CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Baptist Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $14
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Baptist Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.65x the Medicare baseline. Located in 123 Baptist Way, Pensacola, FL.
Cash / Self-Pay
$4

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $4 (47%)
Insurance Median: $14 (165%)
Cash: $4 (47% of Medicare)
Ins. Median: $14 (165% 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
UnitedHealthcare $1 - $8 12%
Aetna $2 - $131 24%
Pensacola $2 - $27 24%
Hospice Regency $4 - $54 47%
Cha Health Plan $5 59%
Fl Community Care Ltc $5 59%
Humana $5 - $9 59%
Mh Sunshine Mcaid $5 59%
Staywell $5 59%
Sunshine Health $5 59%
Simply Healthcare Healthy Kids $6 71%
Cigna $7 - $180 83%
Hospice Covenant $8 95%
Hospice Emerald Coast $8 - $90 95%
Medicare (plans) $8 95%
Escambia $9 - $108 106%
Healthspring Of Fl Al $9 106%
Mh Wellcare $9 106%
Wellcare $9 106%
First Health $10 - $125 118%
Private Healthcare $10 - $117 118%
Uwf Athletes $10 - $117 118%
Choicecare $11 - $135 130%
Mh Choicecare $11 - $135 130%
Wc Corvel $11 - $171 130%
Fl Blue $13 - $611 154%
Multiplan $13 - $160 154%
Bc Fl $305 - $438 3605%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 123 Baptist Way, Pensacola, FL 32503
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals