CMS Price Transparency Data

Drug screening test

Facility: Johnston Memorial Hospital

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0480
  • Insurance Median: $116
  • Cash Discount Price: $77
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Drug screening test at Johnston Memorial Hospital is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.01x the Medicare baseline. Located in 16000 Johnston Memorial Drive, Abingdon, VA.
Cash / Self-Pay
$77

Average discount available for prompt cash payment at this facility.

Insurance Median
$116

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: $77 (67%)
Insurance Median: $116 (101%)
Cash: $77 (67% of Medicare)
Ins. Median: $116 (101% 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
Amerigroup $57 - $119 50%
UnitedHealthcare $72 - $114 63%
Optima Health $73 64%
Blue Cross Blue Shield $75 - $479 66%
Molina Healthcare $76 - $119 66%
Aetna $77 - $436 67%
Sentara Health $113 - $229 99%
Humana $114 100%
United Mine Workers of America $114 100%
Mountain Empire Pace $114 100%
Managed Medicaire $114 100%
Medicare (plans) $114 100%
Medcost $118 - $239 103%
Devoted Health Plan $120 105%
Nhc Advantage $120 105%
Cigna $120 - $330 105%
Wellcare $121 106%
Ambetter / Centene $249 218%
First Health Coventry $338 - $684 295%
Seven Corners, Inc. $338 - $684 295%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16000 Johnston Memorial Drive, Abingdon, VA 24211
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals