CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Marion Communtiy Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $14
  • Cash Discount Price: $2,587
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Marion Communtiy Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,587. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.65x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.
Cash / Self-Pay
$2,587

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $2,587 (30579%)
Insurance Median: $14 (165%)
Cash: $2,587 (30579% of Medicare)
Ins. Median: $14 (165% 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
Devoted Health $8 95%
Humana $8 - $517 95%
Ndms Definitive Care $8 95%
United $8 - $1,164 95%
Va Purchased Care Program $8 95%
Veterans Evaluation Services $8 95%
Wellmed $8 95%
Aetna $9 - $776 106%
Align Senior Care $9 106%
American Health Plan $9 106%
Avmed $9 - $724 106%
Blue Cross Blue Shield $9 106%
Centurion $9 106%
Cigna $9 106%
Clear Spring Health $9 106%
Florida Complete Care $9 106%
Freedom Optimum $9 106%
Gold Kidney Of Florida $9 106%
Secur $9 106%
Sunshine State $9 106%
Wellcare $9 106%
Careplus $10 118%
Longevity Health Plan $10 118%
Ultimate Health Plan $10 118%
Simply Healthcare $11 130%
Naphcare $18 - $20 213%
University Ma Federal Corrections $18 213%
Wellpath $18 - $20 213%
Corvel Corporation $201 2376%
Prime Health $206 2435%
Careworks (Rockport Community) $212 2506%
Marion County Schools $212 2506%
Simply $398 4704%
Molina Healthcare $492 - $828 5816%
Evolutions $595 7033%
Evolutions Healthcare $595 7033%
Sunshine State Health Plan $660 7801%
Plotkin Health $1,293 15284%
Prime Health Sheriff $1,293 15284%
Multiplan $2,018 23853%
Ppo Next $2,199 25993%
Novanet $2,328 27518%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1431 Sw 1St Ave, Ocala, FL 34471
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals