CMS Price Transparency Data

Drug screening test

Facility: Dunes Surgical Hospital

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0480
Insurance Median: $124
Cash Discount Price: $184
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a Drug screening test at Dunes Surgical Hospital is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $184. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.08x the Medicare baseline. Located in 600 N Sioux Point Road, Dakota Dunes, SD.

Cash / Self-Pay

$184

Average discount available for prompt cash payment at this facility.

Insurance Median

$124

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: $184 (161%)

Insurance Median: $124 (108%)

Cash: $184 (161% of Medicare)

Ins. Median: $124 (108% 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
Blue Cross Blue Shield	$79	69%
Cigna	$85 - $195	74%
Midlands Choice	$85 - $195	74%
Avera Health Plans	$91 - $208	80%
Multiplan	$91 - $208	80%
UnitedHealthcare	$97 - $222	85%
Accountable Healthplan	$103 - $236	90%
Sanford Health Plan	$103 - $236	90%
Health Partners	$117 - $270	102%
Siouxland Pace	$123	107%
Ne Total Care	$123	107%
Wellpoint	$125	109%
Ia Total Care	$125	109%
Molina	$126	110%
Amerigroup	$127	111%
Oscar	$146	128%

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 $184.
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 Dunes Surgical Hospital 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.