CMS Price Transparency Data
Drug screening test
Facility: SSM Health St Mary's Hospital - Madison
Billing Code: G0480 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$131
about 1.1× the $114 Medicare rate · typically $89–$268
modeled estimate · not a bill or quote
Medicare pays $114 Fair price $131 Cash price $162 Hospital's list price $295
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $477 - $513 | 417% |
| Dean Health Plan | $114 | 100% |
| Molina | $86 | 75% |
| + 2 smaller / regional plans | $143 - $200 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Enter your details and press estimate to compare.
Other Procedures at SSM Health St Mary's Hospital - Madison
Compare: Drug screening test at other WI hospitals
- Door County Medical Center · Sturgeon Bay $74
- Columbus Community Hospital · Columbus $96
- Vernon Memorial Hospital · Viroqua $102
- Marshfield Medical Center - Beaver Dam (Mmc-Bd) · Beaver Dam $114
- Gundersen Lutheran Medical Center · La Crosse $114
- Unitypoint Health - Meriter · Madison $114
- Sauk Prairie Hospital · Prairie Du Sac $114
- Froedtert Memorial Lutheran Hospital · Milwaukee $114
Insurance negotiated median for the same procedure, sorted lowest first.