CMS Price Transparency Data

Drug screening test

Facility: SSM Health St Agnes Hospital-Fond Du Lac

Billing Code: G0480 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$147
about 1.3× the $114 Medicare rate · typically $115–$166
modeled estimate · not a bill or quote
What this hospital charges insurers
$131
Below the fair price — a good deal
about $16 under the fair price · 1.1× Medicare
Medicare pays $114 Fair price $147 This hospital $131 Cash price $189 Hospital's list price $343

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $74 Priciest $131

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a Drug screening test is about $147 (about 1.3× the $114 Medicare rate). SSM Health St Agnes Hospital-Fond Du Lac charges insurers about $131, or about $189 in cash — below the fair price — a good deal. Located in Fond Du Lac, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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
UnitedHealthcaremajor $114 100%
Blue Cross Blue Shieldmajor $114 - $119 100%
Molina $86 75%
WellCare $117 102%
+ 3 smaller / regional plans $143 - $221

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 430 E Division St, Fond Du Lac, WI 54935
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals