CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Tristar Greenview Regional Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $11
  • Cash Discount Price: $1,982
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Tristar Greenview Regional Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,982. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.30x the Medicare baseline. Located in 1801 Ashley Circle, Bowling Green, KY.
Cash / Self-Pay
$1,982

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $1,982 (23428%)
Insurance Median: $11 (130%)
Cash: $1,982 (23428% of Medicare)
Ins. Median: $11 (130% 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
Aetna $8 95%
Blue Cross Blue Shield $8 - $619 95%
Coventry Cares $8 95%
Devoted Health $8 95%
Humana $8 - $521 95%
Molina $8 95%
Sarah Cannon Research $8 95%
United $8 - $892 95%
Va Ccn $8 95%
Wellcare $8 - $11 95%
Horizon Pace $9 106%
Prime Health $318 3759%
Signature Advantage $377 4456%
Cigna $591 6986%
Cdm Health $971 11478%
Southern Kentucky Rehab $1,487 17577%
Occupational Mc Alliance $1,586 18747%
Tim Davis And Associates $1,586 18747%
Up And Up $1,586 18747%
Fortified Provider Network $1,784 21087%
Multiplan $1,784 21087%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1801 Ashley Circle, Bowling Green, KY 42104
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals