CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Community Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $9
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Community Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.06x the Medicare baseline. Located in 99 Rt 37 West, Toms River, NJ.
Cash / Self-Pay
$9

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: $9 (106%)
Insurance Median: $9 (106%)
Cash: $9 (106% 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
UnitedHealthcare $4 - $9 47%
Fidelis Care $7 - $8 83%
Aetna $8 - $22 95%
Blue Cross Blue Shield $8 - $150 95%
Clover Health $8 95%
Humana $8 95%
Wellpoint $8 - $93 95%
Emblem Health $15 177%
Wellcare $17 201%
Amerihealth $23 272%
Cigna $35 414%
First Health $98 1158%
Qualcare Inc $109 - $117 1288%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 99 Rt 37 West, Toms River, NJ 08755
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals