CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Harlem Hospital Center

Billing Code: 80048 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$37
about 4.6× the $8 Medicare rate · typically $10–$70
modeled estimate · not a bill or quote
Medicare pays $8 Fair price $37 Hospital's list price $27

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $12 - $82 142%
Blue Cross Blue Shieldmajor $28 - $147 331%
Aetnamajor $5 - $19 59%
Cignamajor $21 248%
Fidelis Care $8 - $147 95%
MagnaCare $10 118%
Oscar Health $13 154%
WellCare $16 189%
+ 13 smaller / regional plans $5 - $147
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 506 Lenox Avenue, New York, NY 10037
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals