CMS Price Transparency Data

Drug screening test

Facility: Bertrand Chaffee Hospital

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0480
  • Insurance Median: $114
  • Cash Discount Price: $141
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Drug screening test at Bertrand Chaffee Hospital is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $141. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.00x the Medicare baseline. Located in 224 East Main Street, Springville, NY.
Cash / Self-Pay
$141

Average discount available for prompt cash payment at this facility.

Insurance Median
$114

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: $141 (123%)
Insurance Median: $114 (100%)
Cash: $141 (123% of Medicare)
Ins. Median: $114 (100% 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
Comm Blue Essential $15 13%
United Hc - Community Pln $15 13%
Molina Essential Plan $15 13%
Molina Heathcare of Wny $15 13%
United Hc Essential Plan $15 13%
Univera Hc Myhealth $15 13%
Fidelis Essential Plans $15 13%
Community Care - Bc $15 13%
Community Blue $15 13%
Gowanda Correctional Fac $15 13%
Fidelis Care of New York $15 13%
Seneca Nation Health Dept $15 13%
Medicaid / KanCare $15 13%
Ghi Medical $15 13%
Yourcare $15 13%
Univera Hc Myhealth+ $15 - $97 13%
Blue Cross Blue Shield $76 66%
Senior Blue - Bc $76 66%
Univera Plus Med $97 85%
Univera Hc Child Health+ $97 85%
Univera Essential Plans $97 85%
Iha Essential Plans $100 87%
Iha Medisource $100 87%
Private Pay $112 - $191 98%
Wellcare $114 100%
Nova Healthcare $114 100%
Champva $114 100%
Geisinger Health Plan $114 100%
Mutual of Omaha $114 100%
Cigna $114 - $225 100%
Tricare $114 100%
Lifetime Benefits $114 100%
Ctrs Plan for Hlthy Livng $114 100%
Advantra-McR Advantage $114 100%
Optimum Healthcare - McR $114 100%
Univera Senior Choice $114 100%
Aetna $114 - $225 100%
Medicare (plans) $114 100%
United Hc McR Solutions $114 100%
UnitedHealthcare $114 100%
Todays Option - Amer Prog $114 100%
Centers Plan Hlty Living $114 100%
Iha Encompass 65 $114 - $118 100%
Humana $114 100%
Iha Custom Coverage $118 103%
Iha $118 103%
Guardian Life Ins. Co. $132 - $225 115%
Commercial / Misc $132 - $225 115%
No-Fault $132 - $225 115%
Global Excel Mgt $132 - $225 115%
American Progressive Ins. $132 - $225 115%
No Amer Meritian Health $132 - $225 115%
Mvp Commercial $132 - $225 115%
Univera Healthcare $132 115%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 224 East Main Street, Springville, NY 14141
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals