CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Gadsden Regional Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $9
  • Cash Discount Price: $290
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Gadsden Regional Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $290. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.06x the Medicare baseline. Located in 1007 Goodyear Avenue, Gadsden, AL.
Cash / Self-Pay
$290

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.46

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.46 (100%)
Cash / Self-Pay: $290 (3428%)
Insurance Median: $9 (106%)
Cash: $290 (3428% of Medicare)
Ins. Median: $9 (106% of 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.

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
Medicaid / KanCare $6 71%
Bc Pml $7 83%
Node Champva $7 83%
Tricare $7 83%
Amedisys Hospice $8 95%
Blue Cross Blue Shield $8 95%
Cigna $8 - $53 95%
Gadsden Hospice $8 95%
Humana $8 95%
Medicare (plans) $8 95%
Node Devoted Health Mcr Adv $8 95%
Node Non Par Hospice Agree $8 95%
Node Select Health Mcr Adv $8 95%
Node Va $8 95%
Node Viva Mcr Adv $8 95%
Southern Care Hospice $8 95%
UnitedHealthcare $8 95%
Veterans Eval Services $8 95%
Aetna $9 - $1,001 106%
Node Clover Health Mcr Adv $9 106%
Node Eon Mcr Adv $9 106%
Node Wellcare Mcr Adv $9 106%
Prime Health $9 - $1,396 106%
Node Us Dept Of Labor $11 130%
Ambetter / Centene $13 154%
Self Pay $232 - $348 2742%
American Employee Alliance $773 9137%
Multiplan $1,082 - $1,217 12790%
Magellan Behavioral $1,159 13700%
Viva Healthcare $1,159 13700%
First Health $1,353 - $1,560 15993%
Beech Street $1,411 - $1,525 16678%
Alamed Wc $1,449 17128%
Focus Health $1,478 17470%
Coventry Work Comp Al $1,511 17861%
Work Comp $1,643 19421%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1007 Goodyear Avenue, Gadsden, AL 35903
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals