CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Hialeah Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $9
  • Cash Discount Price: $2,787
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Hialeah Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,787. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.06x the Medicare baseline. Located in 651 E 25Th St, Hialeah, FL.
Cash / Self-Pay
$2,787

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: $2,787 (32943%)
Insurance Median: $9 (106%)
Cash: $2,787 (32943% 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
Cigna $4 - $819 47%
Humana $5 - $1,277 59%
Medicaid / KanCare $5 59%
UnitedHealthcare $5 - $8 59%
Veterans Administration Mill Bill $6 71%
Avmed Broad Network $7 83%
Medicare (plans) $7 - $18 83%
Aetna $8 - $2,007 95%
Bristol Hospice- Miami Dade Llc $8 95%
Catholic Hospice $8 95%
Comprehensive Home Health Care Dba Opuscare Of South Florida $8 95%
Devoted Health $8 95%
Employer Direct Healthcare $8 - $11 95%
Hcr Manor Care Services Of Fl $8 95%
Hospice Other $8 95%
Leon Health Inc $8 95%
Odyssey Healthcare Of Marion County Dba Kindred Hospice $8 95%
Seasons Hospice And Pallative Care Of Southern Florida Inc $8 95%
Tricare $8 95%
Veterans Administration Vaccn $8 95%
Vitas Healthcare Hospice Corporation Of Fl $8 95%
Vitas Hospice Unit Agreement $8 95%
Healthsun Health Plans $9 106%
Longevity Health Plan $9 106%
Bright Health Management Commercial $10 118%
Florida Pace Centers $10 118%
Imagine Health $10 118%
Oscar Health Plan Hix $10 118%
Self Pay/Uninsured $10 118%
Naphcare Inc $12 142%
Avmed Exchange $15 177%
Ambetter / Centene $16 189%
Molina Marketplace Program Exchange $16 189%
Auto Insurance $17 201%
Avmed Select Network $17 201%
Amerihealth Caritas Next Exchange $18 213%
Dimension Health Wc $19 225%
Workers Compensation $19 225%
Bc/Bs Myblue Hmo Hix $344 4066%
Bc/Bs Of Fl Health Options Hmo $371 4385%
Bc/Bs Of Fl Simplyblue $371 4385%
Bc/Bs Of Fl Network Blue $400 4728%
Bc/Bs Of Fl Ppo $400 4728%
Bc/Bs Of Fl Blue Select Exchange Non Par $426 5035%
Bc/Bs Of Fl Miami Dade Blue Select $426 5035%
Bc/Bs Of Fl Phs $1,445 17080%
Dimensions International $1,812 21418%
First Health $1,895 22400%
Dimension Health Ppo $2,090 24704%
Commercial Non-Contracted $2,787 32943%
Self Pay - Mcd Pending 100 Percent $2,787 32943%
Single Case Agreement $2,787 32943%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 E 25Th St, Hialeah, FL 33013
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals