CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Mercyone Dyersville Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $131
Cash Discount Price: $276
vs. Medicare Baseline: 15.48x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Mercyone Dyersville Medical Center is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $276. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 15.48x the Medicare baseline. Located in 1111 3Rd Street Sw, Dyersville, IA.

Cash / Self-Pay

$276

Average discount available for prompt cash payment at this facility.

Insurance Median

$131

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: $276 (3262%)

Insurance Median: $131 (1548%)

Cash: $276 (3262% of Medicare)

Ins. Median: $131 (1548% 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 1548% of the Medicare baseline (a markup of 1448%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Iowa Dept Of Public Health	$9 - $159	106%
Health Choices	$60	709%
Blue Cross Blue Shield	$88	1040%
Medicare (plans)	$90 - $98	1064%
UnitedHealthcare	$94 - $111	1111%
The Alliance	$97	1147%
Iowa Total Care	$110	1300%
Geha	$111	1312%
Medicaid / KanCare	$112	1324%
Amish Hospital Aid	$118	1395%
1199 National Benefit Fund	$131	1548%
Aetna	$131	1548%
Allied Benefit Systems	$131	1548%
Asr Health Benefits	$131	1548%
Christian Brother Services	$131	1548%
Coventry	$131	1548%
First Health	$131	1548%
Luminare Health	$131	1548%
Medical Mutual	$131	1548%
Meritain	$131	1548%
Trustmark Small Business Benefits	$131	1548%
Webtpa	$131	1548%
Auxiant	$143	1690%
Cigna	$143	1690%
Medica	$143	1690%
Midlands	$143	1690%
Midlands Choice	$143	1690%
Multiplan	$143	1690%
Ambetter / Centene	$150	1773%
Crime Victim Assistance	$159	1879%
Claimdoc	$179	2116%
Nova	$179	2116%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $276.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80048.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercyone Dyersville Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80048.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.