CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Memorial Hospital for Cancer and Allied Diseases

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $77
Cash Discount Price: $261
vs. Medicare Baseline: 9.10x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Memorial Hospital for Cancer and Allied Diseases is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $261. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 9.10x the Medicare baseline. Located in 1275 York Ave, New York, NY.

Cash / Self-Pay

$261

Average discount available for prompt cash payment at this facility.

Insurance Median

$77

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: $261 (3085%)

Insurance Median: $77 (910%)

Cash: $261 (3085% of Medicare)

Ins. Median: $77 (910% 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 910% of the Medicare baseline (a markup of 810%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$30	355%
Oxford	$34	402%
UnitedHealthcare	$34	402%
Emblem	$35 - $147	414%
Aetna	$43 - $97	508%
Empire	$58 - $73	686%
Healthfirst	$70 - $157	827%
Fidelis	$79 - $95	934%
Magnacare	$167 - $209	1974%
Metroplus	$170	2009%
Urn	$185	2187%
6 Degrees Health	$204	2411%
Multiplan	$235	2778%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $261.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80048.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Memorial Hospital for Cancer and Allied Diseases is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80048.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.