CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Caromont Regional Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $13
  • Cash Discount Price: $201
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Caromont Regional Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $201. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.54x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.
Cash / Self-Pay
$201

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $201 (2376%)
Insurance Median: $13 (154%)
Cash: $201 (2376% of Medicare)
Ins. Median: $13 (154% 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
Avalon $4 47%
Humana $5 - $177 59%
UnitedHealthcare $5 - $26 59%
Blue Cross Blue Shield $8 - $66 95%
Healthteam $8 95%
Absolute Total Care $9 106%
Aetna $9 - $74 106%
Corporate Benefits Service $9 106%
Devoted Health $9 106%
Longevity Health $9 106%
Molina $9 106%
Alliance Behavioral Health $13 154%
Amerihealth Caritas $13 154%
Carolina Complete Health $13 154%
Carolina Complete Health Tailored Plans $13 154%
Partners Behavioral Health $13 154%
Vaya Behavioral Health $13 154%
Wellcare $13 154%
Surgery Plus $15 177%
Cigna $16 - $26 189%
Carolina Caring $21 - $159 248%
Gaston County Jail $26 307%
Medcost $77 910%
Beech Street $165 1950%
Multiplan $165 1950%
Self Pay $181 2139%
First Health Network $191 2258%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2525 Court Dr, Gastonia, NC 28052
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals