CMS Price Transparency Data

Drug screening test

Facility: St Mary's General Hospital

Billing Code: G0480 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$91

about 0.8× the $114 Medicare rate · typically $62–$136

modeled estimate · not a bill or quote

What this hospital charges insurers

$82

About the fair price

about $9 under the fair price · 0.7× Medicare

Medicare pays $114 Fair price $91 This hospital $82 Cash price $114 Hospital's list price $124

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Lowest price of the 9 NJ hospitals we have prices for — a strong deal.

Cheapest $82 Priciest $114

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

A fair price for a Drug screening test is about $91 (about 0.8× the $114 Medicare rate). St Mary's General Hospital charges insurers about $82, or about $114 in cash — about the fair price. Located in Passaic, NJ.

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	$44 - $114	38%
Blue Cross Blue Shieldmajor	$44 - $114	38%
Aetnamajor	$44 - $243	38%
Cignamajor	$44 - $166	38%
Humanamajor	$44 - $92	38%
AmeriHealth	$44 - $114	38%
Clover Health	$44 - $114	38%
WellCare	$44 - $154	38%
+ 4 smaller / regional plans	$31 - $627

Government programs also on file: Medicare, Military & VA.

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 114), 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 St Mary's General Hospital 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 St Mary's General Hospital

Compare: Drug screening test at other NJ hospitals

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