CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Englewood Hospital and Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $15
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 1.77x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Englewood Hospital and Medical Center is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.77x the Medicare baseline. Located in 350 Engle St, Englewood, NJ.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $15 (177%)
Insurance Median: $15 (177%)
Cash: $15 (177% of Medicare)
Ins. Median: $15 (177% 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
Oxford_741 $3 35%
UnitedHealthcare $3 - $8 35%
Aetna $8 - $75 95%
Americhoice_732 $8 95%
Amerigroup_758 $8 95%
Amerihealth_766 $8 95%
Blue Cross Blue Shield $8 - $88 95%
Clover_733 $8 95%
Heathnet Federal Services $8 95%
Hip Health Plan $8 95%
Horizon New Jersey Health - Dsnp $8 - $9 95%
Humana $8 95%
Americhoice_756 $9 106%
Emblem_734 $9 106%
Emblem_762 $9 106%
Wellcare_765 $9 106%
Wellcare_755 $12 142%
Amerigroup_754 $15 177%
Amerihealth_760 $15 177%
Health Care Support_787 $15 177%
Magnacare_768 $32 378%
Magnacare_770 $32 378%
Amerihealth_757 $70 827%
Multiplan $73 - $74 863%
Cigna $82 969%
Horizon $89 - $95 1052%
Magnacare_763 $91 1076%
Magnacare_769 $91 1076%
Qualcare_752 $100 1182%
Qualcare $102 1206%
Bergen $114 1348%
Coventry $114 1348%
Magnacare $122 1442%
Qualcare_783 $7,783 91998%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Engle St, Englewood, NJ 07631
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals