CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Magee Memorial Hospital for Convalescents

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 Magee Memorial Hospital for Convalescents 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 1513 Race Street, Philadelphia, 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
Innovage $8 95%
Inspira Life $8 95%
Jefferson Health Plan Aca Qhp Exchange $8 95%
Medicare (plans) $8 - $9 95%
St Agnes $8 95%
UnitedHealthcare $8 95%
Cigna $9 106%
Devoted Health Participation $9 106%
Humana $9 106%
Magee Health Partners $9 106%
Magee Keystone Vip $9 106%
Magee Pa Health_Wellness $9 - $12 106%
Magee Provider Partners Health Plan $9 106%
Geisinger Health Plan $10 - $34 118%
Highmark Wholecare Gateway $10 118%
Perennial $10 118%
Aetna $11 - $12 130%
Ibc Employee Benefit $11 130%
Ibc Main Line Health $11 130%
Ambetter / Centene $12 142%
Magee United $13 154%
Magee Naphcare $14 165%
Medicaid / KanCare $17 201%
Magee Keystone First $18 213%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1513 Race Street, Philadelphia, PA 19102
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL