CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Santa Rosa Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $8
  • Cash Discount Price: $20
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Santa Rosa Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 0.95x the Medicare baseline. Located in 6002 Berryhill Rd, Milton, FL.
Cash / Self-Pay
$20

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $20 (236%)
Insurance Median: $8 (95%)
Cash: $20 (236% of Medicare)
Ins. Median: $8 (95% 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
Cigna $2 - $56 24%
Self Pay $2 - $57 24%
UnitedHealthcare $2 - $48 24%
Aetna $5 - $139 59%
Fl Community Care $5 59%
Humana $5 - $8 59%
Medicaid / KanCare $5 59%
Molina $5 59%
Wellcare $5 59%
Prime Health Services $7 - $199 83%
Tricare $7 - $8 83%
Blue Cross Blue Shield $8 - $248 95%
Hospice Of Nw Fl $8 95%
Medicare (plans) $8 95%
Node Champva $8 95%
Node Va $8 95%
Oscar $8 - $12 95%
Veterans Eval Services $8 95%
Node Wellcare Mcr Adv $9 106%
Geo Group $11 130%
Node Us Dept Of Labor $11 130%
Florida State Auto Insurance $17 201%
Prime Health Work Comp Fl $18 213%
Florida Workers Compensation $19 225%
Ambetter / Centene $20 236%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6002 Berryhill Rd, Milton, FL 32570
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals