CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Albany Medical Center Hospital

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 Albany Medical Center Hospital 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 43 New Scotland Avenue, Mail Code 34, Albany, NY.
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
Blue Cross Blue Shield $5 - $103 59%
Blue Shield Highmark $5 - $17 59%
Cdphp $6 - $103 71%
Mvp $6 - $46 71%
Fidelis $7 - $114 83%
Medicaid / KanCare $7 83%
Blue Shield $8 - $48 95%
Cigna $8 95%
Hamaspik $8 - $107 95%
Medicare (plans) $8 95%
UnitedHealthcare $8 - $152 95%
Aetna $9 - $20 106%
Emblem $9 - $15 106%
Emblem Health Ghi $9 - $16 106%
Mvp Commercial $9 106%
Nascentia $9 106%
Nascentia Health Options $9 106%
Tricare $9 106%
Empire Plan Nyship $11 - $152 130%
Magnacare $11 - $152 130%
Multiplan $11 - $162 130%
Emblem_Ghi $15 177%
Mvp Essential Plan $98 1158%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals