CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Tennova Healthcare - Clarksville

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $9
  • Cash Discount Price: $57
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Tennova Healthcare - Clarksville is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.06x the Medicare baseline. Located in 651 Dunlop Lane, Clarksville, TN.
Cash / Self-Pay
$57

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: $57 (674%)
Insurance Median: $9 (106%)
Cash: $57 (674% 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%
UnitedHealthcare $4 - $9 47%
Medicaid / KanCare $5 - $8 59%
Aetna $6 - $9 71%
American Health $8 95%
Humana $8 95%
Medicare (plans) $8 95%
Node Ascension Complete Mcr Adv $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 Healthspring Mcr Adv $8 95%
Node Hospice Non Par Agree $8 95%
Node Va $8 95%
Node Wellcare Mcr Adv $8 95%
Node Windsor Mcr Dual $8 95%
Tennessee Breast And Cervical Screening Program $8 95%
Tricare $8 95%
Veterans Eval Services $8 95%
Wellcare $8 95%
Node Amerigroup Mcr Adv $9 106%
Node Nhc Mcr Adv $9 106%
Blue Cross Blue Shield $11 - $52 130%
Cigna $11 - $13 130%
Node Us Dept Of Labor $11 130%
Corvel $12 142%
Novanet Work Comp Tn $12 142%
Prime Health Work Comp Tn $12 142%
Rockport Work Comp Tn $12 142%
Tn Work Comp $13 154%
Ambetter / Centene $16 189%
Node Valenz Access $17 201%
Naphcare $19 225%
Oscar $23 272%
Ky Work Comp $56 662%
Self Pay $57 674%
Center Care $190 2246%
Correct Care Solutions $263 3109%
First Health $263 3109%
Multiplan $278 3286%
Phcs $278 3286%
Prime Health Services $278 3286%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 Dunlop Lane, Clarksville, TN 37040
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals