Drug screening test
Facility: Ann & Robert H Lurie Childrens Hospital of Chicago
Billing Code: G0480 (HCPCS)
- CPT Billing Code: G0480
- Insurance Median: $352
- Cash Discount Price: $343
- vs. Medicare Baseline: 3.08x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $114.43 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 308% of the Medicare baseline (a markup of 208%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicare (plans) | $46 - $2,656 | 40% |
| UnitedHealthcare | $84 - $92 | 73% |
| Mercycare Health | $99 - $253 | 87% |
| Cigna | $113 - $485 | 99% |
| Blue Cross Blue Shield | $116 - $546 | 101% |
| La Rabida Childrens Hospital | $134 - $342 | 117% |
| Beacon Health Options | $134 - $342 | 117% |
| Aetna | $134 - $535 | 117% |
| Independent Physicians at Mercy | $161 - $410 | 141% |
| Centegra | $161 - $410 | 141% |
| West Suburban Health Providers | $188 - $478 | 164% |
| Methodist First Choice | $188 - $478 | 164% |
| Health Plus | $188 - $478 | 164% |
| Ui Health | $188 - $478 | 164% |
| Presence Health Partners | $188 - $478 | 164% |
| Imagine Health | $188 - $478 | 164% |
| Advanced Physicians Association IPA | $188 - $478 | 164% |
| St. Francis | $188 - $478 | 164% |
| Northwest Community Healthcare | $188 - $478 | 164% |
| Shriners Hospital | $201 - $512 | 176% |
| Swedish Covenant Physician Partners | $201 - $512 | 176% |
| Magellan | $214 - $900 | 187% |
| Macneal Health | $214 - $546 | 187% |
| Health Alliance | $214 - $546 | 187% |
| American Psych Systems | $214 - $546 | 187% |
| Healthlink Inc. | $221 - $563 | 193% |
| St. Elizabeth | $228 - $581 | 199% |
| Humana | $228 - $581 | 199% |
| Cofinity | $228 - $581 | 199% |
| Hfn Inc | $228 - $615 | 199% |
| Principal Healthcare | $228 - $581 | 199% |
| Preferred Health Network | $236 - $601 | 206% |
| First Health | $236 - $601 | 206% |
| Healthstar | $236 - $601 | 206% |
| Sagamore Health Network | $236 - $601 | 206% |
| Private Health Care System | $241 - $615 | 211% |
| Beech Street | $241 - $615 | 211% |
| Benchmark Health | $241 - $615 | 211% |
| Employer's Coalition on Health | $241 - $615 | 211% |
| Security Health Plan | $241 - $615 | 211% |
| Swedish American | $241 - $615 | 211% |
| Wellmark/Healthnetwork | $247 - $628 | 216% |
| National Provider Network | $255 - $649 | 223% |
| Health Smart | $255 - $649 | 223% |
| Wea Insurance Group | $255 - $649 | 223% |
| Multiplan | $255 - $649 | 223% |
| Integrated Health Plan | $255 - $649 | 223% |
| Unicare | $3,678 - $8,500 | 3214% |