CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Mena Regional Health System

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $8
  • Cash Discount Price: $57
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Mena Regional Health System is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 0.95x the Medicare baseline. Located in 311 North Morrow Street, Mena, AR.
Cash / Self-Pay
$57

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $57 (674%)
Insurance Median: $8 (95%)
Cash: $57 (674% of Medicare)
Ins. Median: $8 (95% 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
Aetna $8 95%
Allwell Mcr Adv $8 95%
Ar Superior Select Tribute Health Plan Mcr Adv $8 95%
Blue Cross Blue Shield $8 - $10 95%
Cigna $8 95%
Humana $8 95%
Medicare (plans) $8 95%
UnitedHealthcare $8 95%
Vapccc3 All Regions 1-6 Dos Gt 1/30/19 $8 95%
Wellcare Health Plan Inc Mcr Adv $8 95%
Ambetter / Centene $11 130%
Qualchoice $12 142%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 311 North Morrow Street, Mena, AR 71953
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals