Drug screening test
Facility: Licking Memorial Hospital
Billing Code: G0480 (HCPCS)
- CPT Billing Code: G0480
- Insurance Median: $244
- Cash Discount Price: $309
- vs. Medicare Baseline: 2.13x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 213% of the Medicare baseline (a markup of 113%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medical Mutual [100114] | $15 - $640 | 13% |
| Blue Cross Blue Shield | $17 - $663 | 15% |
| Medben [700068] | $19 - $756 | 17% |
| Aetna | $19 - $561 | 17% |
| Optima [700069] | $19 - $556 | 17% |
| Trustmark Small Business Benefits [100263] | $19 - $556 | 17% |
| Meritain [100063] | $19 - $556 | 17% |
| Gravie Administrative Services [100165] | $19 - $556 | 17% |
| Geha [100039] | $19 - $556 | 17% |
| Webtpa [100127] | $19 - $556 | 17% |
| Allied Benefit Systems [100015] | $19 - $556 | 17% |
| Benicomp [70090] | $20 - $579 | 17% |
| Consociate Health [100029] | $21 - $617 | 18% |
| Consociate Health 6 Degrees [100059] | $21 - $617 | 18% |
| Healthscope [100157] | $23 - $656 | 20% |
| UnitedHealthcare | $23 - $656 | 20% |
| United Medical Resources [700071] | $23 - $656 | 20% |
| Surest [100016] | $23 - $656 | 20% |
| Antidote Health Plan of Ohio [70006803] | $24 - $694 | 21% |
| Ohio PPO Connect [70006801] | $24 - $694 | 21% |
| The Health Plan [100261] | $24 - $694 | 21% |
| Wellfleet Group, LLC [100164] | $24 - $694 | 21% |
| American Postal Workers [100089] | $24 - $694 | 21% |
| Great West Life [700064] | $24 - $694 | 21% |
| Coresource [100002] | $24 - $772 | 21% |
| National Association of Letter Carriers [100067] | $24 - $694 | 21% |
| Ohio Healthy Luminare Health [100264] | $24 - $694 | 21% |
| Quality Care Partners [70006802] | $24 - $694 | 21% |
| Osu Prime Care [100254] | $24 - $694 | 21% |
| Cigna | $24 - $694 | 21% |
| Ohio Healthy [100255] | $24 - $694 | 21% |
| Coventry [100010] | $25 - $712 | 22% |
| Pan American Life [700070] | $25 - $712 | 22% |
| Philadelphia American Life [100260] | $26 - $772 | 23% |
| Reliance Standard-Asrm [100258] | $26 - $748 | 23% |
| Humana | $26 - $748 | 23% |
| Carefactor [100087] | $26 - $748 | 23% |
| Ohio Health Choice [100109] | $26 - $741 | 23% |
| Administrative Concepts [100006] | $26 - $748 | 23% |
| Tricare | $112 | 98% |
| Veterans Administration [100068] | $114 | 100% |
| Medicare (plans) | $114 | 100% |
| Champva [500001] | $114 | 100% |
| Wellcare By Allwell [450104] | $114 | 100% |
| Molina Marketplace [100106] | $183 | 160% |