CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Anderson Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $13
  • Cash Discount Price: $190
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Anderson Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $190. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.54x the Medicare baseline. Located in 6800 State Route 162, Maryville, IL.
Cash / Self-Pay
$190

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: $190 (2246%)
Insurance Median: $13 (154%)
Cash: $190 (2246% 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
Aetna $8 - $13 95%
Devoted Health Ppo $8 95%
Essence $8 - $9 95%
Humana $8 95%
Medicaid / KanCare $8 - $9 95%
Medicare (plans) $8 95%
Tricare $8 95%
UnitedHealthcare $8 - $14 95%
Clear Springs Health $9 106%
Health Care Service Corporation $10 - $174 118%
Ambetter / Centene $12 142%
Blue Choice $12 142%
Mercy Aco $14 165%
Mercy Benefit Admin $14 165%
Hopetrust $21 248%
Work Comp $39 - $26,600 461%
Healthlink $47 556%
Self Pay $190 - $25,000 2246%
Blue Cross Blue Shield $204 - $211 2411%
Cigna $285 3369%
Multiplan/Phcs $285 3369%
Beech Street Corporation $342 4043%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6800 State Route 162, Maryville, IL 62062
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals