CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $134
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 15.84x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Atlanticare Regional Medical Center - City Campus is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 15.84x the Medicare baseline. Located in 1925 Pacific Avenue, Atlantic City, NJ.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$134

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%)
Insurance Median: $134 (1584%)
Ins. Median: $134 (1584% 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 1584% of the Medicare baseline (a markup of 1484%). 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 $1 - $152 12%
Americhoice $1 12%
Amerigroup $1 12%
UnitedHealthcare $1 - $131 12%
Wellcare $1 12%
Ambetter / Centene $2 24%
Health Partners Plan $7 - $46 83%
Oxford $8 - $138 95%
Devoted Health Plan $9 - $92 106%
Global Exchange Managed Care $13 154%
Horizon $26 - $129 307%
Self Pay $28 331%
Magnacare $74 - $166 875%
Cigna $77 - $93 910%
Evernorth $92 1087%
Qualcare Commercial $92 1087%
Great West Life $93 1099%
Amerihealth $118 - $155 1395%
Active Care Plus $120 1418%
First Mco $120 1418%
Mutual Of Omaha $120 1418%
Qualcare Wc $120 1418%
Consumer Health Network (Chn) $129 - $166 1525%
Donio Trucking $129 1525%
Devon/ Ullicare $138 1631%
Coventry Health Care $147 1738%
Private Healthcare System (Phcs) $147 1738%
Blue Cross Blue Shield $151 1785%
Health Payors Org $156 1844%
Health South $156 1844%
Metrahealth Of Nj $156 1844%
Prime Health Services $156 1844%
Three Rivers Provider Network (Trpn) $156 1844%
Active Care Nj Pip $166 1962%
Beech Street $166 1962%
Choice Care $166 1962%
Department Of Corrections $166 1962%
Galaxy Health Network $166 1962%
Health Network Inc $166 1962%
Intergroup Preferred Program $166 1962%
Mcs Commercial $166 1962%
Metracomp $166 1962%
Multiplan $166 1962%
Provider Select, Inc $166 1962%
Atlantis Health Plan $170 2009%
Master Care Inc $170 2009%
Advance Healthcare System $175 2069%
Community Care Network $175 2069%
Health Network America $175 2069%
Mcsi/Mrsi No Fault $175 2069%
Mcsi/Mrsi Worker'S Comp $175 2069%
National Health Plan $175 2069%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1925 Pacific Avenue, Atlantic City, NJ 08401
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals