CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: HCA Florida Osceola Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $144
  • Cash Discount Price: $2,006
  • vs. Medicare Baseline: 17.02x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at HCA Florida Osceola Hospital is $144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,006. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 17.02x the Medicare baseline. Located in 700 West Oak Street, Kissimmee, FL.
Cash / Self-Pay
$2,006

Average discount available for prompt cash payment at this facility.

Insurance Median
$144

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: $2,006 (23712%)
Insurance Median: $144 (1702%)
Cash: $2,006 (23712% of Medicare)
Ins. Median: $144 (1702% 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 1702% of the Medicare baseline (a markup of 1602%). 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
Devoted Health $8 95%
Humana $8 - $562 95%
Ndms Definitive Care $8 95%
United $8 - $903 95%
United Behavioral Health $8 95%
Wellmed $8 95%
Aetna $9 - $602 106%
Align Senior Care $9 106%
American Health Plan $9 106%
Avmed $9 - $1,003 106%
Blue Cross Blue Shield $9 106%
Centurion $9 106%
Cigna $9 106%
Clear Spring Health $9 106%
Fl Health Care Plan $9 106%
Florida Complete Care $9 106%
Gold Kidney Of Florida $9 106%
Sunshine State $9 106%
Wellcare $9 106%
Careplus $10 118%
Longevity Health Plan $10 118%
Ultimate Health Plan $10 118%
Oscar $12 142%
Solis Health Plan $12 142%
Simply Healthcare $13 154%
Freedom Health $144 1702%
Optimum $144 1702%
Corvel Corporation $212 2506%
Prime Health $216 2553%
Careworks (Rockport Community) $223 2636%
Simply $309 3652%
Molina Healthcare $381 - $542 4504%
Evolutions $461 5449%
Sunshine State Health Plan $512 6052%
Plotkin Health $1,003 11856%
Prime Health Sheriff $1,003 11856%
Multiplan $1,505 - $1,705 17790%
Evernorth $1,605 18972%
Ppo Next $1,705 20154%
Novanet $1,806 21348%
Beacon Health Options $2,006 23712%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 West Oak Street, Kissimmee, FL 34741
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals