CMS Price Transparency Data

Drug screening test

Facility: Saint Mary's Regional Medical Center

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0480
Insurance Median: $91
Cash Discount Price: $114
vs. Medicare Baseline: 0.80x Medicare

The contracted insurance negotiated median rate for a Drug screening test at Saint Mary's Regional Medical Center is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 0.80x the Medicare baseline. Located in 235 W 6Th St, Reno, NV.

Cash / Self-Pay

$114

Average discount available for prompt cash payment at this facility.

Insurance Median

$91

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: $114 (100%)

Insurance Median: $91 (80%)

Cash: $114 (100% of Medicare)

Ins. Median: $91 (80% 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
Access To Healthcare Network	$27	24%
Medicaid / KanCare	$76	66%
Silver Summit	$76 - $200	66%
Blue Cross Blue Shield	$76 - $114	66%
Health Plan of Nevada	$76 - $114	66%
Molina Healthcare of Nv	$77 - $114	67%
Occunet	$87 - $132	76%
Nv Preferred	$91 - $260	80%
Nevada Health Partners	$91 - $213	80%
Naphcare	$91 - $160	80%
Aetna	$91 - $280	80%
Tricare	$91 - $114	80%
Triwest	$91 - $114	80%
Imperial Insurance Company	$91 - $212	80%
Saint Mary Health Plan	$91 - $132	80%
Medicare (plans)	$91 - $114	80%
Employer Direct	$91 - $160	80%
6 Degrees	$91 - $229	80%
Sierra	$91 - $114	80%
UnitedHealthcare	$91 - $137	80%
Alignment	$91 - $117	80%
Veterans Evaluation Service Ves	$91 - $143	80%
PAM	$91 - $132	80%
Custom Ink	$91 - $248	80%
Asserta Health	$91 - $172	80%
Home Town Test	$91 - $160	80%

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 $114.
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 Saint Mary's Regional 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.