CMS Price Transparency Data

Drug screening test

Facility: Brattleboro Memorial Hospital

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0480
Insurance Median: $150
Cash Discount Price: $123
vs. Medicare Baseline: 1.31x Medicare

The contracted insurance negotiated median rate for a Drug screening test at Brattleboro Memorial Hospital is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.31x the Medicare baseline. Located in 17 Belmont Ave, Brattleboro, VT.

Cash / Self-Pay

$123

Average discount available for prompt cash payment at this facility.

Insurance Median

$150

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: $123 (107%)

Insurance Median: $150 (131%)

Cash: $123 (107% of Medicare)

Ins. Median: $150 (131% 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.

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
Harvard Pilgrim Health Care	$39 - $318	34%
Tufts Health Plan	$51 - $334	45%
Blue Cross Blue Shield	$60 - $766	52%
Vermont Health Plan	$60 - $327	52%
Mvp Healthcare	$60 - $329	52%
Wellsense	$61 - $122	53%
Amerihealth-Caritas	$61 - $112	53%
New Hampshire Healthy Families	$61 - $112	53%
UnitedHealthcare	$62 - $347	54%
Humana	$62 - $114	54%
Martin's Point	$62 - $114	54%
Cigna	$64 - $347	56%
Coventry	$65 - $354	57%
Multiplan	$65 - $354	57%
Aetna	$65 - $354	57%
Health New England	$65 - $354	57%
New Hampshire Healthy Families (Wellcare)	$65 - $120	57%

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 $123.
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 Brattleboro Memorial Hospital 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.