Drug screening test
Facility: Atlantic Rehabilitation Institute, LLC
Billing Code: G0480 (HCPCS)
- CPT Billing Code: G0480
- Insurance Median: $232
- Cash Discount Price: $232
- vs. Medicare Baseline: 2.03x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 203% of the Medicare baseline (a markup of 103%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Amerigroup Mgg (Wellpoint As of 5/1/24) | $117 - $315 | 102% |
| Wellcare Mgg | $117 - $315 | 102% |
| Aetna | $117 - $315 | 102% |
| Medicaid / KanCare | $117 - $315 | 102% |
| UPMC for Life Mgg | $117 - $315 | 102% |
| First Managed Care Wc Cpd | $117 - $315 | 102% |
| Braven Health Mgd | $117 - $315 | 102% |
| Amerihealth Cpd | $117 - $315 | 102% |
| Oxford Health Plan Cpd | $117 - $315 | 102% |
| Gateway Mgg | $117 - $315 | 102% |
| UnitedHealthcare | $117 - $315 | 102% |
| Qualcare Cpd | $117 - $315 | 102% |
| Oscar Health Cpd | $117 - $315 | 102% |
| Claim Doc LLC Cpd | $117 - $315 | 102% |
| Ambetter / Centene | $117 - $315 | 102% |
| All Savers Cpd | $117 - $315 | 102% |
| Qualcare Lynx Wc Cpd | $117 - $315 | 102% |
| Oxford Mgg | $117 - $315 | 102% |
| Braven Health Cpd | $117 - $315 | 102% |
| Cigna | $117 - $315 | 102% |
| Ama Insurance Msg | $117 - $315 | 102% |
| Amerihealth Mgg | $117 - $315 | 102% |
| Blue Cross Blue Shield | $117 - $315 | 102% |