CMS Price Transparency Data

Drug screening test

Facility: Reston Hospital Center

Billing Code: G0480 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$142

about 1.2× the $114 Medicare rate · typically $116–$221

modeled estimate · not a bill or quote

What this hospital charges insurers

$121

Below the fair price — a good deal

about $21 under the fair price · 1.1× Medicare

Medicare pays $114 Fair price $142 This hospital $121 Cash price $1,581 Hospital's list price $1,581

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $91 Priciest $121

Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Drug screening test is about $142 (about 1.2× the $114 Medicare rate). Reston Hospital Center charges insurers about $121, or about $1,581 in cash — below the fair price — a good deal. Located in Reston, VA.

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	$114 - $712	100%
Blue Cross Blue Shieldmajor	$118 - $598	103%
Aetnamajor	$116	101%
Cignamajor	$119 - $457	104%
Humanamajor	$114 - $123	100%
Bright Health	$245	214%
Devoted Health	$114	100%
Health Net	$1,123 - $1,423	981%
Sentara	$114	100%
+ 9 smaller / regional plans	$114 - $949

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,581), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: G0480.

Insurance Before you use insurance

Call your insurance company to confirm Reston Hospital Center is in-network.
Ask your insurer whether prior approval is required for HCPCS code G0480.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Reston Hospital Center

Compare: Drug screening test at other VA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.