CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Cumberland Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $10
  • Cash Discount Price: $41
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Cumberland Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.18x the Medicare baseline. Located in 421 S Main St, Crossville, TN.
Cash / Self-Pay
$41

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: $41 (485%)
Insurance Median: $10 (118%)
Cash: $41 (485% 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
Beech Street $1 - $111 12%
Ccn Managed Care $1 - $111 12%
Direct Care America $1 - $105 12%
Galaxy Health Network $1 - $118 12%
Initial Group $1 - $115 12%
Medsave Usa $1 - $105 12%
National Provider Network $1 - $105 12%
Novanet $1 - $98 12%
Usa Managed Care Organization $1 - $92 12%
Wellpoint $4 - $10 47%
UnitedHealthcare $6 - $10 71%
Farm Bureau $9 106%
Humana $9 106%
Tricare $9 106%
Aetna $10 - $12 118%
Blue Cross Blue Shield $10 - $18 118%
Cigna $10 - $18 118%
Devoted Health $10 118%
Wellcare $10 118%
Ehn $59 697%
Correctional Medical Services $79 934%
Community Services Network $85 1005%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 421 S Main St, Crossville, TN 38555
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals