CMS Price Transparency Data

Drug screening test

Facility: Adena Fayette Medical Center

Billing Code: G0480 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$95
about 0.8× the $114 Medicare rate · typically $40–$265
modeled estimate · not a bill or quote
Medicare pays $114 Fair price $95 Cash price $84 Hospital's list price $167

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 $50 - $319 44%
Blue Cross Blue Shieldmajor $12 - $334 10%
Aetnamajor $33 - $398 29%
Cignamajor $55 - $347 48%
Humanamajor $33 - $206 29%
Medical Mutual $33 - $379 29%
Molina $33 - $227 29%
+ 7 smaller / regional plans $33 - $569
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1430 Columbus Avenue, Washington Ch, OH 43160
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals