CMS Price Transparency Data

Drug screening test

Facility: Rumford Hospital

Billing Code: G0480 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$142
about 1.2× the $114 Medicare rate · typically $65–$275
modeled estimate · not a bill or quote
Medicare pays $114 Fair price $142 Hospital's list price $353

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.

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 $114 - $554 100%
Harvard Pilgrim $114 - $1,061 100%

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 420 Franklin Street, Rumford, ME 04276
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals