CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: HCA Florida Twin Cities Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $214
  • Cash Discount Price: $2,294
  • vs. Medicare Baseline: 25.30x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at HCA Florida Twin Cities Hospital is $214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,294. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 25.30x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.
Cash / Self-Pay
$2,294

Average discount available for prompt cash payment at this facility.

Insurance Median
$214

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: $2,294 (27116%)
Insurance Median: $214 (2530%)
Cash: $2,294 (27116% of Medicare)
Ins. Median: $214 (2530% 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 2530% of the Medicare baseline (a markup of 2430%). 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
Humana $8 - $872 95%
Ndms Definitive Care $8 95%
Regency Hospice $8 95%
United $8 - $1,032 95%
Wellmed $8 95%
Aetna $9 - $688 106%
American Health Plan $9 106%
Blue Cross Blue Shield $9 106%
Centurion $9 106%
Clear Spring Health $9 106%
Florida Complete Care $9 106%
Gold Kidney Of Florida $9 106%
Healthspring Of Florida $9 106%
Sunshine State $9 106%
Wellcare $9 106%
Longevity Health Plan $10 118%
Ultimate Health Plan $10 118%
Oscar $11 130%
Simply Healthcare $13 154%
Corvel Corporation $214 2530%
Prime Health $218 2577%
Careworks (Rockport Community) $225 2660%
Simply $353 4173%
Molina Healthcare $436 - $734 5154%
Avmed $551 - $1,147 6513%
Sunshine State Health Plan $585 6915%
Plotkin Health $1,147 13558%
Prime Health Sheriff $1,147 13558%
Evolutions Healthcare $1,491 - $1,950 17624%
Multiplan $1,789 - $1,950 21147%
Ppo Next $1,950 23050%
Novanet $2,065 24409%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2190 Hwy 85 N, Niceville, FL 32578
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals