CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Boston Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $9
  • Cash Discount Price: $64
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Boston Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $64. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.06x the Medicare baseline. Located in 1 Boston Medical Center Place, Boston, MA.
Cash / Self-Pay
$64

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: $64 (757%)
Insurance Median: $9 (106%)
Cash: $64 (757% 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
Fallon Healthcre Aco [1121] $7 83%
Hlth New England Aco [1123] $7 83%
Mass General Brigham Health Plan Aco [1120] $7 83%
Mass General Brigham Health Plan Mcd Mnged [1107] $7 83%
Medicaid / KanCare $7 83%
Tufts Together Aco [1122] $7 83%
Tufts Together Mco [1125] $7 83%
Wellsense Alli Aco [1118] $7 83%
Wellsense Essential Mco [1101] $7 83%
Aetna $8 - $69 95%
Blue Cross Blue Shield $8 - $17 95%
Corrections [9001] $8 - $11 95%
Humana $8 95%
Medicare (plans) $8 - $9 95%
Neighborhood Pace [1206] $8 95%
Oxford Health [1007] $8 95%
Oxford Health [2024] $8 95%
Tufts [8002] $8 - $23 95%
Ubh Hphc [8016] $8 95%
United [2025] $8 - $26 95%
UnitedHealthcare $8 95%
Veterans Admin [9003] $8 95%
Zzzcovid19 Hrsa Uninsured Testing And Treatment Fund [500010] $8 95%
Zzzunited [1008] $8 - $26 95%
Cca [1215] $9 106%
Cigna $9 - $23 106%
Eternalhealth [1227] $9 106%
Fallon Sco [1126] $9 106%
Wellcare [1240] $9 106%
Wellsense [7001] $9 106%
Zzzcca Onecare [1216] $9 106%
Champva [9004] $10 118%
Senior Whole Health [1210] $10 118%
Tricare $10 118%
Tufts Conncare/Qhp [8020] $10 - $12 118%
Fallon [8008] $11 130%
Workers Comp [5002] $12 142%
Zzzbu Employee Work Comp [5004] $12 142%
Zzzcity Of Boston Work Comp [5003] $12 142%
Unicare [8004] $15 177%
Wellpoint [2034] $15 177%
Harvard Pilgrim Health Care [8001] $26 307%
Health Plans Inc [2027] $26 307%
Zzzhealth Plans Inc [1013] $26 307%
Uphams Corner Esp [1213] $57 674%
Meritain Health [1023] $62 733%
Mass General Brigham Health Plan Commercial [8009] $77 910%
Hsn Bad Debt [4003] $513 6064%
Hsn Confidential [4007] $513 6064%
Hsn Dental [4006] $513 6064%
Hsn Partial [4002] $513 6064%
Hsn [4001] $513 6064%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Boston Medical Center Place, Boston, MA 02118
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals