CMS Price Transparency Data

Drug screening test

Facility: Lafayette Regional Health Center

Billing Code: G0480 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$111

about 1.0× the $114 Medicare rate · typically $60–$358

modeled estimate · not a bill or quote

What this hospital charges insurers

$114

About the fair price

about $3 over the fair price · 1.0× Medicare

Medicare pays $114 Fair price $111 This hospital $114 Cash price $1,313 Hospital's list price $1,313

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

A typical price — 0 charge more and 5 charge less, among the 9 MO hospitals compared.

Cheapest $82 Priciest $114

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Drug screening test is about $111 (about 1.0× the $114 Medicare rate). Lafayette Regional Health Center charges insurers about $114, or about $1,313 in cash — about the fair price. Located in Lexington, MO.

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	$114 - $591	100%
Blue Cross Blue Shieldmajor	$499 - $1,313	436%
Aetnamajor	$341 - $1,149	298%
Cignamajor	$750 - $938	655%
Humanamajor	$444 - $565	388%
Ambetter (Centene)	$244	213%
Oscar Health	$657	574%
+ 8 smaller / regional plans	$250 - $1,182

Excludes 2 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 1,313), 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 Lafayette Regional Health Center 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 Lafayette Regional Health Center

Compare: Drug screening test at other MO hospitals

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