CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: HCA Florida Poinciana Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $13
  • Cash Discount Price: $1,942
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at HCA Florida Poinciana Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,942. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.54x the Medicare baseline. Located in 325 Cypress Pkwy, Kissimmee, FL.
Cash / Self-Pay
$1,942

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $1,942 (22955%)
Insurance Median: $13 (154%)
Cash: $1,942 (22955% of Medicare)
Ins. Median: $13 (154% 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 - $544 95%
Ndms Definitive Care $8 95%
United $8 - $874 95%
Wellmed $8 95%
Aetna $9 - $582 106%
Align Senior Care $9 106%
American Health Plan $9 106%
Avmed $9 - $971 106%
Blue Cross Blue Shield $9 106%
Centurion $9 106%
Cigna $9 106%
Clear Spring Health $9 106%
Fl Health Care Plan $9 106%
Florida Complete Care $9 106%
Gold Kidney Of Florida $9 106%
Sunshine State $9 106%
Wellcare $9 106%
Careplus $10 118%
Longevity Health Plan $10 118%
Ultimate Health Plan $10 118%
Oscar $12 142%
Solis Health Plan $12 142%
Simply Healthcare $13 154%
Freedom Health $140 1655%
Optimum $140 1655%
Corvel Corporation $212 2506%
Prime Health $216 2553%
Careworks (Rockport Community) $223 2636%
Simply $299 3534%
Molina Healthcare $369 - $524 4362%
Evolutions $447 5284%
Sunshine State Health Plan $495 5851%
Plotkin Health $971 11478%
Prime Health Sheriff $971 11478%
Multiplan $1,456 - $1,650 17210%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 325 Cypress Pkwy, Kissimmee, FL 34758
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals