CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Frankfort Regional Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $128
Cash Discount Price: $792
vs. Medicare Baseline: 15.13x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Frankfort Regional Medical Center is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $792. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 15.13x the Medicare baseline. Located in 299 Kings Daughters Drive, Frankfort, KY.

Cash / Self-Pay

$792

Average discount available for prompt cash payment at this facility.

Insurance Median

$128

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: $792 (9362%)

Insurance Median: $128 (1513%)

Cash: $792 (9362% of Medicare)

Ins. Median: $128 (1513% 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 1513% of the Medicare baseline (a markup of 1413%). 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
Blue Cross Blue Shield	$6 - $8	71%
Aetna	$8	95%
Coventry Cares	$8	95%
Devoted Health	$8	95%
Humana	$8 - $221	95%
Molina	$8	95%
United	$8 - $359	95%
United Behavioral Health	$8	95%
United Va	$8	95%
Wellcare	$8 - $10	95%
Horizon Pace	$9	106%
Corvel	$126 - $128	1489%
Prime Health	$126 - $128	1489%
Signature Advantage	$149 - $152	1761%
Cigna	$231 - $235	2730%
Essence Healthcare	$353 - $359	4173%
Baptist Health Network	$424 - $431	5012%
Hospice Of Central Kentucky	$495 - $503	5851%
Occupational Mc Alliance	$628 - $639	7423%
Multiplan	$746 - $759	8818%

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 $792.
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 Frankfort Regional 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.