CMS Price Transparency Data

Drug screening test

Facility: Ascension St Vincent Salem

Billing Code: G0480 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$107
about 0.9× the $114 Medicare rate · typically $45–$153
modeled estimate · not a bill or quote
Medicare pays $114 Fair price $107 Cash price $394 Hospital's list price $657

How we calculate the fair BaseRate →

What each insurance company pays

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

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $48 42%
Blue Cross Blue Shieldmajor $32 - $114 28%
+ 4 smaller / regional plans $32 - $114
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 911 N Shelby St, Salem, IN 47167
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals