CMS Price Transparency Data

Drug screening test

Facility: Carilion Stonewall Jackson Hospital

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0480
  • Insurance Median: $163
  • Cash Discount Price: $81
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Drug screening test at Carilion Stonewall Jackson Hospital is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.42x the Medicare baseline. Located in 1 Health Circle, Lexington, VA.
Cash / Self-Pay
$81

Average discount available for prompt cash payment at this facility.

Insurance Median
$163

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: $81 (71%)
Insurance Median: $163 (142%)
Cash: $81 (71% of Medicare)
Ins. Median: $163 (142% 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
UnitedHealthcare $58 - $390 51%
Aetna $59 - $317 52%
Gateway - Tier 3 $63 - $262 55%
Vhn - Ultra $71 - $296 62%
Sentara Health Plan $71 - $296 62%
Connecticare $80 - $334 70%
Cigna $92 - $382 80%
Gateway - Tier 2 $92 - $382 80%
Vhn - Plus $92 - $382 80%
Vhn $98 - $405 86%
Integrated Health Plan $98 - $405 86%
Vhn - Link $104 - $429 91%
Beech Street $106 - $439 93%
Gateway - Tier 1 $109 - $453 95%
Vhn - Secondary Payors $109 - $453 95%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Health Circle, Lexington, VA 24450
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals