CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $114
Cash Discount Price: $59
vs. Medicare Baseline: 13.48x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Crystal Clinic Orthopaedic Center is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 13.48x the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$59

Average discount available for prompt cash payment at this facility.

Insurance Median

$114

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: $59 (697%)

Insurance Median: $114 (1348%)

Cash: $59 (697% of Medicare)

Ins. Median: $114 (1348% 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 1348% of the Medicare baseline (a markup of 1248%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Bc Mcr Adv	$8	95%
Summacare Mcr Adv	$8	95%
UnitedHealthcare	$8 - $164	95%
The Health Plan - All Plans	$17	201%
Aultcare - All Plans	$25	296%
Health Oh Network - All Plans	$47	556%
Ohio Health Choice - All Plans	$47	556%
Med Mutual Nas	$49	579%
Multiplan - All Plans	$51	603%
Healthsmart - All Plans	$66	780%
Bc Pathway	$98	1158%
Cigna	$131	1548%
Bc Ohi/Ohii	$134	1584%
Summacare Comm - All Other Plans	$144	1702%
Med Mutual Medflex	$146	1726%
Bc Blue Access	$149	1761%
Bc Preferred	$149	1761%
Bc Trad - All Other Plans	$149	1761%
Med Mutual Aca	$166	1962%
Med Mutual Ppo/Pos/Hmo - All Other Plans	$183	2163%
Aetna	$185	2187%

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 $59.
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 Crystal Clinic Orthopaedic Center 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.