CMS Price Transparency Data

Drug screening test

Facility: Lewisgale Hospital Pulaski

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0480
  • Insurance Median: $175
  • Cash Discount Price: $513
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Drug screening test at Lewisgale Hospital Pulaski is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $513. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.53x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.
Cash / Self-Pay
$513

Average discount available for prompt cash payment at this facility.

Insurance Median
$175

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: $513 (448%)
Insurance Median: $175 (153%)
Cash: $513 (448% of Medicare)
Ins. Median: $175 (153% 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
Humana $88 - $114 77%
Lifeworks $97 85%
Triatlantic $100 87%
Health Net $105 92%
Universal Healthcare Group $113 99%
United Mine Workers $114 100%
Devoted $114 100%
Magellan $114 100%
Sentara Health $114 100%
United $114 - $231 100%
Good Samaritan Hospice $114 100%
Aetna $116 - $231 101%
Virginia Premier Health $117 102%
Blue Cross Blue Shield $118 - $545 103%
Cigna $119 104%
Evernorth Behavioral Health $119 104%
Clear Spring Health Plan $120 105%
Pyramid Life $122 107%
Align Senior Care $122 107%
Virginia Health Network $180 - $364 157%
Greenvbrier Sporting Club $308 269%
Corvel $369 322%
Richfield Nursing Center $385 336%
Richfield Retirement Community $385 336%
Multiplan $395 345%
Occunet Workers Comp $410 358%
Community Care Network $410 358%
One Health Plan $410 358%
Graham-White Manufacturing $410 358%
Patients Choice $451 394%
4Most $462 404%
PHCS $462 404%
Star Transportation $462 404%
American Postal Workers Union $462 404%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 Lee Highway, Pulaski, VA 24301
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals