CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Bon Secours Community Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $49
  • Cash Discount Price: $135
  • vs. Medicare Baseline: 5.79x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Bon Secours Community Hospital is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $135. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 5.79x the Medicare baseline. Located in 160 East Main Street, Port Jervis, NY.
Cash / Self-Pay
$135

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

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: $135 (1596%)
Insurance Median: $49 (579%)
Cash: $135 (1596% of Medicare)
Ins. Median: $49 (579% 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 579% of the Medicare baseline (a markup of 479%). 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
Cigna $18 213%
Blue Cross Blue Shield $49 579%
Mvp $1,184 - $1,396 13995%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 160 East Main Street, Port Jervis, NY 12771
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals