CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: The Women's Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $14
  • Cash Discount Price: $294
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at The Women's Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $294. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.65x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$294

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $294 (3475%)
Insurance Median: $14 (165%)
Cash: $294 (3475% of Medicare)
Ins. Median: $14 (165% 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
Amish $3 - $17 35%
Blue Cross Blue Shield $3 - $9 35%
UnitedHealthcare $5 - $398 59%
Aetna $8 - $114 95%
Caresource $8 95%
Caresource Hip $8 95%
Caresource In $8 95%
Chamber Care $8 - $29 95%
Humana $8 95%
Iu Health $8 - $249 95%
Mdwise Hip $8 95%
Meridian Health Il $8 95%
Mhs $8 95%
Mhs Behavioral $8 95%
Molina Il $8 95%
Molina Ky $8 95%
Molina Ky Dual $8 95%
Passport Molina Ky $8 - $114 95%
Patoka Valley Health Care (80/20 Plan) $8 95%
Patoka Valley Health Care (90/10 Plan) $8 95%
Wellcare Ky $8 - $114 95%
Alliance Coal $9 - $345 106%
Ambetter / Centene $10 - $13 118%
Caresource Marketplace (Just4Me) $11 - $13 130%
Hst $11 - $13 130%
One Care $11 - $348 130%
Allied National/Zelis - Freedom Plan $12 - $21 142%
Claimdoc $12 142%
Encorecombined $13 - $348 154%
Encoreprime $13 - $338 154%
Cigna $14 - $358 165%
Claritev (Formerly Phcs/Mulitplan) $14 - $343 165%
First Health/Coventry $14 - $368 165%
Healthlink $14 - $423 165%
Hope Trust $14 165%
Noncontracted $14 165%
Sagamore $14 - $358 165%
Self Pay $17 - $294 201%
Center Care $29 - $388 343%
Immergrun $198 - $208 2340%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals