CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: HCA Florida Jfk Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $190
  • Cash Discount Price: $1,848
  • vs. Medicare Baseline: 22.46x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at HCA Florida Jfk Hospital is $190. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,848. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 22.46x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$1,848

Average discount available for prompt cash payment at this facility.

Insurance Median
$190

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: $1,848 (21844%)
Insurance Median: $190 (2246%)
Cash: $1,848 (21844% of Medicare)
Ins. Median: $190 (2246% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2246% of the Medicare baseline (a markup of 2146%). 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.

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
Careplus Sfl $8 95%
Devoted Health $8 95%
Humana $8 - $628 95%
Ndms Definitive Care $8 95%
Palm Beach Pace $8 95%
United $8 - $832 95%
United Behavioral Health $8 95%
Veterans Evaluation Services $8 95%
Wellmed $8 95%
Aetna $9 - $554 106%
Align $9 106%
American Health Plan $9 106%
Blue Cross Blue Shield $9 106%
Centurion $9 106%
Cigna $9 106%
Doctors Healthcare Plan $9 106%
Florida Complete Care $9 106%
Gold Kidney $9 106%
Oscar $9 - $12 106%
Prominence Healthfirst $9 106%
Sunshine State $9 106%
Amerihealth Caritas $10 - $13 118%
Longevity Health Plan $10 118%
Simply Healthcare $11 130%
Solis Health Plan $12 142%
Freedom Health $159 - $296 1879%
Optimum $159 1879%
Corvel Corporation $222 2624%
Careworks (Rockport) $226 2671%
Prime Health $226 2671%
Avmed $240 - $924 2837%
Simply Healthcare Plans $240 2837%
Molina $314 - $499 3712%
Health Sun Health Plan $394 4657%
Aids Healthcare $407 - $2,218 4811%
Mmm Of Fl (Health Advantage Plan) $425 5024%
United Ppo $438 5177%
Sunshine State Health Plan $480 5674%
Healthy Palm Beaches $550 6501%
Blis $647 7648%
District Cares $924 10922%
Plotkin Health $924 10922%
Prime Health Sherriff $924 10922%
Medica Healthcare $1,090 12884%
Multiplan $1,386 - $1,571 16383%
Evernorth Bh $1,478 17470%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals