CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Tristar Ashland City Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $9
  • Cash Discount Price: $1,181
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Tristar Ashland City Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,181. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.06x the Medicare baseline. Located in 313 North Main St, Ashland City, TN.
Cash / Self-Pay
$1,181

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: $1,181 (13960%)
Insurance Median: $9 (106%)
Cash: $1,181 (13960% 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
Wellpoint $4 47%
Aetna $7 - $590 83%
Bright Health $8 - $10 95%
Humana $8 - $295 95%
Sarah Cannon Research $8 95%
United $8 - $531 95%
Ambetter / Centene $9 106%
American Health Advantage $9 106%
Atrio Golden Times $9 106%
Blue Cross Blue Shield $9 - $2,000 106%
Devoted Health Plan $9 106%
Evergreen Hmo $9 106%
Healthspring $9 106%
Signature Advantage $9 106%
Wellcare $9 106%
Zing $9 106%
Corvel Corporation $12 142%
Novanet $12 142%
Prime Health $12 142%
Cigna $15 - $368 177%
Oscar $25 296%
Kentucky Labor Cabinet $217 2565%
Apex Health $224 2648%
Nhc Advantage, Inc. $224 2648%
Pruitt Health (Allyalign) $224 2648%
Amerigroup $366 4326%
Bgfh Singlesource $590 - $1,004 6974%
Multiplan $650 7683%
Southern Health Partners $709 8381%
Employers Health Network $827 9775%
Odom'S Tn Pride Sausage $886 10473%
Beech Street $1,087 12849%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 313 North Main St, Ashland City, TN 37015
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Rural Emergency Hospital