CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Lafollette Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $9
  • Cash Discount Price: $107
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Lafollette Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.06x the Medicare baseline. Located in 923 East Central Avenue, La Follette, TN.
Cash / Self-Pay
$107

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: $107 (1265%)
Insurance Median: $9 (106%)
Cash: $107 (1265% 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
Amerigroup $4 47%
Medicaid / KanCare $4 - $8 47%
UnitedHealthcare $4 - $356 47%
Aetna $8 - $222 95%
Blue Cross Blue Shield $8 - $62 95%
Humana $8 95%
Medicare (plans) $8 95%
Node Bluecare Plus Tn Mcr Adv $8 95%
Node Champva $8 95%
Node Devoted Health Mcr Adv $8 95%
Node Farm Bureau Mcr Adv $8 95%
Node Hospice Non Par Agree $8 95%
Node Va $8 95%
Node Wellcare Mcr Adv $8 95%
Tennessee Breast And Cervical Program $8 95%
Tricare $8 95%
Triwest $8 95%
Veterans Eval Services $8 95%
Wellcare $8 95%
Bluecare $9 - $11 106%
Node Amerigroup Mcr Adv $9 106%
Node Blueadvantage Mcr Adv $9 106%
Node Healthspring Mcr Adv $9 106%
Node Nhc Mcr Adv $9 106%
Windsor Health Plan $9 106%
Node Us Dept Of Labor $11 130%
Cigna $13 154%
Novanet Work Comp Tn $13 154%
Tn Work Comp $13 154%
Ambetter / Centene $16 189%
Node Point Comfort Underwriters $19 225%
Self Pay $102 1206%
Multiplan Complementary $271 3203%
Beech Street Work Comp Tn $1,256 14846%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 923 East Central Avenue, La Follette, TN 37766
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals