CMS Price Transparency Data

Drug screening test

Facility: St Luke's Sugar Land Hospital

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0480
Insurance Median: $140
Cash Discount Price: $73
vs. Medicare Baseline: 1.22x Medicare

The contracted insurance negotiated median rate for a Drug screening test at St Luke's Sugar Land Hospital is $140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.22x the Medicare baseline. Located in 1317 Lake Pointe Parkway, Sugar Land, TX.

Cash / Self-Pay

$73

Average discount available for prompt cash payment at this facility.

Insurance Median

$140

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: $73 (64%)

Insurance Median: $140 (122%)

Cash: $73 (64% of Medicare)

Ins. Median: $140 (122% 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
UnitedHealthcare	$38 - $566	33%
Tchpchip	$49 - $295	43%
United	$66 - $322	58%
Chc	$77 - $377	67%
Texastruechoice	$77 - $377	67%
Renaissance	$82	72%
Aetna	$83 - $466	73%
Cigna	$84 - $480	73%
Coventry	$91 - $445	80%
First Health	$91 - $445	80%
Humana	$91 - $445	80%
Tchp	$96 - $129	84%
Wellpoint	$96 - $172	84%
Healthsmart	$98 - $480	86%
Interlink	$98 - $480	86%
Blue Cross Blue Shield	$101 - $587	88%
Multiplan	$105 - $514	92%
Kelsey	$114	100%
Selectcare	$114	100%
Amerivantage	$118	103%
USA Health Network	$119 - $582	104%
Devoted	$122	107%
Scanhealth	$122	107%
Kindred	$126	110%
Mhealth Network	$140 - $685	122%
Kelseycare	$154	135%
Community Health Choice	$172	150%
Superior Health Plan	$172	150%
Bright Health	$189	165%
Nx Health	$372	325%

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 $73.
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 Sugar Land Hospital 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.