CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Montefiore St Luke's Cornwall

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $13
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Montefiore St Luke's Cornwall is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.54x the Medicare baseline. Located in 70 Dubois Street, Newburgh, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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%)
Insurance Median: $13 (154%)
Ins. Median: $13 (154% 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
Fidelis $6 - $8 71%
Aetna $7 - $13 83%
Blue Cross Blue Shield $7 - $316 83%
Cdphp $7 83%
Emblem $7 - $321 83%
Hudson Valley $7 83%
Mediblue $7 83%
Medicaid / KanCare $7 83%
Oscar $7 83%
Point Comfort $7 83%
UnitedHealthcare $7 - $10 83%
Centerlight $8 95%
Humana $8 95%
American Postal Workers $10 118%
Mvp $10 118%
Geha $13 154%
Meritain Health $13 154%
Nippon Life Insurance $13 154%
Northwell $20 236%
Cigna $62 - $69 733%
Healthfirst $67 792%
Centivo $253 2991%
Seiu1199 $301 3558%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 70 Dubois Street, Newburgh, NY 12550
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals