CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Uh Cleveland Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $88
  • Cash Discount Price: $118
  • vs. Medicare Baseline: 10.40x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Uh Cleveland Medical Center is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $118. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 10.40x the Medicare baseline. Located in 11100 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$118

Average discount available for prompt cash payment at this facility.

Insurance Median
$88

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: $118 (1395%)
Insurance Median: $88 (1040%)
Cash: $118 (1395% of Medicare)
Ins. Median: $88 (1040% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1040% of the Medicare baseline (a markup of 940%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $3 - $93 35%
Aetna $8 - $124 95%
Cigna $8 - $95 95%
Devoted Health $8 95%
Humana $8 95%
Medical Mutual Of Ohio $8 - $98 95%
Molina $8 95%
Primetime Health Plan $8 95%
Summacare $8 - $107 95%
The Health Plan $8 - $102 95%
UnitedHealthcare $8 - $43 95%
Wellcare By Allwell $8 95%
Paramount $9 106%
Perennial Advantage Of Ohio $9 106%
Valor Health Plans $9 106%
University Health Employee Plan (Contigo) $12 142%
Ambetter / Centene $15 177%
Caresource $15 177%
Aultcare $17 201%
Amish Aid Community Plan $78 922%
Amish Church Fund And Workers Aid Plan $78 922%
Buckeye Plain Ministries $78 922%
Christian Healthcare Ministries $78 922%
Immergrun $78 922%
Sunrise Plain Communities $78 922%
Jp Farley $85 1005%
Clarity $88 1040%
Enterprise Group Planning $88 1040%
Health Ohio Network $91 1076%
Healthsmart $102 1206%
Ohio Health Choice $102 - $141 1206%
Medical Mutual Traditional/Health Ohio $110 1300%
Beech Street $126 - $141 1489%
Ohio Preferred Network $126 - $141 1489%
First Health $130 1537%
Century Health Network $133 1572%
Private Healthcare System $135 1596%
Configurenet $141 1667%
Fortified Provider Network $141 1667%
Multiplan $141 1667%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals