CMS Price Transparency Data
Drug screening test
Facility: St James Hospital
Billing Code: G0480 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$254
about 2.2× the $114 Medicare rate · typically $138–$288
modeled estimate · not a bill or quote
Medicare pays $114 Fair price $254 Hospital's list price $738
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 | $117 - $628 | 102% |
| Blue Cross Blue Shieldmajor | $324 - $738 | 283% |
| Aetnamajor | $331 - $701 | 289% |
| Cignamajor | $182 - $701 | 159% |
| Humanamajor | $118 | 103% |
| GEHA | $296 - $628 | 259% |
| PacificSource | $244 - $701 | 213% |
| + 6 smaller / regional plans | $182 - $701 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at St James Hospital
Compare: Drug screening test at other MT hospitals
Insurance negotiated median for the same procedure, sorted lowest first.