CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: North Okaloosa Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $12
  • Cash Discount Price: $181
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at North Okaloosa Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $181. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.42x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$181

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $181 (2139%)
Insurance Median: $12 (142%)
Cash: $181 (2139% of Medicare)
Ins. Median: $12 (142% 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
Amerigroup $5 59%
Humana $5 - $9 59%
Integral Health $5 59%
Magellan Health $5 59%
Medicaid / KanCare $5 59%
Prestige Health $5 59%
Simply Healthcare $5 - $9 59%
UnitedHealthcare $5 - $159 59%
Wellcare $5 - $9 59%
Aetna $8 - $602 95%
Blue Cross Blue Shield $8 - $461 95%
Cigna $8 - $626 95%
Medicare (plans) $8 95%
Node Champva $8 95%
Node Non Par Hospice Agree $8 95%
Node Va $8 95%
Tricare $8 95%
Veterans Eval Services $8 95%
Florida Department Of Corrections $9 106%
Node Us Dept Of Labor $11 130%
Oscar $12 142%
State Auto Insurance Fl $17 201%
Evolutions $18 - $707 213%
Prime Health Work Comp Fl $18 213%
Usa Managed Care Work Comp Fl $18 213%
Amcomp Workers Comp $19 225%
Occunet $21 248%
Self Pay $145 - $217 1714%
Corizon Health Inc $271 3203%
Phcs $723 8546%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Redstone Ave Se, Crestview, FL 32539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals