CMS Price Transparency Data

Drug screening test

Facility: University Hospitals Avon Rehabilitation Hospital

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0480
  • Insurance Median: $19
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 0.17x Medicare
The contracted insurance negotiated median rate for a Drug screening test at University Hospitals Avon Rehabilitation Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 0.17x the Medicare baseline. Located in 37900 Chester Rd, Avon, OH.
Cash / Self-Pay
$19

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $19 (17%)
Insurance Median: $19 (17%)
Cash: $19 (17% of Medicare)
Ins. Median: $19 (17% 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
Blue Cross Blue Shield $12 - $21 10%
Ohio Health Choice - Preferred Choice Plus $12 - $14 10%
Healthsmart (Formerly Emerald) $12 - $14 10%
Clarity Health (Enterprise Group Planning Will Be Listed on Id Card As Well) $14 - $15 12%
Occunet Fka Health Ohio Network $14 - $15 12%
Paramount $14 - $21 12%
Ohio Preferred Network $15 - $17 13%
First Health $16 - $18 14%
Ohio Health Choice $17 - $19 15%
Multiplan $17 - $19 15%
PHCS $17 - $19 15%
Beechstreet $17 - $19 15%
Fortified $17 - $19 15%
Jp Farley (Select Employers) $19 - $21 17%
Medical Mutual (Marketplace Plan) $19 - $21 17%
Humana $19 - $21 17%
Ambetter / Centene $19 - $21 17%
Aultcare $19 - $21 17%
Summacare $19 - $21 17%
Devoted $19 - $21 17%
Aetna $19 - $21 17%
Medical Mutual $19 - $21 17%
Caresource $19 - $21 17%
Buckeye $19 - $21 17%
Health Plan $19 - $21 17%
United $19 - $21 17%
Molina $19 - $21 17%
Antidote Healthe Care of Ohio $19 - $21 17%
Wellcare $19 - $21 17%
Cigna $19 - $21 17%
UnitedHealthcare $19 - $21 17%
Caresource (Marketplace) $19 - $21 17%
Amerihealth Cartias $19 - $21 17%
Medical Mutual (Supermed, Trad, Medflex) $19 - $21 17%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 37900 Chester Rd, Avon, OH 44011
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL