CMS Price Transparency Data

Drug screening test

Facility: St Francis Hospital

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0480
Insurance Median: $160
Cash Discount Price: $144
vs. Medicare Baseline: 1.40x Medicare

The contracted insurance negotiated median rate for a Drug screening test at St Francis Hospital is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $144. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.40x the Medicare baseline. Located in 1215 Franciscan Dr, Litchfield, IL.

Cash / Self-Pay

$144

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: $144 (126%)

Insurance Median: $160 (140%)

Cash: $144 (126% 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
Humana	$42	37%
Clear Spring Health of Illinois	$42	37%
Blue Cross Blue Shield	$42 - $46	37%
Molina Healthcare	$44 - $74	38%
UnitedHealthcare	$44 - $200	38%
Aetna	$44 - $141	38%
Amish Community	$56	49%
Wexford	$70	61%
Meridian Health Plan	$77	67%
Celtic Insurance Company	$101	88%
Claim Doc	$105	92%
Hopetrust	$115	100%
Wellfirst	$129	113%
First Health	$148	129%
Cigna	$160	140%
Caterpillar, Inc.	$160	140%
Current Health Solutions	$168	147%
Multiplan/Phcs	$170	149%
Consociate Group	$170	149%
Healthlink	$171	149%
Healthcare Finest Network (Hfn)	$180	157%
Provider Network of America	$180	157%
Live360	$200	175%
Naphcare	$200	175%
Healthscope	$200	175%
Health Alliance Medical Plans	$200	175%
Interplan	$200	175%
Illinois Breast and Cervical Cancer Program	$200	175%

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 $144.
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 St Francis 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.