CMS Price Transparency Data

Drug screening test

Facility: Texas Health Heart & Vascular Hospital Arlington

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0480
Insurance Median: $161
Cash Discount Price: $139
vs. Medicare Baseline: 1.41x Medicare

The contracted insurance negotiated median rate for a Drug screening test at Texas Health Heart & Vascular Hospital Arlington is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $139. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.41x the Medicare baseline. Located in 811 Wright Street, Arlington, TX.

Cash / Self-Pay

$139

Average discount available for prompt cash payment at this facility.

Insurance Median

$161

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: $139 (121%)

Insurance Median: $161 (141%)

Cash: $139 (121% of Medicare)

Ins. Median: $161 (141% 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
Fort Worth Firefighters	$40 - $403	35%
City of Fort Worth	$43 - $310	38%
Cigna	$51 - $621	45%
Quick Trip	$55 - $416	48%
Aetna	$64 - $463	56%
PHCS	$64 - $492	56%
Healthsmart	$69 - $554	60%
Multiplan	$80 - $574	70%
USA	$81 - $581	71%
Galaxy	$81 - $581	71%
Cook Childrens	$96	84%
UnitedHealthcare	$96 - $129	84%
Blue Cross Blue Shield	$96 - $671	84%
Amerigroup	$96 - $120	84%
Superior Wellcare	$101 - $126	88%
Molina	$104 - $120	91%
American Health	$114	100%
Healthspring	$117	102%
Humana	$119	104%

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 $139.
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 Texas Health Heart & Vascular Hospital Arlington 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.