CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Doctors Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $9
  • Cash Discount Price: $119
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Doctors Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.06x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.
Cash / Self-Pay
$119

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: $119 (1407%)
Insurance Median: $9 (106%)
Cash: $119 (1407% 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
Blue Cross Blue Shield $7 - $9 83%
Humana $7 - $8 83%
Aetna $8 - $66 95%
Devoted Health $8 95%
Friday Health $8 95%
Health Net $8 95%
Regency Hospice $8 95%
St Joseph Hospice $8 95%
United $8 - $54 95%
Absolute Total Care $9 - $22 106%
Caresource $9 106%
Clover $9 106%
Coventry $9 106%
Eon Health $9 106%
Georgia Assurance $9 106%
Healthspring $9 106%
Shared Health $9 106%
Wellcare $9 - $24 106%
Health One Alliance $10 118%
Qtc Medical Group $10 118%
Ambetter / Centene $11 130%
Blue Choice $11 130%
Dept Of Community Health $13 154%
Amerigroup $17 201%
Nhc Advantage $23 272%
Pruitt Health $23 272%
Peach State $24 284%
Americas 1St Choice $33 390%
Centurion $33 390%
Medcost $60 - $76 709%
Kaiser Permanente $65 768%
Multiplan $72 - $108 851%
Performax $81 957%
First Health $90 1064%
Employer'S Health Network $96 1135%
Novanet $108 1277%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3651 Wheeler Road, Augusta, GA 30909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals