CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Atrium Health Floyd Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $198
Cash Discount Price: $364
vs. Medicare Baseline: 23.40x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Atrium Health Floyd Medical Center is $198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $364. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 23.40x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.

Cash / Self-Pay

$364

Average discount available for prompt cash payment at this facility.

Insurance Median

$198

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: $364 (4303%)

Insurance Median: $198 (2340%)

Cash: $364 (4303% of Medicare)

Ins. Median: $198 (2340% 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 2340% of the Medicare baseline (a markup of 2240%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$8 - $546	95%
Caresource	$8 - $124	95%
Cigna	$8 - $437	95%
Georgia Assurance	$8	95%
Humana	$8 - $473	95%
Occunet	$8	95%
UnitedHealthcare	$8 - $546	95%
Aetna	$9 - $495	106%
Clover	$9	106%
Wellcare	$9	106%
Peach State Health Plan	$11	130%
Alliant Health Plans	$13 - $291	154%
Ambetter / Centene	$13	154%
Amerigroup	$123	1454%
Awc Networks	$142	1678%
Oscar Health Plan	$142 - $255	1678%
Beacon	$364	4303%
Evernorth	$364	4303%
Multiplan	$510	6028%
Beech Street	$568	6714%
Private Health Care Systems	$619	7317%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $364.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80048.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Atrium Health Floyd Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80048.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.