CMS Price Transparency Data

Drug screening test

Facility: Baylor Scott & White Medical Center- Austin

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0480
  • Insurance Median: $165
  • Cash Discount Price: $192
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Drug screening test at Baylor Scott & White Medical Center- Austin is $165. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $192. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.44x the Medicare baseline. Located in 5245 W Us 290, Austin, TX.
Cash / Self-Pay
$192

Average discount available for prompt cash payment at this facility.

Insurance Median
$165

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: $192 (168%)
Insurance Median: $165 (144%)
Cash: $192 (168% of Medicare)
Ins. Median: $165 (144% 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 Health Plan $41 - $160 36%
Baylor Scott & White Health Plan $52 - $235 45%
Cigna $68 - $305 59%
Aetna $78 - $302 68%
Midcoast $78 - $302 68%
Quiktrip $78 - $302 68%
University of Mary Hardin-Baylor $83 - $319 73%
Curative $93 - $358 81%
Humana $93 - $385 81%
First Health $100 - $385 87%
Private Health Care System $107 - $412 94%
Triwest $114 100%
American Health Plan $120 105%
Healthspring $120 105%
Procare Advantage $120 105%
UnitedHealthcare $132 115%
Blue Cross Blue Shield $555 - $677 485%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5245 W Us 290, Austin, TX 78735
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals