CMS Price Transparency Data

Drug screening test

Facility: Baylor Scott & White Hospital Brenham

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0480
Insurance Median: $125
Cash Discount Price: $192
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a Drug screening test at Baylor Scott & White Hospital Brenham is $125. 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 1.09x the Medicare baseline. Located in 700 Medical Parkway, Brenham, TX.

Cash / Self-Pay

$192

Average discount available for prompt cash payment at this facility.

Insurance Median

$125

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: $125 (109%)

Cash: $192 (168% of Medicare)

Ins. Median: $125 (109% 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
Baylor Scott & White Health Plan	$18 - $235	16%
American Health Plan	$19 - $75	17%
Blue Cross Blue Shield	$19 - $677	17%
Corvel	$19 - $75	17%
Healthspring	$19 - $75	17%
Prime Health Services	$19 - $75	17%
Procare Advantage	$19 - $75	17%
Superior Health Plan	$19 - $75	17%
Triwest	$19 - $72	17%
Careworks Fka Rockport	$23 - $89	20%
Injury Management Organization	$23 - $89	20%
Sedgwick	$23 - $89	20%
Cigna	$73 - $332	64%
Aetna	$78 - $302	68%
Midcoast	$78 - $302	68%
Quiktrip	$78 - $302	68%
University of Mary Hardin-Baylor	$83 - $319	73%
Independent Medical System	$86 - $330	75%
Imagine Health	$89 - $345	78%
Curative	$93 - $358	81%
First Health	$100 - $385	87%
Healthsmart	$100 - $412	87%
Humana	$100 - $440	87%
Private Health Care System	$107 - $412	94%
Bluebell Creameries	$128 - $495	112%

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 $192.
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 Baylor Scott & White Hospital Brenham 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.