CMS Price Transparency Data

Drug screening test

Facility: Community Memorial Hospital, Inc

Billing Code: G0480 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$126
about 1.1× the $114 Medicare rate · typically $53–$276
modeled estimate · not a bill or quote
Medicare pays $114 Fair price $126 Cash price $37 Hospital's list price $46

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $14 - $22 12%
Blue Cross Blue Shieldmajor $14 - $26 12%
Aetnamajor $23 20%
Cignamajor $21 18%
Humanamajor $21 18%
Fidelis Care $14 12%

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 150 Broad Street, Hamilton, NY 13346
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals