CMS Price Transparency Data

Drug screening test

Facility: Memorial Hospital Biloxi

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0480
Insurance Median: $61
Cash Discount Price: $70
vs. Medicare Baseline: 0.53x Medicare

The contracted insurance negotiated median rate for a Drug screening test at Memorial Hospital Biloxi is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 0.53x the Medicare baseline. Located in 150 Reynoir Street, Biloxi, MS.

Cash / Self-Pay

$70

Average discount available for prompt cash payment at this facility.

Insurance Median

$61

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: $70 (61%)

Insurance Median: $61 (53%)

Cash: $70 (61% of Medicare)

Ins. Median: $61 (53% 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
Sas Mhg	$12 - $186	10%
Devoted Health	$17 - $92	15%
Molina	$20 - $589	17%
Fox Everett	$23 - $122	20%
Sas Non-Mhg	$23 - $122	20%
First Choice	$29 - $220	25%
Cigna	$29 - $214	25%
Mhg	$29 - $153	25%
Aetna	$29 - $153	25%
Humana	$42 - $220	37%
First Health	$42 - $220	37%
Mpcn	$44 - $229	38%
UnitedHealthcare	$103	90%
Magnolia Health	$104 - $180	91%

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 $70.
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 Memorial Hospital Biloxi 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.