charges insurers

$88

About the fair price

about $5 over the fair price · 0.8× Medicare

Medicare pays $114 Fair price $83 This hospital $88 Cash price $114 Hospital's list price $179

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

A typical price — 4 charge more and 4 charge less, among the 9 IL hospitals compared.

Cheapest $75 Priciest $112

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

A fair price for a Drug screening test is about $83 (about 0.7× the $114 Medicare rate). Presence St Marys Hospital charges insurers about $88, or about $114 in cash — about the fair price. Located in Kankakee, IL.

What each insurance company pays

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

5 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	$66 - $143	58%
Blue Cross Blue Shieldmajor	$49 - $160	43%
Aetnamajor	$49 - $120	43%
Cignamajor	$66 - $475	58%
Humanamajor	$49 - $126	43%
Ambetter (Centene)	$66 - $185	58%
Devoted Health	$66 - $114	58%
Health Net	$66 - $137	58%
HealthPartners	$66 - $132	58%
Meridian	$52 - $120	45%
Molina	$52 - $172	45%
WellCare	$66 - $114	58%
+ 9 smaller / regional plans	$49 - $177

Government programs also on file: Medicare, Medicaid, 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 114), 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 Presence St Marys 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 Presence St Marys Hospital

Compare: Drug screening test at other IL hospitals

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