Drug screening test
Facility: Boston Medical Center
Billing Code: G0480 (HCPCS)
- CPT Billing Code: G0480
- Insurance Median: $120
- Cash Discount Price: $127
- vs. Medicare Baseline: 1.05x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $53 - $60 | 46% |
| Hlth New England ACO [1123] | $60 | 52% |
| Wellsense Essential McO [1101] | $60 | 52% |
| Wellsense Alli ACO [1118] | $60 | 52% |
| Tufts Together McO [1125] | $60 | 52% |
| Mass General Brigham Health Plan ACO [1120] | $60 | 52% |
| Fallon Healthcre ACO [1121] | $60 | 52% |
| Mass General Brigham Health Plan McD Mnged [1107] | $60 | 52% |
| Tufts Together ACO [1122] | $60 | 52% |
| Corrections [9001] | $66 - $143 | 58% |
| Wellsense [7001] | $72 | 63% |
| Tufts Conncare/Qhp [8020] | $83 - $163 | 73% |
| United [2025] | $103 - $281 | 90% |
| Oxford Health [2024] | $103 | 90% |
| UnitedHealthcare | $103 - $114 | 90% |
| Zzzunited [1008] | $103 - $281 | 90% |
| Oxford Health [1007] | $103 | 90% |
| Uphams Corner Esp [1213] | $113 | 99% |
| Tufts [8002] | $114 - $276 | 100% |
| Humana | $114 | 100% |
| Blue Cross Blue Shield | $114 - $182 | 100% |
| Aetna | $114 - $138 | 100% |
| Veterans Admin [9003] | $114 | 100% |
| Medicare (plans) | $114 - $120 | 100% |
| Ubh Hphc [8016] | $114 | 100% |
| Zzzcovid19 Hrsa Uninsured Testing and Treatment Fund [500010] | $114 | 100% |
| Neighborhood Pace [1206] | $114 | 100% |
| Wellcare [1240] | $119 | 104% |
| Cca [1215] | $120 | 105% |
| Zzzcca Onecare [1216] | $120 | 105% |
| Zzzcity of Boston Work Comp [5003] | $121 | 106% |
| Zzzbu Employee Work Comp [5004] | $121 | 106% |
| Eternalhealth [1227] | $121 | 106% |
| Workers Comp [5002] | $121 | 106% |
| Meritain Health [1023] | $124 | 108% |
| Fallon Sco [1126] | $126 | 110% |
| Senior Whole Health [1210] | $137 | 120% |
| Champva [9004] | $138 | 121% |
| Tricare | $138 | 121% |
| Fallon [8008] | $149 | 130% |
| Mass General Brigham Health Plan Commercial [8009] | $152 | 133% |
| Unicare [8004] | $212 | 185% |
| Wellpoint [2034] | $212 | 185% |
| Cigna | $240 - $276 | 210% |
| Zzzhealth Plans Inc [1013] | $281 | 246% |
| Harvard Pilgrim Health Care [8001] | $281 | 246% |
| Health Plans Inc [2027] | $281 | 246% |
| Hsn Dental [4006] | $513 | 448% |
| Hsn Confidential [4007] | $513 | 448% |
| Hsn Partial [4002] | $513 | 448% |
| Hsn [4001] | $513 | 448% |
| Hsn Bad Debt [4003] | $513 | 448% |