CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Colleton Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $12
  • Cash Discount Price: $567
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Colleton Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $567. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.42x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.
Cash / Self-Pay
$567

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $567 (6702%)
Insurance Median: $12 (142%)
Cash: $567 (6702% of Medicare)
Ins. Median: $12 (142% 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
Humana $7 - $530 83%
Arcadian $8 95%
Blue Cross Blue Shield $8 - $560 95%
Devoted Health $8 95%
Odyssey Hospice $8 95%
United $8 - $313 95%
United Behavioral Health $8 95%
Absolute Total Care $9 - $106 106%
Aetna $9 - $341 106%
Align Networks $9 106%
Boldage Pace $9 106%
Cigna $9 - $380 106%
Clover $9 106%
Eon Health $9 106%
Molina $9 - $25 106%
Wellcare $9 106%
Universal Healthcare Group $10 118%
Blue Choice $11 130%
Corvel Corporation $12 142%
Employer'S Health Network $12 142%
Heritage Summit $12 142%
Prime Health $12 - $501 142%
Seven Corners $15 177%
Select Health $16 189%
Medical Development $18 213%
Naphcare $18 213%
Sc State Employees $31 - $34 366%
Blue Choice Health Plan $83 - $87 981%
Nhc Advantage $112 1324%
Pruitt Health $112 1324%
Employers Health Network $265 3132%
Value Option $294 3475%
Vocational Rehab $318 3759%
Medcost $332 - $430 3924%
Mhnet $442 5225%
Evernorth $471 5567%
Multiplan $501 5922%
North American Administrators $501 5922%
First Health $530 6265%
Novanet $530 6265%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Robertson Boulevard, Walterboro, SC 29488
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals