CMS Price Transparency Data

Drug screening test

Facility: Ascension Seton Hays

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0480
  • Insurance Median: $96
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Drug screening test at Ascension Seton Hays is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 0.84x the Medicare baseline. Located in 6001 Kyle Pkwy, Kyle, TX.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$96

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: $84 (73%)
Insurance Median: $96 (84%)
Cash: $84 (73% of Medicare)
Ins. Median: $96 (84% 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.

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
Superior Star $49 - $507 43%
Superior Star Foster $49 - $507 43%
Superior Star Kids $49 - $507 43%
Superior Star Plus $49 - $507 43%
Superior Chip/Chip Perinate $55 - $570 48%
Ambetter / Centene $96 84%
Blue Cross Blue Shield $96 - $539 84%
Dell Chip/Chip Perinate $96 84%
Dell Star $96 84%
UnitedHealthcare $96 84%
Wellpoint Chip/Chip Perinate $96 84%
Wellpoint Star $96 84%
Wellpoint Star Kids $96 84%
Wellpoint Star Plus $96 84%
Champva $124 108%
Humana $189 165%
Cigna $240 210%
Aetna $247 216%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6001 Kyle Pkwy, Kyle, TX 78640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals