CMS Price Transparency Data

Drug screening test

Facility: Primary Children's Hospital

Billing Code: G0480 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$105
about 0.9× the $114 Medicare rate · typically $56–$105
modeled estimate · not a bill or quote
Medicare pays $114 Fair price $105 Cash price $80 Hospital's list price $107

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $44 - $114 38%
Blue Cross Blue Shieldmajor $78 - $92 68%
Aetnamajor $76 - $91 66%
Cignamajor $76 - $90 66%
Humanamajor $76 - $90 66%
Health Net $87 76%
Molina $64 - $124 56%
SelectHealth $43 - $114 38%
+ 31 smaller / regional plans $39 - $119
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 100 North Mario Capecchi Drive, Salt Lake City, UT 84113
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens