CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Norton Clark Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $9
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Norton Clark Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.06x the Medicare baseline. Located in 1220 Missouri Ave, Jeffersonville, IN.
Cash / Self-Pay
$42

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: $42 (496%)
Insurance Median: $9 (106%)
Cash: $42 (496% 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 $6 - $140 71%
Caresource Indiana Healthy Indiana Plan (Hip) $8 95%
Humana $8 95%
Managed Health Services (Mhs) Healthy Indiana Plan (Hip) $8 95%
Managed Health Services (Mhs) Hoosier Care Connect $8 95%
Managed Health Services (Mhs) Hoosier Healthwise (Hhw) $8 95%
Mdwise Health Indiana Plan (Hip) $8 95%
UnitedHealthcare $8 - $9 95%
Aetna $9 - $143 106%
Caresource Indiana Hoosier Healthwise (Hhw) $9 106%
Communicare Advantage $9 106%
Managed Health Services (Mhs) $9 - $12 106%
Mdwise Hoosier Healthwise (Hhw) $9 106%
Molina Healthcare Of Indiana $9 106%
Cigna $123 1454%
Ppom $265 3132%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1220 Missouri Ave, Jeffersonville, IN 47130
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals