CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Dickenson Community Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $19
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 2.25x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Dickenson Community Hospital is $19. 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 2.25x the Medicare baseline. Located in 312 Hospital Drive, Clintwood, VA.
Cash / Self-Pay
$14

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $19 (225%)
Cash: $14 (165% of Medicare)
Ins. Median: $19 (225% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 225% of the Medicare baseline (a markup of 125%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $8 - $23 95%
UnitedHealthcare $8 - $19 95%
Aetna $14 - $50 165%
Molina Healthcare $14 - $19 165%
Optima Health $14 165%
Amerigroup $19 225%
Cigna $19 - $33 225%
Humana $19 225%
Managed Medicaire $19 225%
Medicare (plans) $19 225%
Sentara Health $19 - $23 225%
United Mine Workers Of America $19 225%
Devoted Health Plan $20 236%
Nhc Advantage $20 236%
Medcost $22 260%
Ambetter / Centene $23 272%
Seven Corners, Inc. $62 733%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 312 Hospital Drive, Clintwood, VA 24228
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals