CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Medical Center Enterprise

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $9
  • Cash Discount Price: $173
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Medical Center Enterprise is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $173. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.06x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$173

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: $173 (2045%)
Insurance Median: $9 (106%)
Cash: $173 (2045% 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
Medicaid / KanCare $5 - $6 59%
Bc Pml $7 83%
Node Champva $7 83%
Tricare $7 83%
Blue Cross Blue Shield $8 - $11 95%
Covenant Hospice $8 95%
Dayspring Hospice $8 95%
Healthspring $8 95%
Humana $8 95%
Medicare (plans) $8 95%
Node Devoted Health Mcr Adv $8 95%
Node Hospice Non Par $8 95%
Node Va $8 95%
Occunet $8 95%
Select Health $8 95%
Southerncare Hospice $8 95%
UnitedHealthcare $8 95%
Veterans Eval Services $8 95%
Wiregrass Hospice $8 95%
Aetna $9 - $623 106%
Eon Health $9 106%
Node Clover Mcr Adv $9 106%
Node Wellcare Mcr Adv $9 106%
Al Maternity Waiver Program $11 130%
Node Us Dept Of Labor $11 130%
Ambetter / Centene $13 154%
Cigna $15 - $77 177%
Self Pay $80 - $267 946%
American Employee Alliance $356 4208%
Alamed $534 6312%
Affordable Health $623 7364%
Health Choice $623 7364%
Novanet Ppo $623 7364%
Coventry Work Comp Al $655 7742%
Multiplan $658 - $703 7778%
Wc Dept Ind Relations $712 8416%
Corvel $756 8936%
Galaxy Health $801 9468%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals