CMS Price Transparency Data

Drug screening test

Facility: Crossing Rivers Health Medical Center

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0480
Insurance Median: $160
Cash Discount Price: $186
vs. Medicare Baseline: 1.40x Medicare

The contracted insurance negotiated median rate for a Drug screening test at Crossing Rivers Health Medical Center is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $186. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.40x the Medicare baseline. Located in 37868 Us Hwy 18, Prairie Du Chien, WI.

Cash / Self-Pay

$186

Average discount available for prompt cash payment at this facility.

Insurance Median

$160

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: $186 (163%)

Insurance Median: $160 (140%)

Cash: $186 (163% of Medicare)

Ins. Median: $160 (140% 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
Amerigroup McR Adv	$59 - $147	52%
Security Hlth McR Adv	$59 - $147	52%
Blue Cross Blue Shield	$59 - $339	52%
UnitedHealthcare	$59 - $147	52%
Humana	$60 - $335	52%
Quartz - All Plans	$113 - $279	99%
Iowa Total Care McAid-All Plans	$117	102%
Amerigroup McAid-All Other Plans	$117	102%
Medica Hp Solutions	$134 - $332	117%
Medica Comm - All Other Plans	$134 - $332	117%
Dean Health Plan - All Plans	$134 - $332	117%
Security Hlth Comm - All Other Plans	$134 - $332	117%
Health Trad Hp - All Plans	$135 - $335	118%
Wea Provider Ntwrk - All Plans	$135 - $335	118%
Group Health Co-Op - All Plans	$137 - $339	120%
First Health - All Plans	$137 - $339	120%
Medical Associates Hp - All Plans	$137 - $339	120%
Health Partners - All Plans	$137 - $339	120%
Wps - All Plans	$137 - $339	120%
Cigna	$137 - $339	120%
Geha - All Plans	$137 - $339	120%
Preferred Health Choice - All Plans	$137 - $339	120%

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 $186.
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 Crossing Rivers Health Medical Center 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.