CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Bellevue Hospital Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $23
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 2.72x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Bellevue Hospital Center is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 2.72x the Medicare baseline. Located in 462 First Avenue, New York, NY.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $8 (95%)
Insurance Median: $23 (272%)
Cash: $8 (95% of Medicare)
Ins. Median: $23 (272% 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 272% of the Medicare baseline (a markup of 172%). 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 $5 - $19 59%
Healthfirst $5 - $156 59%
Blue Cross Blue Shield $7 - $156 83%
Centerlight $8 - $10 95%
Elderplan $8 95%
Fidelis $8 - $156 95%
Hamaspik $8 - $10 95%
Metroplus $8 - $156 95%
Centers Plan For Healthy Living $9 106%
Local 1199 $9 - $23 106%
Oxford $9 - $12 106%
Wellcare $9 - $13 106%
Magnacare $10 118%
Villagecare Max $10 - $23 118%
Oscar $12 - $13 142%
United $12 - $87 142%
Affinity $15 - $156 177%
Carelon $17 - $69 201%
Emblem $19 - $93 225%
Cigna $21 248%
Multiplan $21 248%
Vnsny $23 - $71 272%
Amidacare $69 816%
Senior Whole Health $69 816%
United Behavioral Health $69 - $76 816%
Carelon (Amida Care) $71 839%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 462 First Avenue, New York, NY 10016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals