CMS Price Transparency Data

Drug screening test

Facility: St Claire Regional Medical Center

Billing Code: G0480 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$96
about 0.8× the $114 Medicare rate · typically $54–$173
modeled estimate · not a bill or quote
Medicare pays $114 Fair price $96 Cash price $109 Hospital's list price $145

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.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $25 - $315 22%
Aetnamajor $38 - $437 33%
Humanamajor $27 - $306 24%
CareSource $114 - $149 100%
HealthLink $26 - $303 23%
WellCare $14 - $371 12%
+ 2 smaller / regional plans $40 - $568
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 222 Medical Circle, Morehead, KY 40351
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Federal
  • Hospital Type: Acute Care Hospitals