CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Thomas Jefferson University Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $10
  • Cash Discount Price: $10
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Thomas Jefferson University Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.18x the Medicare baseline. Located in 111 South 11Th Street, Philadelphia, PA.
Cash / Self-Pay
$10

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $10 (118%)
Insurance Median: $10 (118%)
Cash: $10 (118% of Medicare)
Ins. Median: $10 (118% 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
Blue Cross Blue Shield $6 - $59 71%
Medicare (plans) $6 - $10 71%
Ibc $7 - $38 83%
Innovage $8 95%
Inspira Life $8 95%
Jefferson Health Plan Aca Qhp Exchange $8 95%
Keystone First Vip Choice $8 - $9 95%
Point Of Comfort Refugee Resettlement $8 95%
St Agnes $8 95%
Tricare $8 95%
UnitedHealthcare $8 - $9 95%
Aetna $9 - $40 106%
Allwell Pa Health_Wellness Ma $9 106%
Cigna $9 - $13 106%
Devoted Health Participation $9 106%
Humana $9 106%
Provider Partners Health Plan $9 106%
Highmark Wholecare Gateway $10 118%
Perennial $10 118%
Ibc Employee Benefit $11 130%
Ibc Main Line Health $11 130%
Ambetter / Centene $12 142%
Medicaid / KanCare $12 - $17 142%
Pa Health_Wellness Chc $12 142%
Upmc Commercial $13 154%
Naphcare $14 - $16 165%
Highmark $20 - $24 236%
Keystone First $26 307%
Geisinger Health Plan $34 402%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 111 South 11Th Street, Philadelphia, PA 19107
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals