CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Greeneville Community Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $10
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Greeneville Community Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.18x the Medicare baseline. Located in 1420 Tusculum Boulevard, Greeneville, TN.
Cash / Self-Pay
$14

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: $14 (165%)
Insurance Median: $10 (118%)
Cash: $14 (165% 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
Amerigroup $4 - $9 47%
UnitedHealthcare $4 - $10 47%
Aetna $8 - $41 95%
Humana $8 95%
Managed Medicaire $8 95%
Medicare (plans) $8 95%
Sentara Health $8 - $25 95%
United Mine Workers Of America $8 95%
Blue Cross Blue Shield $9 - $26 106%
Cigna $9 - $24 106%
Devoted Health Plan $9 106%
Mountain Empire Pace $9 106%
Nhc Advantage $9 106%
Wellcare $9 - $96 106%
Optima Health $10 118%
Ambetter / Centene $18 213%
Medcost $46 544%
First Health Coventry $77 910%
Molina Healthcare $96 1135%
Seven Corners, Inc. $96 1135%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1420 Tusculum Boulevard, Greeneville, TN 37745
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals