CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Atrium Health Floyd Polk Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $164
Cash Discount Price: $293
vs. Medicare Baseline: 19.39x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Atrium Health Floyd Polk Medical Center is $164. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $293. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 19.39x the Medicare baseline. Located in 2360 Rockmart Highway, Cedartown, GA.

Cash / Self-Pay

$293

Average discount available for prompt cash payment at this facility.

Insurance Median

$164

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: $293 (3463%)

Insurance Median: $164 (1939%)

Cash: $293 (3463% of Medicare)

Ins. Median: $164 (1939% 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 1939% of the Medicare baseline (a markup of 1839%). 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
Peach State Health Plan	$11	130%
Blue Cross Blue Shield	$12 - $437	142%
Cigna	$21 - $351	248%
Amerigroup	$80	946%
Caresource	$80 - $176	946%
Awc Networks	$114	1348%
Oscar Health Plan	$114 - $205	1348%
Aetna	$117 - $398	1383%
Georgia Assurance	$117	1383%
Humana	$117 - $380	1383%
UnitedHealthcare	$117 - $439	1383%
Wellcare	$117	1383%
Alliant Health Plans	$146 - $234	1726%
Clover	$152	1797%
Ambetter / Centene	$176	2080%
Multiplan	$410	4846%
Private Health Care Systems	$497	5875%
Beech Street	$526	6217%

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 $293.
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 Polk 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.