CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: HCA Florida Lawnwood Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $24
  • Cash Discount Price: $1,506
  • vs. Medicare Baseline: 2.84x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at HCA Florida Lawnwood Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,506. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 2.84x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$1,506

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $1,506 (17801%)
Insurance Median: $24 (284%)
Cash: $1,506 (17801% of Medicare)
Ins. Median: $24 (284% 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 284% of the Medicare baseline (a markup of 184%). 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
Cigna $5 - $862 59%
Aetna $8 - $711 95%
Blue Cross Blue Shield $8 - $996 95%
Bright Health $8 - $404 95%
Careplus $8 95%
Devoted Health $8 95%
Humana $8 - $666 95%
Mutual Of Omaha $8 95%
Ndms Definitive Care $8 95%
Rocky Mountain Health $8 95%
Rocky Mountain Health Plan $8 95%
Total Longterm Care $8 95%
Triwest Health Alliance $8 95%
United $8 - $749 95%
United Behavioral Health $8 95%
Veterans Evaluation Services $8 95%
Wellmed $8 95%
American Health Plan $9 106%
Centurion $9 106%
Delaware Life Insurance $9 106%
Florida Complete Care $9 106%
Innovage Pace $9 106%
Kaiser $9 - $478 106%
Prominence Healthfirst $9 106%
Sunshine State $9 106%
Ultimate Health Plan $9 106%
Wellcare $9 106%
Amerihealth Caritas $10 118%
Longevity Health Plan $10 118%
Solis Health Plan $12 142%
Oscar $16 189%
Simply Healthcare $19 225%
Pinnacol Workers Comp $23 272%
Multiplan $24 - $1,415 284%
Freedom Health $143 - $266 1690%
Optimum $143 1690%
Vail Health $205 2423%
Avmed $216 - $832 2553%
Simply Healthcare Plans $216 2553%
Corvel Corporation $220 2600%
Careworks (Rockport) $225 2660%
Prime Health $225 - $1,212 2660%
Molina $316 - $450 3735%
Health Sun Health Plan $355 4196%
Sunshine State Health Plan $425 5024%
Office Of Sheiff Highland Co $583 6891%
United Ppo $733 8664%
Plotkin Health $832 9835%
Prime Health Sherriff $832 9835%
Western Plains Community Health $875 10343%
Northcare $943 11147%
Physician Health Partners $943 11147%
Medical Development International $1,077 12730%
Evernorth Bh $1,332 15745%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals