CMS Price Transparency Data
Blood test, basic metabolic panel
Facility: Diley Ridge Medical Center
Billing Code: 80048 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80048
- Insurance Median: $47
- Cash Discount Price: $66
- vs. Medicare Baseline: 5.56x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Diley Ridge Medical Center is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 5.56x the Medicare baseline. Located in 7911 Diley Road, Canal Winchester, OH.
Cash / Self-Pay
$66
Average discount available for prompt cash payment at this facility.
Insurance Median
$47
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: $66 (780%)
Insurance Median: $47 (556%)
Cash: $66 (780% of Medicare)
Ins. Median: $47 (556% 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 556% of the Medicare baseline (a markup of 456%). 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicare (plans) | $7 - $9 | 83% |
| Aetna | $8 - $101 | 95% |
| Blue Benefit Administrators Of Massachusetts | $8 | 95% |
| Blue Care Network | $8 | 95% |
| Blue Cross Blue Shield | $8 - $101 | 95% |
| Blue Distinction Transplant | $8 | 95% |
| Blue Shield - Ca | $8 | 95% |
| Blue Shield - Id (Regence) | $8 | 95% |
| Blue Shield - Ny Highmark Northeastern | $8 | 95% |
| Blue Shield - Ny Highmark Western | $8 | 95% |
| Blue Shield - Pa (Highmark) | $8 | 95% |
| Blue Shield - Wa (Regence) | $8 | 95% |
| Hospice Mount Carmel | $8 | 95% |
| Oscar | $8 | 95% |
| Rural Carrier Health Benefit Plan | $8 | 95% |
| UnitedHealthcare | $8 - $55 | 95% |
| The Health Plan | $9 - $66 | 106% |
| Enterprise Group Planning | $16 | 189% |
| Custom Design Benefits | $18 | 213% |
| Quality Care Partners | $19 | 225% |
| American Postal Workers Secondary | $34 | 402% |
| Cigna | $34 | 402% |
| Health Partners | $34 | 402% |
| Healthgram | $34 | 402% |
| Mvp | $34 | 402% |
| Priority Health | $34 | 402% |
| Geha | $45 - $55 | 532% |
| Gravie Admin Services | $45 | 532% |
| Healthez | $45 | 532% |
| Meritain | $45 | 532% |
| Webtpa | $45 | 532% |
| Access Health | $47 | 556% |
| Acclaim | $47 | 556% |
| Administrative Concepts | $47 | 556% |
| Allegeant | $47 | 556% |
| Allied Benefit Systems | $47 | 556% |
| American Family | $47 | 556% |
| American Healthcare Alliance | $47 | 556% |
| American National | $47 | 556% |
| American Republic | $47 | 556% |
| Amerihealth | $47 | 556% |
| Aultcare | $47 | 556% |
| Automated Benefit Services | $47 | 556% |
| Auxiant | $47 | 556% |
| Benefit Administrative Systems,Llc | $47 | 556% |
| Boon Chapman | $47 | 556% |
| Cam Administrative Services | $47 | 556% |
| Christian Brother Services | $47 | 556% |
| Christian Brothers Holy Cross | $47 | 556% |
| Claimchoice Adminstrators | $47 | 556% |
| Comprehensive Benefits | $47 | 556% |
| Continental Life Insurance | $47 | 556% |
| Coventry | $47 | 556% |
| Custom Benefit Administrators | $47 | 556% |
| Cypress Benefit Administrators | $47 | 556% |
| Employee Benefit Concepts | $47 | 556% |
| Employee Benefit Management | $47 | 556% |
| Forest County Potawatomi | $47 | 556% |
| Freedom Life Insurance Company | $47 | 556% |
| Group Administrators | $47 | 556% |
| Group Marketing Services | $47 | 556% |
| Group Pension Administrators | $47 | 556% |
| Guardian | $47 | 556% |
| Health America | $47 | 556% |
| Health Choices | $47 | 556% |
| Healthcare Management Admin | $47 | 556% |
| Insight | $47 | 556% |
| Intercare | $47 | 556% |
| Jfp Benefit Management | $47 | 556% |
| Jp Farley Corporation | $47 | 556% |
| Key Benefit Administrator | $47 | 556% |
| Liberty Union Life Assurance Co | $47 | 556% |
| Lucent Health | $47 | 556% |
| Luminare Health | $47 | 556% |
| Magnacare | $47 | 556% |
| Medcost | $47 | 556% |
| Mutual Health Services | $47 | 556% |
| Mutual Of Omaha | $47 | 556% |
| Ncas | $47 | 556% |
| Nippon Life Ins | $47 | 556% |
| Nova | $47 | 556% |
| Painters Union Insurance Fund | $47 | 556% |
| Physicians Mutual | $47 | 556% |
| Plumbers Local 98 Insurance Fund | $47 | 556% |
| Prairie States | $47 | 556% |
| Preferred One | $47 | 556% |
| Primary Physician Care | $47 | 556% |
| Professional Benefit Administrators | $47 | 556% |
| Secureone Preferred United Plans | $47 | 556% |
| Siho Insurance Services | $47 | 556% |
| Sisco Benefits | $47 | 556% |
| The Loomis Company | $47 | 556% |
| Trustmark Small Business Benefits | $47 | 556% |
| U Of M Health Plan | $47 | 556% |
| Unicare | $47 | 556% |
| Unified Group Services | $47 | 556% |
| Us Health And Life | $47 | 556% |
| Valenz | $47 | 556% |
| Varipro | $47 | 556% |
| Wps | $47 | 556% |
| Medben | $50 - $76 | 591% |
| Humana | $52 - $101 | 615% |
| First Health | $53 | 626% |
| Consociate | $62 | 733% |
| Health Ohio Network | $62 | 733% |
| Caresource | $74 | 875% |
| Healthlink Inc | $76 | 898% |
| Luminare Health (Detroit) | $76 | 898% |
| Medical Benefits Mutual | $76 | 898% |
| Ohio Health Choice | $76 | 898% |
| Ohio Ppo Connect | $76 | 898% |
| Osu Not Independent Choice | $76 | 898% |
| Medical Mutual | $77 | 910% |
| Ameriben | $81 | 957% |
| Medi Share | $81 | 957% |
| Multiplan | $81 | 957% |
| Ohiohealthy | $81 | 957% |
| Phcs | $81 | 957% |
| Philadelphia American Life Insurance | $81 | 957% |
| Twin Valley Psychiatric | $81 | 957% |
| Health Smart | $86 | 1017% |
| Bccp | $101 | 1194% |
| Medicaid / KanCare | $101 | 1194% |
| Optima Health | $101 | 1194% |
| Crime Victim Assistance | $632 | 7470% |
| Ohio Safe Program | $632 | 7470% |