CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: UW Health

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $12
Cash Discount Price: $53
vs. Medicare Baseline: 1.42x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at UW Health is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $53. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.42x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.

Cash / Self-Pay

$53

Average discount available for prompt cash payment at this facility.

Insurance Median

$12

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: $53 (626%)

Insurance Median: $12 (142%)

Cash: $53 (626% of Medicare)

Ins. Median: $12 (142% 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.

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
Aetna	$8 - $155	95%
Blue Cross Blue Shield	$8 - $106	95%
Humana	$8	95%
Medicare (plans)	$8 - $9	95%
Mychoice Wi Medical Adv	$8	95%
UnitedHealthcare	$8 - $14	95%
Quartz Fully Insured	$11	130%
Quartz Aso	$12	142%
Ecoh	$17 - $169	201%
Hfn	$17 - $169	201%
Alliance Premier Network	$117	1383%
The Alliance	$151	1785%
Wps Ppo	$166	1962%
Cigna	$171	2021%
Beloit Healt System	$194	2293%
Mercycare	$200	2364%
First Health/Coventry	$211	2494%
Health Payment Systems	$250	2955%
Healthsmart	$250	2955%
Sheboygan Employers Health Network	$267	3156%
Multiplan	$299	3534%

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 $53.
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 UW Health 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.