CMS Price Transparency Data

Drug screening test

Facility: Baptist Health Lexington

Billing Code: G0480 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$137

about 1.2× the $114 Medicare rate · typically $76–$280

modeled estimate · not a bill or quote

What this hospital charges insurers

$116

Below the fair price — a good deal

about $21 under the fair price · 1.0× Medicare

Medicare pays $114 Fair price $137 This hospital $116 Cash price $302 Hospital's list price $402

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $77 Priciest $116

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

A fair price for a Drug screening test is about $137 (about 1.2× the $114 Medicare rate). Baptist Health Lexington charges insurers about $116, or about $302 in cash — below the fair price — a good deal. Located in Lexington, KY.

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	$109 - $27,532	95%
Blue Cross Blue Shieldmajor	$13 - $21,475	11%
Aetnamajor	$17 - $24,503	15%
Cignamajor	$39 - $43,100	34%
Humanamajor	$19 - $836	17%
Ambetter (Centene)	$89 - $98,328	78%
CareSource	$114	100%
HealthLink	$26 - $1,136	23%
Molina	$114	100%
WellCare	$12 - $213	10%
+ 8 smaller / regional plans	$24 - $55,149

Excludes 5 rental-network / third-party entries (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 302), 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 Baptist Health Lexington 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 Baptist Health Lexington

Compare: Drug screening test at other KY hospitals

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