CMS Price Transparency Data

Drug screening test

Facility: Tristar Horizon Medical Center

Billing Code: G0480 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$116

about 1.0× the $114 Medicare rate · typically $95–$140

modeled estimate · not a bill or quote

What this hospital charges insurers

$116

About the fair price

1.0× Medicare

Medicare pays $114 Fair price $116 This hospital $116 Cash price $855 Hospital's list price $855

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $80 Priciest $116

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Drug screening test is about $116 (about 1.0× the $114 Medicare rate). Tristar Horizon Medical Center charges insurers about $116, or about $855 in cash — about the fair price. Located in Dickson, TN.

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	$114 - $385	100%
Blue Cross Blue Shieldmajor	$51 - $118	45%
Aetnamajor	$91 - $428	80%
Cignamajor	$204 - $684	178%
Humanamajor	$114 - $214	100%
Ambetter (Centene)	$191 - $198	167%
Amerigroup	$114	100%
Bright Health	$114 - $132	100%
Cigna HealthSpring	$114	100%
Devoted Health	$114	100%
Health Net	$599	523%
Oscar Health	$343	300%
WellCare	$118	103%
+ 14 smaller / regional plans	$114 - $727

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 855), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: G0480.

Insurance Before you use insurance

Call your insurance company to confirm Tristar Horizon Medical Center is in-network.
Ask your insurer whether prior approval is required for HCPCS code G0480.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Tristar Horizon Medical Center

Compare: Drug screening test at other TN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.