CMS Price Transparency Data

Drug screening test

Facility: Pioneer Medical Center

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0480
Insurance Median: $101
Cash Discount Price: $113
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a Drug screening test at Pioneer Medical Center is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 0.88x the Medicare baseline. Located in 301 W 7Th Ave, Big Timber, MT.

Cash / Self-Pay

$113

Average discount available for prompt cash payment at this facility.

Insurance Median

$101

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: $113 (99%)

Insurance Median: $101 (88%)

Cash: $113 (99% of Medicare)

Ins. Median: $101 (88% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Healtnet Federal-All Plans	$20 - $158	17%
Triwest VA Pccc-All Plans	$20 - $158	17%
UnitedHealthcare	$20 - $332	17%
Blue Cross Blue Shield	$20 - $290	17%
Health Info Net McR Adv	$20 - $158	17%
Humana	$20 - $322	17%
Rocky Mountain Health Network-All Plans	$31 - $245	27%
Allegiance Provider-All Plans	$38 - $298	33%
Mountain Health Co-Op Hpn	$39 - $308	34%
City of Billings-All Plans	$42 - $332	37%
Mountain Health Co-Op-All Other Plans	$42 - $332	37%
Three Rivers-All Plans	$42 - $332	37%
Community Health Ntwk-All Plans	$42 - $332	37%
First Health-All Plans	$42 - $332	37%
6 Degrees Health-All Plans	$42 - $332	37%
Ebms Select Care Network-All Plans	$42 - $332	37%
Interwest PPO	$42 - $332	37%
Americas Choice-All Plans	$42 - $332	37%
Fedmed Network-All Plans	$42 - $332	37%
Pacific Steel & Recycling-All Plans	$42 - $332	37%
Pacific Source-All Plans	$42 - $332	37%
First Choice Big Sky-All Plans	$42 - $332	37%
Health Info Net Peak/Equity	$43 - $340	38%
Health Info Net Standard-All Other Plans	$43 - $340	38%
Interwest Health Traditional-All Other Plans	$44 - $350	38%
Mountain Health Co-Op Ppo/Pos	$44 - $343	38%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $113.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0480.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Pioneer Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0480.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.