CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Memorial Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $126
Cash Discount Price: $210
vs. Medicare Baseline: 14.89x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Memorial Medical Center is $126. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $210. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 14.89x the Medicare baseline. Located in 701 N First St, Springfield, IL.

Cash / Self-Pay

$210

Average discount available for prompt cash payment at this facility.

Insurance Median

$126

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: $210 (2482%)

Insurance Median: $126 (1489%)

Cash: $210 (2482% of Medicare)

Ins. Median: $126 (1489% 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 1489% of the Medicare baseline (a markup of 1389%). 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
Health Alliance	$4 - $136	47%
Veterans Administration	$6	71%
Aetna	$8 - $160	95%
Blue Cross Blue Shield	$8 - $210	95%
Medicare (plans)	$8 - $210	95%
Tricare	$8	95%
UnitedHealthcare	$8 - $130	95%
Humana	$9 - $126	106%
Medicaid / KanCare	$9	106%
Molina	$9	106%
Healthlink	$30 - $132	355%
Current Health Network Ppo	$94	1111%
Commercial Workers Compensation	$96	1135%
Illinois Workers Compensation	$101	1194%
Cigna	$110	1300%
Phcs/Multiplan	$113 - $126	1336%
6 Degrees Health	$126	1489%
Hopetrust	$126	1489%
Hst	$126	1489%
Magellan	$126	1489%
Consociate	$136	1608%
Hfn	$136	1608%
Preferred Plan	$158	1868%
Soi Mcfarland	$158	1868%
Soi Rushville	$158	1868%
Corvel	$168	1986%
Methodist First Choice	$168	1986%
Mutual Medical Plans	$178	2104%
Liability	$210	2482%

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 $210.
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 Memorial 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.