CMS Price Transparency Data

Drug screening test

Facility: East Adams Rural Hospital

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0480
Insurance Median: $196
Cash Discount Price: $165
vs. Medicare Baseline: 1.71x Medicare

The contracted insurance negotiated median rate for a Drug screening test at East Adams Rural Hospital is $196. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $165. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.71x the Medicare baseline. Located in 903 South Adams, Ritzville, WA.

Cash / Self-Pay

$165

Average discount available for prompt cash payment at this facility.

Insurance Median

$196

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: $165 (144%)

Insurance Median: $196 (171%)

Cash: $165 (144% of Medicare)

Ins. Median: $196 (171% 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
Aetna	$172 - $198	150%
Molina McAid	$183	160%
Ambetter / Centene	$187	163%
Coordinated Care McAid	$187	163%
Amerigroup McAid-All Plans	$193	169%
Premera First-All Plans	$194	170%
Molina McR Adv	$196	171%
Triwest Va-All Plans	$196	171%
Molina Markeplace-All Other Plans	$196	171%
Asuris Nw Hlth McR Adv	$196	171%
Assured Hospice McR-All Plans	$196	171%
UnitedHealthcare	$198	173%
Asuris Nw Health-All Other Plans	$209	183%
Asuris Indiv and Family	$209	183%

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 $165.
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 East Adams Rural 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.