CMS Price Transparency Data
Drug screening test
Facility: Boston Children's Hospital
Billing Code: G0480 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$171
about 1.5× the $114 Medicare rate · typically $88–$370
modeled estimate · not a bill or quote
Medicare pays $114 Fair price $171 Cash price $146 Hospital's list price $146
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 | $12 - $428 | 10% |
| Blue Cross Blue Shieldmajor | $12 - $333 | 10% |
| Aetnamajor | $13 - $422 | 11% |
| Cignamajor | $12 - $455 | 10% |
| Humanamajor | $12 - $454 | 10% |
| Ambetter (Centene) | $12 - $319 | 10% |
| CDPHP | $16 - $428 | 14% |
| Harvard Pilgrim | $12 - $341 | 10% |
| Tufts Health Plan | $12 - $310 | 10% |
| UniCare | $339 | 296% |
| + 8 smaller / regional plans | $12 - $454 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Boston Children's Hospital
Compare: Drug screening test at other MA hospitals
- Boston Medical Center · Boston $114
- Boston Medical Center-Brighton · Brighton $114
- Good Samaritan Medical Center · Brockton $114
- Metrowest Medical Center · Framingham $114
- St Vincent Hospital · Worcester $114
- Holyoke Medical Center · Holyoke $118
- Southcoast Hospitals Group · Fall River $118
- UMass Memorial Health - Harrington Hospital · Southbridge $120
Insurance negotiated median for the same procedure, sorted lowest first.