CMS Price Transparency Data

Drug screening test

Facility: Sunrise Hospital and Medical Center

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0480
  • Insurance Median: $114
  • Cash Discount Price: $459
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Drug screening test at Sunrise Hospital and Medical Center is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $459. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.00x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.
Cash / Self-Pay
$459

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: $459 (401%)
Insurance Median: $114 (100%)
Cash: $459 (401% 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 $17 - $188 15%
Blue Cross Blue Shield $32 - $143 28%
United $48 - $265 42%
Molina Healthcare $75 - $79 66%
Community Care Health $75 - $76 66%
Sierra Hpn $75 - $76 66%
Health Plan Nevada $76 - $80 66%
Amerigroup $76 66%
Caresource $79 69%
Humana $80 - $114 70%
Ambetter / Centene $80 - $120 70%
Silver Summit $80 - $84 70%
Molina $80 - $84 70%
Select Health $111 - $292 97%
Health Net $113 99%
Alignment Health Plan $114 100%
Sierra $114 100%
Hometown Health McR $114 100%
Triwest Healthcare Alliance $114 100%
Caremore $117 102%
Health Services Coalition $120 105%
Imperial Nv $126 110%
Universal Healthcare $137 120%
Cigna $149 - $298 130%
Prominence Healthfirst $380 332%
Cmn Global $532 465%
Hometown Health Providers $633 553%
Nv Health & Welfare Trust $760 664%
Multiplan $798 - $924 697%
First Health $836 - $1,013 731%
Medcare International $950 830%
Olympus Medsave USA $950 830%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3186 S Maryland Pkwy, Las Vegas, NV 89109
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals