CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Newberry County Memorial Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $266
Cash Discount Price: $152
vs. Medicare Baseline: 31.44x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Newberry County Memorial Hospital is $266. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 31.44x the Medicare baseline. Located in 2669 Kinard St Po Box 497, Newberry, SC.

Cash / Self-Pay

$152

Average discount available for prompt cash payment at this facility.

Insurance Median

$266

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: $152 (1797%)

Insurance Median: $266 (3144%)

Cash: $152 (1797% of Medicare)

Ins. Median: $266 (3144% 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 3144% of the Medicare baseline (a markup of 3044%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Cigna	$11 - $328	130%
Humana	$11 - $266	130%
Medicaid / KanCare	$11 - $266	130%
Self Pay	$152	1797%
Blue Cross Blue Shield	$240 - $278	2837%
Aetna	$279	3298%
UnitedHealthcare	$310	3664%
United Payers And United Providers (Up & Up)	$383	4527%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $152.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80048.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Newberry County Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80048.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.