CMS Price Transparency Data

Drug screening test

Facility: Ascension Saint Thomas Rehabilitation Hospital

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0480
  • Insurance Median: $232
  • Cash Discount Price: $232
  • vs. Medicare Baseline: 2.03x Medicare
The contracted insurance negotiated median rate for a Drug screening test at Ascension Saint Thomas Rehabilitation Hospital is $232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $232. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 2.03x the Medicare baseline. Located in 310 21St Ave N, Nashville, TN.
Cash / Self-Pay
$232

Average discount available for prompt cash payment at this facility.

Insurance Median
$232

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: $232 (203%)
Insurance Median: $232 (203%)
Cash: $232 (203% of Medicare)
Ins. Median: $232 (203% 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 203% of the Medicare baseline (a markup of 103%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Oscar Commercial $117 - $315 102%
Ascension Personalized Care $117 - $315 102%
Ambetter / Centene $117 - $315 102%
Medicaid / KanCare $117 - $315 102%
Medicare (plans) $117 - $315 102%
Cigna $117 - $315 102%
Aetna $117 - $315 102%
Humana $117 - $315 102%
Blue Cross Blue Shield $117 - $315 102%
UnitedHealthcare $117 - $315 102%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 310 21St Ave N, Nashville, TN 37203
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL