CMS Price Transparency Data

Drug screening test

Facility: Providence St Joseph Medical Center

Billing Code: G0480 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$145
about 1.3× the $114 Medicare rate · typically $58–$410
modeled estimate · not a bill or quote
Medicare pays $114 Fair price $145 Cash price $121 Hospital's list price $151

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.

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
PacificSource $143 125%
+ 1 smaller / regional plan $353

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 6 13Th Ave E, Polson, MT 59860
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals