CMS Price Transparency Data

Drug screening test

Facility: Bailey Medical Center, LLC

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0480
Insurance Median: $608
Cash Discount Price: $268
vs. Medicare Baseline: 5.31x Medicare

The contracted insurance negotiated median rate for a Drug screening test at Bailey Medical Center, LLC is $608. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $268. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 5.31x the Medicare baseline. Located in 10502 North 110Th East Avenue, Owasso, OK.

Cash / Self-Pay

$268

Average discount available for prompt cash payment at this facility.

Insurance Median

$608

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: $268 (234%)

Insurance Median: $608 (531%)

Cash: $268 (234% of Medicare)

Ins. Median: $608 (531% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 531% of the Medicare baseline (a markup of 431%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Healthcare Highways [2210]	$224 - $246	196%
Oncology Patient Assistance Programs [2295]	$224	196%
Hooray Health [8000]	$224	196%
Osma Health Network [2345]	$224	196%
Oscar Insurance Company [7005]	$224	196%
Healthscope Benefits [2290]	$237	207%
UnitedHealthcare	$237	207%
Web Tpa [2115]	$246	215%
Resource One Administrators [2815]	$246	215%
The Kempton Group Administrators [2905]	$402	351%
First Health [1375]	$452 - $733	395%
Multiplan [1680]	$452 - $733	395%
Medica [2910]	$452	395%
National Association of Letter Carriers [1695]	$455	398%
Cigna	$455	398%
Pba [1775]	$455	398%
Healthpartners [1500]	$455	398%
Healthcare Solutions [1485]	$510	446%
Fmh Benefit Services [1390]	$706	617%
Group Resources [1455]	$706	617%
Employee Benefit Management Services [2445]	$706	617%
Community Care [1290]	$706	617%
PHCS [1780]	$706 - $733	617%
Healthfirst [2395]	$733	641%
Planned Administrators Inc [2360]	$733	641%
Mayo Clinic Health Solutions [2280]	$733	641%
Gilsbar [1425]	$733	641%
Universal Fidelity [2085]	$733	641%
Mutual of Omaha [1685]	$733	641%
Healthnet [1495]	$733	641%
New Era Life Insurance Company [1705]	$733	641%
Pan American Life Insurance Co [1770]	$733	641%
Hometown Health [2155]	$733	641%
Trustmark [2030]	$733	641%
Healthcost Solutions [2415]	$733	641%
Healthsmart [1505]	$760	664%
Pending Ssi [1616]	$894	781%

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 $268.
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 Bailey Medical Center, LLC 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.