CMS Price Transparency Data

Drug screening test

Facility: Rush Memorial Hospital

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0480
Insurance Median: $133
Cash Discount Price: $150
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a Drug screening test at Rush Memorial Hospital is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $150. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.16x the Medicare baseline. Located in 1300 N Main St, Rushville, IN.

Cash / Self-Pay

$150

Average discount available for prompt cash payment at this facility.

Insurance Median

$133

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$114.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $114.43 (100%)

Cash / Self-Pay: $150 (131%)

Insurance Median: $133 (116%)

Cash: $150 (131% of Medicare)

Ins. Median: $133 (116% of 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Health Net	$27 - $376	24%
UnitedHealthcare	$28 - $1,022	24%
My True Advantage - All Plans	$28 - $396	24%
Humana	$28 - $1,176	24%
Caresource McR Adv	$28 - $396	24%
Aetna	$28 - $1,176	24%
Viant Beech St McR Adv	$29 - $408	25%
Blue Cross Blue Shield	$29 - $936	25%
Today's Option McR Adv-All Plans	$29 - $408	25%
Caresource Marketplace-All Other Plans	$45 - $634	39%
Phcs-All Plans	$72 - $1,022	63%
Cigna	$72 - $1,022	63%
Coventry/First Health-All Plans	$81 - $1,150	71%
Consumers Life Ins-All Plans	$81 - $1,150	71%
Siho-All Plans	$83 - $1,176	73%
Sagamore-All Plans	$83 - $1,176	73%
Multiplan-All Plans	$84 - $1,188	73%
Community Health Alliance-All Plans	$85 - $1,201	74%
Encore Health Services-All Plans	$89 - $1,252	78%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $150.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0480.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Rush Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0480.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.