CMS Price Transparency Data

Drug screening test

Facility: Southern Hills Hospital and Medical Center

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0480
  • Insurance Median: $114
  • Cash Discount Price: $772
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Drug screening test at Southern Hills Hospital and Medical Center is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $772. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.00x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.
Cash / Self-Pay
$772

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: $772 (675%)
Insurance Median: $114 (100%)
Cash: $772 (675% 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 - $190 15%
Community Care Health $75 - $76 66%
Molina Healthcare $75 - $79 66%
Sierra Hpn $75 - $76 66%
Caresource $79 69%
Ambetter / Centene $80 - $120 70%
Humana $111 - $114 97%
Select Health $111 - $180 97%
Health Net $113 99%
Blue Cross Blue Shield $114 - $143 100%
Hometown Health McR $114 100%
Triwest $114 100%
Sierra $114 100%
Alignment Health Plan $114 100%
United $114 - $170 100%
Caremore $117 102%
Health Services Coalition $120 105%
Imperial Nv $126 110%
Universal Healthcare $137 120%
Cigna $149 - $298 130%
Prominence Healthfirst $234 204%
Cmn Global $328 287%
Hometown Health Providers $390 341%
Evernorth $390 341%
Nv Health & Welfare Trust $468 409%
Multiplan $491 - $569 429%
First Health $515 - $624 450%
Olympus Medsave USA $585 511%
Medcare International $585 511%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9300 West Sunset Rd, Las Vegas, NV 89148
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals