CMS Price Transparency Data

Drug screening test

Facility: Rehabilitation Hospital of Wisconsin

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0480
  • Insurance Median: $221
  • Cash Discount Price: $221
  • vs. Medicare Baseline: 1.93x Medicare
The contracted insurance negotiated median rate for a Drug screening test at Rehabilitation Hospital of Wisconsin is $221. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $221. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.93x the Medicare baseline. Located in 1625 Coldwater Creek Dr, Waukesha, WI.
Cash / Self-Pay
$221

Average discount available for prompt cash payment at this facility.

Insurance Median
$221

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: $221 (193%)
Insurance Median: $221 (193%)
Cash: $221 (193% of Medicare)
Ins. Median: $221 (193% 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.

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
Medica (Under Dean) $77 - $207 67%
Dean PPO Hmo/Pos $77 - $207 67%
Alliance PPO $77 - $207 67%
UnitedHealthcare $78 - $300 68%
Trilogy PPO $80 - $300 70%
Wps "Insurance" PPO $81 - $219 71%
PHCS Savility $84 - $225 73%
Hps Solutions PPO $85 - $228 74%
Aetna $87 - $300 76%
Health Eos Poc $89 - $240 78%
Coventry/First Health PPO $91 - $246 80%
Hps (Other) $91 - $246 80%
Health Eos Multiplan $95 - $255 83%
PHCS / Multiplan $102 - $276 89%
Network Health - Commercial $111 - $300 97%
Cigna $111 - $300 97%
Molina (Fka Care Wisconsin) $111 - $300 97%
Centivo Narrow/Value $111 - $300 97%
Together With Cchp $111 - $300 97%
Medicare (plans) $111 - $300 97%
Blue Cross Blue Shield $111 - $300 97%
Unity Health Plan and Unity Quartz(Hmo/Pos) $111 - $300 97%
Medicaid / KanCare $111 - $300 97%
Humana $111 - $300 97%
Quartz (Self Funded) / Unity Health Plan (Hmo/Pos) $111 - $300 97%
VA - Primary Only - Authorization Required $111 - $300 97%
Centivo Broad $111 - $300 97%
Managed Health Services (Mhs) $111 - $300 97%
Icare McD $111 - $300 97%
Wellcare McR $111 - $300 97%
All Savers $111 - $300 97%
Security Health Plan - Advocare $111 - $300 97%
Network Health - Aca $111 - $300 97%
Centivo Intermediate/Median $111 - $300 97%
Children's Communty Health Plan(Cchp) $111 - $300 97%
Community Care, Inc $111 - $300 97%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1625 Coldwater Creek Dr, Waukesha, WI 53188
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL