CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $29
Cash Discount Price: $105
vs. Medicare Baseline: 3.43x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Univ. of Vermont - Fletcher Allen Health Care is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 3.43x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$105

Average discount available for prompt cash payment at this facility.

Insurance Median

$29

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: $105 (1241%)

Insurance Median: $29 (343%)

Cash: $105 (1241% of Medicare)

Ins. Median: $29 (343% 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 343% of the Medicare baseline (a markup of 243%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$5 - $105	59%
Mvp	$7 - $100	83%
Aetna	$8	95%
Blue Cross Blue Shield	$8 - $100	95%
Capital District Physicians' Health Plan	$8 - $79	95%
Humana	$8 - $29	95%
Martins Point	$8 - $9	95%
St. Regis	$8	95%
Veterans Affairs Community Care Network	$8	95%
Fidelis Care	$10 - $11	118%
Wellpath	$12 - $58	142%
Ebpa	$29 - $90	343%
Harvard Pilgrim	$30 - $84	355%
Magnacare	$30 - $84	355%
Coventry	$32 - $89	378%
Nppn	$34 - $94	402%
Cigna	$36 - $105	426%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $105.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80048.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Univ. of Vermont - Fletcher Allen Health Care is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80048.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.