CMS Price Transparency Data

Drug screening test

Facility: St Charles Medical Center Prineville

Billing Code: G0480 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$212
about 1.9× the $114 Medicare rate · typically $119–$262
modeled estimate · not a bill or quote
Medicare pays $114 Fair price $212 Cash price $108 Hospital's list price $136

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.

6 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 $37 - $129 32%
Blue Cross Blue Shieldmajor $41 - $410 36%
Aetnamajor $37 - $121 32%
Cignamajor $37 - $88 32%
Humanamajor $37 - $39 32%
Kaiser Permanentemajor $37 - $212 32%
Devoted Health $37 - $39 32%
Health Net $37 - $131 32%
Moda Health $113 - $229 99%
PacificSource $40 - $105 35%
Providence Health Plan $92 - $229 80%
UniCare $37 - $39 32%
WellCare $37 - $39 32%
+ 52 smaller / regional plans $37 - $410
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 384 Se Combs Flat Road, Prineville, OR 97754
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals