Blood test, basic metabolic panel
Facility: Johnson Memorial Hospital
Billing Code: 80048 (CPT)
- CPT Billing Code: 80048
- Insurance Median: $18
- Cash Discount Price: $352
- vs. Medicare Baseline: 2.13x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $8.46 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 213% of the Medicare baseline (a markup of 113%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Geha | $8 | 95% |
| UnitedHealthcare | $8 - $156 | 95% |
| Medicare (plans) | $8 - $164 | 95% |
| Cca Senior Care Options | $8 - $159 | 95% |
| Aetna | $8 - $17 | 95% |
| Harvard Pilgrim Healthcare | $8 | 95% |
| Blue Cross Blue Shield | $8 - $156 | 95% |
| Cigna | $9 - $161 | 106% |
| Fallon Health | $11 - $207 | 130% |
| Centivo | $11 - $372 | 130% |
| Connecticare | $14 - $16 | 165% |
| 1199 National Benefit Fund | $17 | 201% |
| Meritain | $17 | 201% |
| Nippon Life Ins | $17 | 201% |
| Allied Benefit Systems | $17 | 201% |
| Webtpa | $17 | 201% |
| Gravie Admin Services | $17 | 201% |
| Luminare Health | $17 | 201% |
| Hap | $17 | 201% |
| Innovative Health Plan II | $18 - $335 | 213% |
| Blue Shield - Ca | $18 | 213% |
| Diversified Administrators | $18 - $335 | 213% |
| Blue Shield - Ny Highmark Western | $18 | 213% |
| Blue Shield - Wa (Regence) | $18 | 213% |
| Wellpoint | $18 | 213% |
| Bcn Domestic | $18 | 213% |
| Blue Distinction Transplant | $18 | 213% |
| Kaiser Domestic | $18 | 213% |
| Health Choices | $18 | 213% |
| Blue Shield - Id (Regence) | $18 | 213% |
| Blue Benefit Administrators of Massachusetts | $18 | 213% |
| Unicare | $18 | 213% |
| Blue Shield - Ny Highmark Northeastern | $18 | 213% |
| Wc Domestic | $18 | 213% |
| Pre-Employment | $18 | 213% |
| Blue Care Network | $18 | 213% |
| Blue Shield - PA (Highmark) | $18 | 213% |
| Claimdoc | $18 - $335 | 213% |
| Connecticut Dept of Correction | $20 - $147 | 236% |
| Health New England | $40 | 473% |
| Prime Health Services | $49 | 579% |
| Allegiance | $49 | 579% |
| Health Partners | $49 | 579% |
| Magnacare | $49 | 579% |
| Ghc Scw | $51 | 603% |
| Multiplan | $51 | 603% |
| Dean Health | $51 | 603% |
| Medi Share | $51 | 603% |
| Mvp | $51 | 603% |
| Allied National Global Care | $51 | 603% |
| Lifetime Benefit Solutions | $51 | 603% |
| Pai | $51 | 603% |
| Pan-American Life | $51 | 603% |
| Manhattan Life | $51 | 603% |
| Family Life Insurance Company | $51 | 603% |
| Trinity Health Share | $51 | 603% |
| Christian Care Ministry | $51 | 603% |
| Asrm - Reliance Standard Life Insurance | $51 | 603% |
| PHCS | $51 | 603% |
| Paramount HMO | $51 | 603% |
| International Benefit Administrators | $51 | 603% |
| Health Smart | $52 | 615% |
| United Behavioral Health Eap | $61 | 721% |