CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Stanly Regional Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $159
  • Cash Discount Price: $177
  • vs. Medicare Baseline: 18.79x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Stanly Regional Medical Center is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $177. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 18.79x the Medicare baseline. Located in 301 Yadkin St, Albemarle, NC.
Cash / Self-Pay
$177

Average discount available for prompt cash payment at this facility.

Insurance Median
$159

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: $177 (2092%)
Insurance Median: $159 (1879%)
Cash: $177 (2092% of Medicare)
Ins. Median: $159 (1879% 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 1879% of the Medicare baseline (a markup of 1779%). 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.

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
Aetna $9 - $319 106%
Cigna $9 - $283 106%
Humana $9 106%
UnitedHealthcare $9 - $240 106%
Alliance $10 - $44 118%
Amerihealth Caritas $10 - $43 118%
Blue Cross Blue Shield $10 - $182 118%
Carolina Complete Health $10 - $43 118%
Healthy Blue $10 - $43 118%
Partners $10 - $42 118%
Trillium $10 - $44 118%
Vaya $10 - $43 118%
Wellcare $10 - $43 118%
Choicecare $11 - $333 130%
Ambetter / Centene $14 - $132 165%
Physician Reach Out $177 2092%
Employers Health Network $188 - $205 2222%
Magellan $212 2506%
Medcost $226 - $340 2671%
Gmmi $230 2719%
Quik Trip $230 2719%
Carolina Behavioral Health $255 - $283 3014%
First Health $319 3771%
Healthgram $319 3771%
Lifesynch Community Choice Care $333 3936%
Multiplan $333 3936%
Private Health Care Systems $333 3936%
Beechstreet $340 4019%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 Yadkin St, Albemarle, NC 28001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals