CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Jefferson Abington Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $9
  • Cash Discount Price: $10
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Jefferson Abington Hospital is $9. 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 1.06x the Medicare baseline. Located in 1200 Old York Road, Abington, PA.
Cash / Self-Pay
$10

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $9 (106%)
Cash: $10 (118% of Medicare)
Ins. Median: $9 (106% 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
Pro United Commercial $5 59%
Abington Pro Ibc $6 71%
Blue Cross Blue Shield $6 - $8 71%
Medicare (plans) $6 - $12 71%
Jup Health Partners Chip $7 - $11 83%
Medicaid / KanCare $7 - $19 83%
Devoted Health Participation $8 - $9 95%
Innovage Pro $8 95%
Inspira Life $8 95%
Inspira Life Pro $8 95%
Jefferson Health Plan Aca Exchange $8 95%
Jefferson Health Plan Aca Qhp Exchange $8 95%
Jup Highmark $8 95%
Point Of Comfort Refugee Resettlement $8 95%
Provider Partners Health Plan $8 95%
St Agnes $8 95%
Tricare $8 95%
UnitedHealthcare $8 - $13 95%
Abington Pro Keystone First Vip $9 106%
Aetna $9 - $22 106%
Allwell Pa Health_Wellness Ma $9 106%
Cigna $9 - $13 106%
Humana $9 106%
Keystone First Vip Choice $9 106%
Pro Provider Partners Pphp $9 106%
Highmark Wholecare Gateway $10 118%
Highmark Wholecare Gateway Pro $10 118%
Perennial $10 118%
Perennial Pro $10 118%
Ibc Employee Benefit $11 130%
Ibc Main Line Health $11 130%
Ambetter / Centene $12 142%
Ibc $12 - $25 142%
Jab Health Partners $12 142%
Jup Pa Health_Wellness $12 142%
Keystone First $12 142%
Pa Health_Wellness Chc $12 142%
Pro Naphcare $12 142%
Upmc Commercial $13 154%
Highmark $20 - $24 236%
Jup Geisinger Commercial $22 260%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 Old York Road, Abington, PA 19001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals