CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: HCA Florida Orange Park Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $11
  • Cash Discount Price: $3,292
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at HCA Florida Orange Park Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,292. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.30x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.
Cash / Self-Pay
$3,292

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $3,292 (38913%)
Insurance Median: $11 (130%)
Cash: $3,292 (38913% of Medicare)
Ins. Median: $11 (130% 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
Hospice Community $7 83%
Careplus $8 95%
Devoted Health $8 95%
Hospice Haven $8 95%
Humana $8 - $1,350 95%
Ndms Definitive Care $8 95%
United $8 - $1,481 95%
United Behavioral Health $8 95%
Veterans Evaluation Services $8 95%
Wellmed $8 95%
American Health Plan $9 106%
Blue Cross Blue Shield $9 106%
Cigna $9 106%
Florida Complete Care $9 106%
Gold Kidney $9 106%
Sunshine State $9 106%
Wellcare $9 106%
Longevity $10 118%
Simply Healthcare $10 - $507 118%
Clay County Sheriffs Office $11 130%
Oscar $12 142%
Corvel Corporation $211 2494%
Prime Health $216 2553%
Optimum Healthcare $277 3274%
Avmed $395 - $922 4669%
Positive Healthcare $724 8558%
Sunshine State Health Plan $839 9917%
Molina Healthcare $889 10508%
Aetna $988 11678%
Medicare (plans) $1,481 17506%
Plotkin Health $1,646 19456%
Multiplan $2,568 - $2,798 30355%
Evernorth $2,634 31135%
Evolutions Healthcare $2,634 - $2,798 31135%
Ppo Next $2,798 33073%
Novanet $2,963 35024%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 Kingsley Ave, Orange Park, FL 32073
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals