CMS Price Transparency Data

Drug screening test

Facility: Charleston Area Medical Center

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0480
  • Insurance Median: $65
  • Cash Discount Price: $135
  • vs. Medicare Baseline: 0.57x Medicare
The contracted insurance negotiated median rate for a Drug screening test at Charleston Area Medical Center is $65. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $135. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 0.57x the Medicare baseline. Located in 501 Morris Street, Charleston, WV.
Cash / Self-Pay
$135

Average discount available for prompt cash payment at this facility.

Insurance Median
$65

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: $135 (118%)
Insurance Median: $65 (57%)
Cash: $135 (118% of Medicare)
Ins. Median: $65 (57% 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
The Health Plan of West Virginia Inc. $12 - $693 10%
Choicecare Network $12 - $700 10%
Unicare Health Plan of West Virginia Inc. $12 - $129 10%
Blue Cross Blue Shield $12 - $651 10%
Triwest VA $12 - $133 10%
UnitedHealthcare $13 - $700 11%
West Virginia Senior Advantage Inc. $13 - $144 11%
Optimum Choice Inc. $14 - $219 12%
Naphcare $17 - $274 15%
Integrated Medical Solutions $17 - $267 15%
Aetna $19 - $700 17%
Tricare $20 - $428 17%
Caresource $21 - $342 18%
City of Charleston $26 - $536 23%
Cigna $32 - $664 28%
Multiplan $33 - $700 29%
Healthsmart $33 - $700 29%
Three Rivers Providers Network $33 - $693 29%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Morris Street, Charleston, WV 25301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals