CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: St Francis Hospital & Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $11
  • Cash Discount Price: $34
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at St Francis Hospital & Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.30x the Medicare baseline. Located in 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT.
Cash / Self-Pay
$34

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $34 (402%)
Insurance Median: $11 (130%)
Cash: $34 (402% of Medicare)
Ins. Median: $11 (130% 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
Aetna $8 - $12 95%
Blue Cross Blue Shield $8 - $10 95%
Cca Senior Care Options $8 95%
Geha $8 95%
Harvard Pilgrim Healthcare $8 95%
Medicare (plans) $8 - $9 95%
UnitedHealthcare $8 95%
Cigna $9 - $49 106%
Bcn Domestic $10 118%
Blue Benefit Administrators of Massachusetts $10 118%
Blue Care Network $10 118%
Blue Distinction Transplant $10 118%
Blue Shield - Ca $10 118%
Blue Shield - Id (Regence) $10 118%
Blue Shield - Ny Highmark Northeastern $10 118%
Blue Shield - Ny Highmark Western $10 118%
Blue Shield - PA (Highmark) $10 118%
Blue Shield - Wa (Regence) $10 118%
Health Choices $10 118%
Kaiser Domestic $10 118%
Pre-Employment $10 118%
Unicare $10 118%
Wc Domestic $10 118%
Wellpoint $10 118%
Centivo $11 130%
Fallon Health $11 130%
1199 National Benefit Fund $12 142%
Allied Benefit Systems $12 142%
Connecticare $12 - $14 142%
Gravie Admin Services $12 142%
Hap $12 142%
Luminare Health $12 142%
Meritain $12 142%
Nippon Life Ins $12 142%
Webtpa $12 142%
Allegiance $14 165%
Connecticut Dept of Correction $14 165%
Health Partners $14 165%
Magnacare $14 165%
Innovative Health Plan II $18 213%
Health New England $34 402%
Allied National Global Care $41 485%
Asrm - Reliance Standard Life Insurance $41 485%
Christian Care Ministry $41 485%
Dean Health $41 485%
Family Life Insurance Company $41 485%
Ghc Scw $41 485%
International Benefit Administrators $41 485%
Lifetime Benefit Solutions $41 485%
Manhattan Life $41 485%
Medi Share $41 485%
Multiplan $41 485%
Mvp $41 485%
PHCS $41 485%
Pai $41 485%
Pan-American Life $41 485%
Paramount HMO $41 485%
Trinity Health Share $41 485%
Prime Health Services $43 508%
Health Smart $52 615%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT 06105
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals