CMS Price Transparency Data

Drug screening test

Facility: Falmouth Hospital

Billing Code: G0480 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$145
about 1.3× the $114 Medicare rate · typically $95–$182
modeled estimate · not a bill or quote
What this hospital charges insurers
$151
About the fair price
about $6 over the fair price · 1.3× Medicare
Medicare pays $114 Fair price $145 This hospital $151 Cash price $138 Hospital's list price $326

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $114 Priciest $151

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

A fair price for a Drug screening test is about $145 (about 1.3× the $114 Medicare rate). Falmouth Hospital charges insurers about $151, or about $138 in cash — about the fair price. Located in Falmouth, MA.

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 $116 101%
Blue Cross Blue Shieldmajor $123 - $455 107%
Harvard Pilgrim $151 132%
UniCare $870 760%
WellSense $300 262%
+ 3 smaller / regional plans $114 - $277

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 67 & 100 Ter Heun Drive, Falmouth, MA 02540
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals