CMS Price Transparency Data

Drug screening test

Facility: St Luke's Patients Medical Center

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0480
Insurance Median: $142
Cash Discount Price: $70
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a Drug screening test at St Luke's Patients Medical Center is $142. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.24x the Medicare baseline. Located in 4600 East Sam Houston Parkway South, Pasadena, TX.

Cash / Self-Pay

$70

Average discount available for prompt cash payment at this facility.

Insurance Median

$142

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$114.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $114.43 (100%)

Cash / Self-Pay: $70 (61%)

Insurance Median: $142 (124%)

Cash: $70 (61% of Medicare)

Ins. Median: $142 (124% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $114.43 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$56 - $460	49%
Cigna	$57 - $473	50%
Coventry	$61 - $439	53%
First Health	$61 - $439	53%
Healthsmart	$66 - $473	58%
Multiplan	$71 - $507	62%
Chc	$91	80%
Tchp	$91	80%
Blue Cross Blue Shield	$94 - $587	82%
Humana	$94 - $114	82%
Kelsey	$94 - $114	82%
United	$96 - $300	84%
Wellpoint	$96 - $172	84%
Amerivantage	$97 - $118	85%
Devoted	$101 - $122	88%
Scanhealth	$101 - $122	88%
Ambetter / Centene	$142 - $172	124%
Community Health Choice	$142 - $172	124%
Bright Health	$156 - $189	136%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $70.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0480.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Luke's Patients Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0480.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.