CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Saratoga Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $8
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Saratoga Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 0.95x the Medicare baseline. Located in 211 Church Street, Saratoga Springs, NY.
Cash / Self-Pay
$14

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $14 (165%)
Insurance Median: $8 (95%)
Cash: $14 (165% of Medicare)
Ins. Median: $8 (95% 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
UnitedHealthcare $4 - $289 47%
Blue Shield Highmark $6 71%
Cdphp $6 - $108 71%
Fidelis $6 - $108 71%
Mvp $6 - $8 71%
Medicaid / KanCare $7 83%
Blue Cross Blue Shield $8 - $148 95%
Cigna $8 95%
Emblem $8 - $9 95%
Emblem Health Ghi $8 - $9 95%
Hamaspik $8 - $113 95%
Medicare (plans) $8 95%
Aetna $9 - $32 106%
Nascentia Health Options $9 106%
Tricare $9 106%
Blue Shield $12 - $23 142%
Mvp Commercial $17 - $241 201%
Empire Plan Nyship $18 - $241 213%
Multiplan $18 - $273 213%
Magnacare $22 - $305 260%
Mvp Essential Plan $48 - $96 567%
Mvp Govt Programs $48 567%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 211 Church Street, Saratoga Springs, NY 12866
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals