CPT 0520U Pathology/Laboratory
Testing for 200 or more drugs or substances, minimally effective range of Cost
Body System: General
Medicare Facility Rate
$247
CMS PFS CY2026
Medicare Non-Facility Rate
$247
Office/clinic setting
Frequently Asked Questions
How much does Testing for 200 or more drugs or substances, minimally effective range of cost?
The Medicare facility rate is $247. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Testing for 200 or more drugs or substances, minimally effective range of cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $247.