CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: The University of Vermont Health Network - Champl

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $9
Cash Discount Price: $239
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at The University of Vermont Health Network - Champl is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $239. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.06x the Medicare baseline. Located in 75 Beekman Street, Plattsburgh, NY.

Cash / Self-Pay

$239

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $239 (2825%)

Insurance Median: $9 (106%)

Cash: $239 (2825% of Medicare)

Ins. Median: $9 (106% 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.

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
Aetna	$8 - $161	95%
Blue Cross Blue Shield	$8 - $14	95%
Capital District Physicians' Health Plan	$8	95%
Fidelis Care	$8	95%
Humana	$8	95%
Mvp	$8 - $190	95%
St. Regis	$8	95%
UnitedHealthcare	$8 - $182	95%
Veterans Affairs Community Care Network	$8	95%
Martins Point	$9	106%
Highmark Blueshield	$10	118%
Wellpath	$13	154%
Emblem Health	$191	2258%
Harvard Pilgrim	$191	2258%
Magnacare	$191	2258%
Coventry	$215	2541%
Multiplan	$227	2683%

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 $239.
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 The University of Vermont Health Network - Champl 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.