CMS Price Transparency Data
Drug screening test
Facility: Wellspan Ephrata Community Hospital
Billing Code: G0480 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$194
about 1.7× the $114 Medicare rate · typically $102–$404
modeled estimate · not a bill or quote
Medicare pays $114 Fair price $194 Cash price $188 Hospital's list price $236
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 | $66 - $525 | 58% |
| Aetnamajor | $118 - $473 | 103% |
| Cignamajor | $93 - $547 | 81% |
| Geisinger | $95 - $426 | 83% |
| UPMC Health Plan | $95 - $524 | 83% |
| + 1 smaller / regional plan | $95 - $449 |
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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Insurance Before you use insurance
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Other Procedures at Wellspan Ephrata Community Hospital
Compare: Drug screening test at other PA hospitals
- Excela Health Westmoreland Regional Hospital · Greensburg $79
- Excela Health - Frick Hospital · Mount Pleasant $79
- Excela Health Latrobe Hospital · Latrobe $79
- Lower Bucks Hospital · Bristol $80
- Reading Hospital · West Reading $82
- Surgical Institute of Reading · Wyomissing $83
- Roxborough Memorial Hospital · Philadelphia $95
- Allegheny General Hospital · Pittsburgh $102
Insurance negotiated median for the same procedure, sorted lowest first.