CMS Price Transparency Data

Drug screening test

Facility: Holzer Medical Center Jackson

Billing Code: G0480 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$114
about 1.0× the $114 Medicare rate · typically $55–$371
modeled estimate · not a bill or quote
Medicare pays $114 Fair price $114 Cash price $158 Hospital's list price $315

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 $59 - $205 52%
Blue Cross Blue Shieldmajor $64 - $184 56%
Aetnamajor $61 - $205 53%
Cignamajor $230 201%
Humanamajor $59 - $284 52%
CareSource $128 112%
+ 8 smaller / regional plans $205 - $299
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 500 Burlington Road, Jackson, OH 45640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals