CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Athur M Blank Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $263
Cash Discount Price: $384
vs. Medicare Baseline: 31.09x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Athur M Blank Hospital is $263. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $384. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 31.09x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$384

Average discount available for prompt cash payment at this facility.

Insurance Median

$263

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: $384 (4539%)

Insurance Median: $263 (3109%)

Cash: $384 (4539% of Medicare)

Ins. Median: $263 (3109% 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 3109% of the Medicare baseline (a markup of 3009%). 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
Caresource [61]	$12	142%
Peachstate [43]	$12	142%
Amerigroup [102]	$14	165%
Cigna	$254	3002%
Blue Cross Blue Shield	$255 - $375	3014%
United [5]	$255	3014%
Ambetter / Centene	$257	3038%
Oscar [228]	$257	3038%
Aetna	$258	3050%
Caresource Marketplace Bronze/Silver/Gold [60]	$261	3085%
Kaiser [6]	$261	3085%
Sidecar Health [236]	$265	3132%
Coventry [9]	$269	3180%
Direct Employer Agreements [72]	$269 - $326	3180%
First Health [74]	$288	3404%
Northeast Georgia Heatlh System [808]	$288	3404%
Veracity Benefits [809]	$288	3404%
Phcs [93]	$326	3853%
Secure Health [340]	$326	3853%
Beech Street [71]	$346	4090%
Multiplan [92]	$376	4444%
Novanet [41]	$384	4539%

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 $384.
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 Athur M Blank Hospital 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.