CMS Price Transparency Data

Drug screening test

Facility: Jones Memorial Hospital

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0480
Insurance Median: $102
Cash Discount Price: $132
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a Drug screening test at Jones Memorial Hospital is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $132. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 0.89x the Medicare baseline. Located in 191 North Main Street, Wellsville, NY.

Cash / Self-Pay

$132

Average discount available for prompt cash payment at this facility.

Insurance Median

$102

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: $132 (115%)

Insurance Median: $102 (89%)

Cash: $132 (115% of Medicare)

Ins. Median: $102 (89% 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
Blue Cross Blue Shield	$15 - $223	13%
UnitedHealthcare	$15 - $114	13%
Medicaid / KanCare	$15 - $102	13%
Univera Healthcare 1706	$15 - $80	13%
Fidelis 5155	$15	13%
Mvp 2900	$15 - $108	13%
Molina Healthcare 1723	$17 - $34	15%
UPMC Health Plan 5138	$86	75%
Medicare (plans)	$102 - $210	89%
Cigna	$108	94%
Total Senior Care 1319	$114	100%
Humana	$114	100%
Aetna	$121 - $189	106%
Independent Health 5156	$210	184%
Empire Plan 5179	$229	200%

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 $132.
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 Jones Memorial Hospital 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.