CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: McGehee Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $40
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 4.73x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at McGehee Hospital is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 4.73x the Medicare baseline. Located in 900 South Third Street, McGehee, AR.
Cash / Self-Pay
$30

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

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: $30 (355%)
Insurance Median: $40 (473%)
Cash: $30 (355% of Medicare)
Ins. Median: $40 (473% 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 473% of the Medicare baseline (a markup of 373%). 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
Cigna $8 95%
Medicare (plans) $8 - $41 95%
Arkansas Total Care $12 142%
Medicaid / KanCare $12 142%
Blue Cross Blue Shield $13 154%
Municipal Health Benefit Fund $34 402%
Humana $40 473%
Vantage Health/Primewell Mcr Adv Ar Ms Only $40 473%
Wellcare Health Plan Inc Mcr Adv $40 473%
Allwell Mcr Adv $41 485%
UnitedHealthcare $42 496%
Qual Choice Of Arkansas $45 532%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 South Third Street, McGehee, AR 71654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals