CMS Price Transparency Data

Drug screening test

Facility: Lodi Community Hospital

Billing Code: G0480 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$110
about 1.0× the $114 Medicare rate · typically $43–$241
modeled estimate · not a bill or quote
Medicare pays $114 Fair price $110 Cash price $480 Hospital's list price $739

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 $23 - $530 20%
Blue Cross Blue Shieldmajor $45 - $556 39%
Aetnamajor $27 - $742 24%
Cignamajor $50 - $479 44%
Humanamajor $23 - $223 20%
AmeriHealth $47 41%
CareSource $43 38%
Molina $45 39%
Oscar Health $24 - $285 21%
UPMC Health Plan $47 - $445 41%
+ 15 smaller / regional plans $23 - $668
Excludes 2 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: 225 Elyria Street, Lodi, OH 44254
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals