CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Keokuk County Health Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $133
  • Cash Discount Price: $121
  • vs. Medicare Baseline: 15.72x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Keokuk County Health Center is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 15.72x the Medicare baseline. Located in 23019 Highway 149, Sigourney, IA.
Cash / Self-Pay
$121

Average discount available for prompt cash payment at this facility.

Insurance Median
$133

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: $121 (1430%)
Insurance Median: $133 (1572%)
Cash: $121 (1430% of Medicare)
Ins. Median: $133 (1572% 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 1572% of the Medicare baseline (a markup of 1472%). 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
Wellmark_Insurance $57 - $133 674%
United_Healthcare_Insurance $121 - $133 1430%
Aetna $133 - $147 1572%
Humana $133 1572%
Wellcare_Insurance $133 1572%
Wellpoint_Insurance $133 - $138 1572%
Iowa_Total_Care_Insurance $138 1631%
Molina_Insurance $138 1631%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 23019 Highway 149, Sigourney, IA 52591
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals