CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $58
  • Cash Discount Price: $127
  • vs. Medicare Baseline: 6.86x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Baptist Health Medical Center - Jacksonville is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $127. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 6.86x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$127

Average discount available for prompt cash payment at this facility.

Insurance Median
$58

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: $127 (1501%)
Insurance Median: $58 (686%)
Cash: $127 (1501% of Medicare)
Ins. Median: $58 (686% 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 686% of the Medicare baseline (a markup of 586%). 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
Aetna $5 - $150 59%
Amerigroup Of Georgia $5 59%
Amerihealth Caritas $5 59%
Caresource Of Georgia $5 - $122 59%
Daniel Memorial $5 59%
Florida Community Care $5 - $9 59%
Humana $5 59%
Molina Healthcare Of Florida $5 59%
Peach State Health Plan $5 - $122 59%
Simply Healthcare Plans $5 59%
Simply Healthcare Plans - Cha $5 59%
Sunshine State Health Plan $5 59%
United Community Plan $5 59%
Vivida Health $5 59%
Community Hospice Of Northeast Florida $8 95%
Pace $8 95%
Tomorrow'S Rainbow $8 95%
Va Ccn $8 95%
Devoted $9 106%
UnitedHealthcare $9 - $98 106%
Upmc $9 106%
Corvel $19 - $183 225%
Coventry Workers Comp $19 - $183 225%
Non-Contracted $19 - $28 225%
Ambetter / Centene $20 236%
Blue Cross Blue Shield $37 - $122 437%
Avmed $60 - $97 709%
Cigna $73 - $114 863%
Borland Groover $75 887%
Occunet $75 - $94 887%
Northeast Florida State Hospital $79 - $88 934%
Centivo $82 - $159 969%
Capital Health Plan $86 1017%
Innovative Healthware Services $88 1040%
Geo Group $94 1111%
Volusia Health Network $103 1217%
Watchtower $103 1217%
Fscj Student Insurance $112 1324%
Suddath Company $118 1395%
Medicaid / KanCare $122 1442%
Uf Health Proton Therapy Institute $131 1548%
Phcs $140 - $150 1655%
Evolutions Healthcare $168 1986%
Multiplan $168 1986%
United Behavioral Health $517 6111%
Nemours Research $983 11619%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals