CMS Price Transparency Data

Drug screening test

Facility: Ira Davenport Memorial Hospital

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0480
  • Insurance Median: $187
  • Cash Discount Price: $225
  • vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a Drug screening test at Ira Davenport Memorial Hospital is $187. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.63x the Medicare baseline. Located in 7571 State Route 54, Bath, NY.
Cash / Self-Pay
$225

Average discount available for prompt cash payment at this facility.

Insurance Median
$187

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: $225 (197%)
Insurance Median: $187 (163%)
Cash: $225 (197% of Medicare)
Ins. Median: $187 (163% 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
Empire $51 45%
Tricare $114 100%
Blue Cross Blue Shield $114 - $1,225 100%
Humana $114 - $364 100%
Fidelis Care - Exchange - All Plans $114 - $222 100%
Amerihealth Caritas McR Adv - All Plans $116 101%
Fidelis $120 105%
Geisinger - All Plans $121 - $235 106%
Cigna $130 - $252 114%
Mvp Health Plan - All Plans $130 - $252 114%
Independent Health - All Plans $135 - $263 118%
UPMC - All Plans $144 - $279 126%
Pomco Inc - All Plans $150 - $291 131%
Aetna $156 - $333 136%
UnitedHealthcare $156 - $392 136%
Emblem Health - All Plans $183 - $355 160%
Martins Point - All Plans $208 - $404 182%
Emblem/Ghi $345 301%
Healthnow - All Plans $685 - $1,330 599%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7571 State Route 54, Bath, NY 14810
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Rural Emergency Hospital