CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: St Charles Hospital

Billing Code: 80048 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$9
about 1.1× the $8 Medicare rate · typically $8–$20
modeled estimate · not a bill or quote
What this hospital charges insurers
$8
Below the fair price — a good deal
about $1 under the fair price · 1.0× Medicare
Medicare pays $8 Fair price $9 This hospital $8 Hospital's list price $215

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $6 Priciest $8

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Blood test, basic metabolic panel is about $9 (about 1.1× the $8 Medicare rate). St Charles Hospital charges insurers about $8 — below the fair price — a good deal. Located in Port Jefferson, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $7 - $140 83%
Blue Cross Blue Shieldmajor $8 - $31 95%
Aetnamajor $8 - $183 95%
Cignamajor $21 - $140 248%
Humanamajor $9 106%
AmeriHealth $19 225%
Cigna HealthSpring $8 95%
Fidelis Care $7 - $16 83%
Independent Health $7 - $8 83%
MVP Health Care $7 - $21 83%
Oscar Health $88 1040%
UniCare $140 1655%
WellCare $9 106%
+ 44 smaller / regional plans $7 - $215
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 200 Belle Terre Road, Port Jefferson, NY 11777
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals