CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Boston Medical Center-Brighton

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $9
  • Cash Discount Price: $16
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Boston Medical Center-Brighton is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.06x the Medicare baseline. Located in 736 Cambridge Street, Nevins Building, Brighton, MA.
Cash / Self-Pay
$16

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: $16 (189%)
Insurance Median: $9 (106%)
Cash: $16 (189% 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 - $25 95%
Blue Cross Blue Shield $8 - $21 95%
Humana $8 95%
Medicare (plans) $8 - $9 95%
Neighborhood Pace [1206] $8 95%
Senior Whole Health [1210] $8 95%
Ubh Hphc [8016] $8 95%
United Community Plan [1202] $8 95%
UnitedHealthcare $8 95%
Veterans Admin [9003] $8 95%
Zzzcovid19 Hrsa Uninsured Testing And Treatment Fund [500010] $8 95%
Cca [1215] $9 106%
Cigna $9 - $26 106%
Eternalhealth [1227] $9 106%
Zzzcca Onecare [1216] $9 106%
Fallon [8008] $11 130%
Unicare [8004] $15 177%
Wellpoint [2034] $15 177%
Tufts [8002] $23 - $26 272%
Meritain Health [1023] $25 296%
Mass General Brigham Health Plan Commercial [8009] $27 319%
Mass General Brigham Health Plan Prime [7003] $27 319%
Harvard Pilgrim Health Care [8001] $31 366%
Hsn Bad Debt [4003] $475 5615%
Hsn Confidential [4007] $475 5615%
Hsn Dental [4006] $475 5615%
Hsn Partial [4002] $475 5615%
Hsn [4001] $475 5615%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 736 Cambridge Street, Nevins Building, Brighton, MA 02135
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals