CMS Price Transparency Data

Drug screening test

Facility: Mainehealth Pen Bay Hospital

Billing Code: G0480 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$112

about 1.0× the $114 Medicare rate · typically $79–$134

modeled estimate · not a bill or quote

Medicare pays $114 Fair price $112 Cash price $79 Hospital's list price $79

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.

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	$16 - $468	14%
Blue Cross Blue Shieldmajor	$16 - $505	14%
Aetnamajor	$16 - $440	14%
Cignamajor	$25 - $396	22%
Humanamajor	$16 - $114	14%
Harvard Pilgrim	$25 - $428	22%
WellCare	$16 - $118	14%
+ 1 smaller / regional plan	$25 - $398

Excludes 1 rental-network / third-party entry (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 79), 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 Mainehealth Pen Bay Hospital 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 Mainehealth Pen Bay Hospital

Compare: Drug screening test at other ME hospitals

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