CMS Price Transparency Data

Drug screening test

Facility: Garrett Regional Medical Center

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0480
  • Insurance Median: $32
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.28x Medicare
The contracted insurance negotiated median rate for a Drug screening test at Garrett Regional Medical Center is $32. 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 0.28x the Medicare baseline. Located in 251 North Fourth Street, Oakland, MD.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

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: $32 (28%)
Ins. Median: $32 (28% 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
Caresource Wv $22 - $206 19%
Aetna $23 - $229 20%
Senior Advantage $23 - $211 20%
Carefirst PPO $23 - $211 20%
Humana $23 - $211 20%
Provider Partners $23 - $211 20%
United Mine Workers of America $23 - $229 20%
Carefirst D-Snp $23 - $211 20%
UnitedHealthcare $23 - $229 20%
Medicare (plans) $23 - $211 20%
Amerigroup $24 - $216 21%
Coventry $24 - $216 21%
Maryland Physicians Care $24 - $216 21%
Wellpoint Wv $24 - $216 21%
Carefirst Community Health Plan $24 - $216 21%
Multiplan $24 - $217 21%
The Health Plan of Wv $24 - $216 21%
Highmark Health Options Wv $24 - $216 21%
Cigna $25 - $229 22%
American Correctional Healthcare $25 - $229 22%
Stratose/ 4 Most $25 - $229 22%
The Health Plan $25 - $229 22%
First Health $25 - $229 22%
John Hopkins Healthcare $25 - $229 22%
Carefirst Commercial $25 - $229 22%
UPMC Commercial $25 - $227 22%
Peak Commercial $25 - $229 22%
The Health Plan Commercial $25 - $229 22%
Alliance Coal $25 - $229 22%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 251 North Fourth Street, Oakland, MD 21550
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals