CMS Price Transparency Data

Drug screening test

Facility: Medical City Alliance

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0480
  • Insurance Median: $120
  • Cash Discount Price: $1,312
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Drug screening test at Medical City Alliance is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,312. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.05x the Medicare baseline. Located in 3101 North Tarrant Parkway, Fort Worth, TX.
Cash / Self-Pay
$1,312

Average discount available for prompt cash payment at this facility.

Insurance Median
$120

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: $1,312 (1147%)
Insurance Median: $120 (105%)
Cash: $1,312 (1147% of Medicare)
Ins. Median: $120 (105% 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
Cook Childrens Health Plan $69 60%
Superior Health Plan $92 - $120 80%
Amerigroup $96 - $114 84%
Parkland Community Health Plan $96 84%
United $96 - $298 84%
Cigna $101 - $617 88%
Aetna $104 - $954 91%
Molina $106 - $125 93%
Blue Cross Blue Shield $114 - $582 100%
Devoted Health $114 100%
Humana $114 - $819 100%
Mutual of Omaha $114 100%
Triwest Veterans $114 100%
Wellmed $114 100%
Care N Care $116 101%
Integranet $118 103%
Wellcare $118 103%
American Health Plan of Texas, Inc. $120 105%
Procare Advantge $120 105%
Provider Partners Health Plan $121 106%
Texas Independent Health Plan $121 106%
Imperial Insurance Company $126 110%
Triwest Health Alliance $127 111%
Verda Health Plan $149 130%
Superior $205 - $256 179%
Oscar $298 260%
Molina Healthcare $300 262%
Healthcare Highways $321 - $443 281%
Evry Health $338 295%
Curative Administrators $525 459%
Multiplan PHCS $918 802%
Healthsmart Preferred Care $984 860%
Independent Medical Systems $1,312 1147%
National Healthcare Solutions $1,312 1147%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3101 North Tarrant Parkway, Fort Worth, TX 76177
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals