CMS Price Transparency Data

Drug screening test

Facility: Reston Hospital Center

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0480
Insurance Median: $348
Cash Discount Price: $1,581
vs. Medicare Baseline: 3.04x Medicare

The contracted insurance negotiated median rate for a Drug screening test at Reston Hospital Center is $348. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,581. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 3.04x the Medicare baseline. Located in 1850 Town Center Parkway, Reston, VA.

Cash / Self-Pay

$1,581

Average discount available for prompt cash payment at this facility.

Insurance Median

$348

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: $1,581 (1382%)

Insurance Median: $348 (304%)

Cash: $1,581 (1382% of Medicare)

Ins. Median: $348 (304% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 304% of the Medicare baseline (a markup of 204%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Devoted	$114	100%
Humana	$114 - $123	100%
Johns Hopkins	$114	100%
Sentara Health	$114	100%
United	$114 - $712	100%
Aetna	$116	101%
Virginia Premier Health	$117	102%
Blue Cross Blue Shield	$118 - $598	103%
Cigna	$119 - $457	104%
Davita Village Health	$119	104%
Clear Spring Health Plan	$120	105%
Align Senior Care	$122	107%
Pyramid Life	$122	107%
Bright Health	$245	214%
Lifeworks	$300	262%
Universal Healthcare Group	$348	304%
Carefirst	$439	384%
Greenvbrier Sporting Club	$949	829%
Virginia Health Network	$1,123	981%
Corvel	$1,139	995%
Occunet Workers Comp	$1,265	1105%
4Most Health Network	$1,423	1244%

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 $1,581.
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 Reston Hospital Center 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.