CMS Price Transparency Data

Drug screening test

Facility: Aurora Psychiatric Hospital

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0480
Insurance Median: $255
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.23x Medicare

The contracted insurance negotiated median rate for a Drug screening test at Aurora Psychiatric Hospital is $255. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 2.23x the Medicare baseline. Located in 1220 Dewey Ave, Wauwatosa, WI.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$255

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%)

Insurance Median: $255 (223%)

Ins. Median: $255 (223% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 223% of the Medicare baseline (a markup of 123%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
UnitedHealthcare	$92	80%
Aurora Caregiver	$114	100%
Blue Cross Blue Shield	$114 - $137	100%
Common Ground	$240 - $250	210%
Centivo	$250	218%
Everpointe Elite	$253	221%
Aetna	$255	223%
Health Payment Systems	$286	250%
Quartz One	$286	250%
Healthpartners	$304 - $388	266%
Molina Exchange	$316	276%
Hs Technology	$322	281%
Quartz Group	$332	290%
Cigna	$334	292%
Wisconsin Physician Service	$371 - $390	324%
Trilogy	$402	351%

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 $X.
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 Aurora Psychiatric 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.