CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Bethesda Hospital East

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $11
  • Cash Discount Price: $439
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Bethesda Hospital East is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $439. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.30x the Medicare baseline. Located in 2815 S Seacrest Blvd, Boynton Beach, FL.
Cash / Self-Pay
$439

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: $439 (5189%)
Insurance Median: $11 (130%)
Cash: $439 (5189% 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 $5 - $360 59%
Amerigroup $5 59%
Medicaid / KanCare $5 59%
Sunshine State $5 59%
UnitedHealthcare $5 - $675 59%
Vista $5 59%
Wellcare $5 59%
Blue Cross Blue Shield $8 - $341 95%
Leon Medical $8 95%
Medica Health Plan $8 95%
Medicare (plans) $8 - $11 95%
Avmed $9 - $333 106%
Cigna $9 - $136 106%
Humana $9 106%
Non Contracted $248 2931%
Amerihealth $304 3593%
Affordable $439 5189%
International $439 5189%
Dimension Health Plan $608 7187%
Phcs $608 7187%
Quality Health $608 7187%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2815 S Seacrest Blvd, Boynton Beach, FL 33435
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals