CMS Price Transparency Data

Drug screening test

Facility: UPMC Chautauqua at Wca

Billing Code: G0480 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$113
about 1.0× the $114 Medicare rate · typically $82–$137
modeled estimate · not a bill or quote
Medicare pays $114 Fair price $113 Cash price $48 Hospital's list price $81

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $50 - $114 44%
Blue Cross Blue Shieldmajor $287 251%
Aetnamajor $51 - $119 45%
Humanamajor $58 - $114 51%
Fidelis Care $114 100%
Geisinger $89 78%
HealthPartners $64 56%
Independent Health $118 103%
MagnaCare $58 - $62 51%
UPMC Health Plan $47 - $117 41%
WellCare $118 103%
+ 3 smaller / regional plans $62 - $143
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 207 Foote Avenue, Jamestown, NY 14701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals