CMS Price Transparency Data
Blood test, basic metabolic panel
Facility: Chelsea Hospital
Billing Code: 80048 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80048
- Insurance Median: $30
- Cash Discount Price: $141
- vs. Medicare Baseline: 3.55x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Chelsea Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $141. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 3.55x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$141
Average discount available for prompt cash payment at this facility.
Insurance Median
$30
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: $141 (1667%)
Insurance Median: $30 (355%)
Cash: $141 (1667% of Medicare)
Ins. Median: $30 (355% 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 355% of the Medicare baseline (a markup of 255%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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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 | $5 - $14 | 59% |
| Medicaid / KanCare | $5 | 59% |
| Aetna | $8 - $49 | 95% |
| Align Senior Care | $8 | 95% |
| Angela Hospice | $8 | 95% |
| Arbor Hospice | $8 | 95% |
| Blue Care Network Advantage | $8 | 95% |
| Heartland Hospice | $8 | 95% |
| Medicare (plans) | $8 | 95% |
| Cca - Zing Health | $9 | 106% |
| UnitedHealthcare | $9 - $71 | 106% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $10 | 118% |
| Molina Marketplace | $11 | 130% |
| Geha | $13 - $71 | 154% |
| Health Cost Solutions | $13 | 154% |
| Meritain | $13 | 154% |
| Vitalcore | $13 | 154% |
| Wellpath | $13 | 154% |
| Bcn Domestic | $14 | 165% |
| Blue Benefit Administrators Of Massachusetts | $14 | 165% |
| Blue Care Network | $14 | 165% |
| Blue Distinction Transplant | $14 | 165% |
| Blue Shield - Ca | $14 | 165% |
| Blue Shield - Id (Regence) | $14 | 165% |
| Blue Shield - Ny Highmark Northeastern | $14 | 165% |
| Blue Shield - Ny Highmark Western | $14 | 165% |
| Blue Shield - Pa (Highmark) | $14 | 165% |
| Blue Shield - Wa (Regence) | $14 | 165% |
| Health Choices | $14 - $70 | 165% |
| Kaiser Domestic | $14 | 165% |
| U Of M Health Plan | $14 | 165% |
| Employee Benefit Logistic | $19 | 225% |
| Priority Health | $21 - $24 | 248% |
| Wc Accident Fund | $28 | 331% |
| Wc Advantage | $28 | 331% |
| Wc Aig | $28 | 331% |
| Wc Allied | $28 | 331% |
| Wc Amerisure | $28 | 331% |
| Wc Amtrust | $28 | 331% |
| Wc Asu Risk Mgt | $28 | 331% |
| Wc Berkley Admin | $28 | 331% |
| Wc Broadspire | $28 | 331% |
| Wc Bunch & Associates | $28 | 331% |
| Wc Ccmsi | $28 | 331% |
| Wc Emc Insurance Company | $28 | 331% |
| Wc Esis | $28 | 331% |
| Wc Fcci | $28 | 331% |
| Wc Federated | $28 | 331% |
| Wc Gallagher Bassett | $28 | 331% |
| Wc Genex Care For Ohio | $28 | 331% |
| Wc Guard Insurance Company | $28 | 331% |
| Wc Hartford | $28 | 331% |
| Wc Liberty Mutual | $28 | 331% |
| Wc Meijers | $28 | 331% |
| Wc Michigan | $28 | 331% |
| Wc Mitchell Frankenmuth | $28 | 331% |
| Wc Pma | $28 | 331% |
| Wc Sedgwick | $28 | 331% |
| Wc Sentry | $28 | 331% |
| Wc Travelers | $28 | 331% |
| Wc Tristar | $28 | 331% |
| Wc Walmart | $28 | 331% |
| Wc Zurich | $28 | 331% |
| Asr Health Benefits | $30 | 355% |
| Caresource | $30 | 355% |
| Hap | $30 - $82 | 355% |
| Varipro | $30 | 355% |
| Access Health | $70 | 827% |
| Acclaim | $70 | 827% |
| Administrative Concepts | $70 | 827% |
| Allegeant | $70 | 827% |
| Ameriben | $70 | 827% |
| American Family | $70 | 827% |
| American Healthcare Alliance | $70 | 827% |
| American National | $70 | 827% |
| American Republic | $70 | 827% |
| Amerihealth | $70 | 827% |
| Aultcare | $70 | 827% |
| Automated Benefit Services | $70 | 827% |
| Auxiant | $70 | 827% |
| Benefit Administrative Systems,Llc | $70 | 827% |
| Boon Chapman | $70 | 827% |
| Cam Administrative Services | $70 | 827% |
| Christian Brother Services | $70 | 827% |
| Christian Brothers Holy Cross | $70 | 827% |
| Comprehensive Benefits | $70 | 827% |
| Continental Life Insurance | $70 | 827% |
| Custom Benefit Administrators | $70 | 827% |
| Employee Benefit Concepts | $70 | 827% |
| Employee Benefit Management | $70 | 827% |
| Enterprise Group Planning | $70 | 827% |
| Freedom Life Insurance Company | $70 | 827% |
| Group Administrators | $70 | 827% |
| Group Marketing Services | $70 | 827% |
| Guardian | $70 | 827% |
| Health America | $70 | 827% |
| Healthcare Management Admin | $70 | 827% |
| Healthez | $70 | 827% |
| Humana | $70 | 827% |
| Insight | $70 | 827% |
| Intercare | $70 | 827% |
| Jfp Benefit Management | $70 | 827% |
| Jp Farley Corporation | $70 | 827% |
| Key Benefit Administrator | $70 | 827% |
| Liberty Union Life Assurance Co | $70 | 827% |
| Lucent Health | $70 | 827% |
| Luminare Health | $70 | 827% |
| Luminare Health (Detroit) | $70 | 827% |
| Magnacare | $70 | 827% |
| Medben | $70 | 827% |
| Medcost | $70 | 827% |
| Medical Mutual | $70 | 827% |
| Mutual Health Services | $70 | 827% |
| Mutual Of Omaha | $70 | 827% |
| Ncas | $70 | 827% |
| Nippon Life Ins | $70 | 827% |
| Nova | $70 | 827% |
| Painters Union Insurance Fund | $70 | 827% |
| Physicians Mutual | $70 | 827% |
| Plumbers Local 98 Insurance Fund | $70 | 827% |
| Prairie States | $70 | 827% |
| Preferred One | $70 | 827% |
| Primary Physician Care | $70 | 827% |
| Professional Benefit Administrators | $70 | 827% |
| Siho Insurance Services | $70 | 827% |
| Sisco Benefits | $70 | 827% |
| The Loomis Company | $70 | 827% |
| Unicare | $70 | 827% |
| Us Health And Life | $70 | 827% |
| Valenz | $70 | 827% |
| Western & Southern Financial Group | $70 | 827% |
| Wps | $70 | 827% |
| Coventry | $72 | 851% |
| First Health | $72 | 851% |
| Cigna | $74 | 875% |
| Hospice Of Michigan | $74 | 875% |
| 1199 National Benefit Fund | $79 | 934% |
| Allied National Global Care | $79 | 934% |
| Asrm - Reliance Standard Life Insurance | $79 | 934% |
| Christian Care Ministry | $79 | 934% |
| Dean Health | $79 | 934% |
| Fallon Health | $79 | 934% |
| Family Life Insurance Company | $79 | 934% |
| Ghc Scw | $79 | 934% |
| Group Pension Administrators | $79 | 934% |
| International Benefit Administrators | $79 | 934% |
| Lifetime Benefit Solutions | $79 | 934% |
| Manhattan Life | $79 | 934% |
| Medi Share | $79 | 934% |
| Multiplan | $79 | 934% |
| Mvp | $79 | 934% |
| Pai | $79 | 934% |
| Pan-American Life | $79 | 934% |
| Paramount Hmo | $79 | 934% |
| Phcs | $79 | 934% |
| Trinity Health Share | $79 | 934% |
| Health Partners | $82 | 969% |
| Tufts Health Plan | $82 | 969% |
| Prime Health Services | $84 | 993% |
| Three Rivers Provider Network | $94 | 1111% |
| Cmh Detroit Wayne Integrated Health Network | $105 | 1241% |
| Cmh Jackson County/Lifeways | $105 | 1241% |
| Cmh Lenawee County | $105 | 1241% |
| Cmh Livingston County | $105 | 1241% |
| Cmh Misc | $105 | 1241% |
| Cmh Monroe County | $105 | 1241% |
| Cmh Washtenaw County | $105 | 1241% |
| Magellan Behavioral Health | $105 | 1241% |