CMS Price Transparency Data

Drug screening test

Facility: Ochsner Stennis Memorial Hospital

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0480
  • Insurance Median: $114
  • Cash Discount Price: $207
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Drug screening test at Ochsner Stennis Memorial Hospital is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $207. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.00x the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.
Cash / Self-Pay
$207

Average discount available for prompt cash payment at this facility.

Insurance Median
$114

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$114.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $114.43 (100%)
Cash / Self-Pay: $207 (181%)
Insurance Median: $114 (100%)
Cash: $207 (181% of Medicare)
Ins. Median: $114 (100% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $114.43 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
UnitedHealthcare $48 - $153 42%
Humana $61 - $180 53%
Cigna $75 - $180 66%
Medicare (plans) $90 - $207 79%
Ambetter / Centene $91 - $182 80%
Magnolia Health Plan – Wellcare By All Well of Mississippi $91 - $182 80%
Shared Health Mississippi $94 - $189 82%
Aetna $98 - $209 86%
Primewell Health Services Commercial Exchange Plan $100 - $201 87%
Primewell Health Services – Commercial $100 - $201 87%
Medicaid / KanCare $103 - $114 90%
Blue Cross Blue Shield $105 - $113 92%
Select Administrative Services Network $105 - $210 92%
Claritev D/B/A Multiplan/Phcs/American Life Care $112 - $225 98%
Zelis $112 - $225 98%
Prime Health Services PPO $120 - $240 105%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14365 Highway 16 West, De Kalb, MS 39328
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals