CMS Price Transparency Data

Drug screening test

Facility: CHI St Lukes Health Memorial San Augustine

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0480
  • Insurance Median: $157
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Drug screening test at CHI St Lukes Health Memorial San Augustine is $157. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.37x the Medicare baseline. Located in 511 Hospital St, San Augustine, TX.
Cash / Self-Pay
$48

Average discount available for prompt cash payment at this facility.

Insurance Median
$157

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: $48 (42%)
Insurance Median: $157 (137%)
Cash: $48 (42% of Medicare)
Ins. Median: $157 (137% 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
Angelina County $12 - $312 10%
United $13 - $1,064 11%
Aetna $14 - $266 12%
Brookshire Brothers $14 - $343 12%
Humana $24 - $745 21%
Multiplan $24 - $745 21%
PHCS $24 - $851 21%
Galaxy $32 - $958 28%
Blue Cross Blue Shield $35 - $462 31%
Wellpoint $36 - $246 31%
Cigna $37 - $495 32%
Scanhealth $37 - $122 32%
Md Save $44 - $143 38%
Tchp $96 84%
Superior $157 - $246 137%
Entrust $298 260%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 511 Hospital St, San Augustine, TX 75972
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Rural Emergency Hospital