CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: University Hospitals Conneaut Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $117
  • Cash Discount Price: $157
  • vs. Medicare Baseline: 13.83x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at University Hospitals Conneaut Medical Center is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $157. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 13.83x the Medicare baseline. Located in 158 West Main Road, Conneaut, OH.
Cash / Self-Pay
$157

Average discount available for prompt cash payment at this facility.

Insurance Median
$117

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: $157 (1856%)
Insurance Median: $117 (1383%)
Cash: $157 (1856% of Medicare)
Ins. Median: $117 (1383% 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 1383% of the Medicare baseline (a markup of 1283%). 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 - $199 35%
University Health Employee Plan (Contigo) $12 142%
Aetna $20 - $115 236%
UnitedHealthcare $58 - $65 686%
Cigna $65 - $154 768%
Devoted $65 768%
Humana $65 768%
Medical Mutual Of Ohio $65 - $197 768%
Molina $65 768%
Primetime Health Plan $65 768%
Summacare $65 - $107 768%
The Health Plan $65 - $138 768%
Wellcare By Allwell $65 768%
Paramount $67 792%
Perennial Advantage Of Ohio $68 804%
Valor Health Plans $68 804%
Amish Aid Community Plan $96 1135%
Amish Church Fund And Workers Aid Plan $96 1135%
Buckeye Plain Ministries $96 1135%
Jp Farley $98 1158%
Clarity $100 1182%
Christian Healthcare Ministries $104 1229%
Immergrun $104 1229%
Sunrise Plan Communities $104 1229%
Aultcare $115 1359%
Ambetter / Centene $117 1383%
Caresource $117 1383%
Healthsmart $136 1608%
Ohio Health Choice $136 - $188 1608%
Medical Mutual Traditional/Health Ohio $146 1726%
Beech Street $167 - $188 1974%
Ohio Preferred Network $167 - $188 1974%
First Health $173 2045%
Century Health Network $178 2104%
Private Healthcare System $180 2128%
Configurenet $188 2222%
Fortified Provider Network $188 2222%
Multiplan $188 2222%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 158 West Main Road, Conneaut, OH 44030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals