CMS Price Transparency Data

Drug screening test

Facility: Mountain View Hospital

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0480
  • Insurance Median: $114
  • Cash Discount Price: $390
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Drug screening test at Mountain View Hospital is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $390. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.00x the Medicare baseline. Located in 1000 East 100 North, Payson, UT.
Cash / Self-Pay
$390

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: $390 (341%)
Insurance Median: $114 (100%)
Cash: $390 (341% 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
Vista Hospice $86 75%
Molina Healthcare $100 - $114 87%
Regence Triwest $102 89%
Cigna $104 - $135 91%
Humana $110 - $114 96%
Coventry Altius $112 98%
Regence $113 - $126 99%
Veteran's Administration $114 100%
Triwest Healthcare Alliance $114 100%
Health Choice $114 100%
University of UT $114 100%
Blue Cross Blue Shield $116 101%
Bright Health $229 200%
Pehp $366 - $458 320%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 East 100 North, Payson, UT 84651
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals