CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: HCA Florida North Florida Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $136
  • Cash Discount Price: $722
  • vs. Medicare Baseline: 16.08x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at HCA Florida North Florida Hospital is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $722. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 16.08x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.
Cash / Self-Pay
$722

Average discount available for prompt cash payment at this facility.

Insurance Median
$136

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: $722 (8534%)
Insurance Median: $136 (1608%)
Cash: $722 (8534% of Medicare)
Ins. Median: $136 (1608% 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 1608% of the Medicare baseline (a markup of 1508%). 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
Hospice Of North Central Fl $8 95%
Humana $8 - $229 95%
Ndms Definitive Care $8 95%
United $8 - $516 95%
United Behavioral Health $8 95%
Wellmed $8 95%
Aetna $9 - $344 106%
Align Senior Care $9 106%
American Health Plan $9 106%
Blue Cross Blue Shield $9 106%
Capital Health Plan $9 106%
Centurion $9 106%
Cigna $9 106%
Clear Spring Health $9 106%
Florida Complete Care $9 106%
Gold Kidney Of Florida $9 106%
Sunshine State $9 106%
Wellcare $9 106%
Longevity Health Plan $10 118%
Oscar $10 118%
Ultimate Health Plan $10 118%
Simply Healthcare $11 130%
Avmed $36 - $573 426%
Simply $46 - $177 544%
Molina Healthcare $56 - $367 662%
Evolutions $68 - $264 804%
Sunshine State Health Plan $76 - $292 898%
Plotkin Health $148 - $573 1749%
Prime Health Sheriff $148 - $573 1749%
Corizon Phs $178 - $688 2104%
Corvel Corporation $223 2636%
Prime Health $228 2695%
Multiplan $231 - $975 2730%
Careworks (Rockport Community) $235 2778%
Evernorth $237 - $917 2801%
Evolutions Healthcare $252 - $975 2979%
Ppo Next $252 - $975 2979%
Novanet $267 - $1,032 3156%
Beacon Health Options $296 - $1,147 3499%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6500 W Newberry Rd, Gainesville, FL 32605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals