CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: UF Health Shands Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $19
  • Cash Discount Price: $37
  • vs. Medicare Baseline: 2.25x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at UF Health Shands Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 2.25x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.
Cash / Self-Pay
$37

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $37 (437%)
Insurance Median: $19 (225%)
Cash: $37 (437% of Medicare)
Ins. Median: $19 (225% 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 225% of the Medicare baseline (a markup of 125%). 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 - $59 59%
Amerihealth Caritas Florida $5 59%
Beacon Health Strategies $5 59%
Community Care Plan $5 59%
Florida Community Care $5 59%
Humana $5 - $9 59%
Molina $5 59%
Sunshine State Health Plan $5 59%
UnitedHealthcare $5 - $9 59%
Simply Healthcare $6 71%
Avmed $8 95%
Blue Cross Blue Shield $8 - $39 95%
Capital Health Plan $8 - $36 95%
North Central Hospice $8 95%
Vha $8 95%
Wellcare $8 95%
Ahf Mco Of Fl $9 106%
Carelon Health $9 106%
Careplus $9 106%
Devoted Health Plan $9 106%
Freedom Health- Inc./Optimum Healthcare- Inc. $9 106%
Positive Healthcare Partners $9 106%
Ghilcrest County $11 130%
Levy County $11 130%
Wellpath $14 165%
Uaa $24 - $27 284%
Ambetter / Centene $26 - $29 307%
Northeast Fl Hospital $28 - $32 331%
Florida Health Care Plan $32 - $36 378%
Health First $45 - $50 532%
Prime Health Services $45 - $50 532%
Archbold Medical Center $48 - $54 567%
Cigna $48 - $54 567%
Genex $48 - $54 567%
Corvel Corp $54 - $61 638%
Geha $58 - $65 686%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 Sw Archer Rd, Gainesville, FL 32610
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals