CMS Price Transparency Data

Drug screening test

Facility: Saint Joseph Hospital-Elgin

Billing Code: G0480 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$113

about 1.0× the $114 Medicare rate · typically $80–$158

modeled estimate · not a bill or quote

What this hospital charges insurers

$137

Above the fair price

about $24 over the fair price · 1.2× Medicare

Medicare pays $114 Fair price $113 This hospital $137 Cash price $114 Hospital's list price $358

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $75 Priciest $137

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 $113 (about 1.0× the $114 Medicare rate). Saint Joseph Hospital-Elgin charges insurers about $137, or about $114 in cash — above the fair price. Located in Elgin, IL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $113. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$114 - $143	100%
Blue Cross Blue Shieldmajor	$49 - $160	43%
Aetnamajor	$49 - $120	43%
Cignamajor	$69 - $475	60%
Humanamajor	$49 - $126	43%
Ambetter (Centene)	$157 - $185	137%
Devoted Health	$114	100%
Health Net	$137	120%
HealthPartners	$114 - $132	100%
Meridian	$52 - $120	45%
Molina	$52 - $172	45%
WellCare	$114	100%
+ 8 smaller / regional plans	$114 - $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 Saint Joseph Hospital-Elgin 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 Joseph Hospital-Elgin

Compare: Drug screening test at other IL hospitals

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