CMS Price Transparency Data

Drug screening test

Facility: Wellspan Good Samaritan Hospital

Billing Code: G0480 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$267
about 2.3× the $114 Medicare rate · typically $161–$415
modeled estimate · not a bill or quote
Medicare pays $114 Fair price $267 Cash price $186 Hospital's list price $232

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.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $343 300%
Blue Cross Blue Shieldmajor $17 - $509 15%
Aetnamajor $118 - $473 103%
Cignamajor $122 - $330 107%
Geisinger $88 - $238 77%
UPMC Health Plan $88 - $238 77%
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (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: 252 South 4Th Street, Lebanon, PA 17042
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals