CMS Price Transparency Data

Drug screening test

Facility: Lovelace Regional Hospital - Roswell

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0480
Insurance Median: $117
Cash Discount Price: $103
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a Drug screening test at Lovelace Regional Hospital - Roswell is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.02x the Medicare baseline. Located in 117 East 19Th Street, Roswell, NM.

Cash / Self-Pay

$103

Average discount available for prompt cash payment at this facility.

Insurance Median

$117

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: $103 (90%)

Insurance Median: $117 (102%)

Cash: $103 (90% of Medicare)

Ins. Median: $117 (102% 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
The Health Plan [2915]	$26 - $113	23%
Magellan Behavioral Commercial [2895]	$26 - $112	23%
Presbyterian Health Plan [1830]	$26 - $112	23%
UnitedHealthcare	$41 - $178	36%
Medicare (plans)	$65 - $280	57%
Zelis [2385]	$65 - $280	57%
Benefit Management [1175]	$65 - $280	57%
Caprock Health Plans [1200]	$84 - $363	73%
Aetna	$86 - $503	75%
Samba Health [2305]	$89 - $384	78%
Cigna	$89 - $384	78%
Boon-Chapman [2375]	$117 - $503	102%
Allied National Global Care [1035]	$117 - $503	102%
Employee Benefit Management Services [2445]	$117 - $503	102%
PHCS [1780]	$117 - $503	102%
American Medical Security [2190]	$117 - $503	102%
Kaiser Permanente [1560]	$117 - $503	102%
Administrative Concepts [1005]	$117 - $503	102%
Mutual of Omaha [1685]	$117 - $503	102%
Northamerica Administrators [1725]	$117 - $503	102%
Coresource [1315]	$117 - $503	102%
Allied Benefit Systems Inc [1030]	$117 - $503	102%
Healthcost Solutions [2415]	$117 - $503	102%
Trustmark [2030]	$117 - $503	102%
Multiplan [1680]	$117 - $503	102%
Emblem Health [2430]	$117 - $503	102%
Pan American Life Insurance Co [1770]	$117 - $503	102%
National Telephone Cooperative [1700]	$117 - $503	102%

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 $103.
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 Lovelace Regional Hospital - Roswell 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.