CMS Price Transparency Data

Drug screening test

Facility: St Joseph's University Medical Center Inc

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0480
  • Insurance Median: $114
  • Cash Discount Price: $396
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Drug screening test at St Joseph's University Medical Center Inc is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $396. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.00x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$396

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: $396 (346%)
Insurance Median: $114 (100%)
Cash: $396 (346% 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
Aetna $59 - $233 52%
Fidelis Care of New Jersey $79 - $120 69%
Blue Cross Blue Shield $80 - $345 70%
UnitedHealthcare $87 - $238 76%
Wellpoint $96 - $114 84%
Horizon New Jersey Health $103 90%
Amerihealth $114 - $252 100%
Clover Health $114 100%
Horizon New Jersey Total Care $114 100%
Longevity Health Plan $132 115%
Ambetter / Centene $172 150%
Oxford $238 208%
Private Healthcare Systems $257 225%
Magnacare $277 242%
Multiplan $297 260%
Consumer Health Network $356 311%
Oscar $373 326%
Cigna $396 346%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 703 Main St, Paterson, NJ 07503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals