CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Warner Hospital and Health Services

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $182
Cash Discount Price: $233
vs. Medicare Baseline: 21.51x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Warner Hospital and Health Services is $182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $233. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 21.51x the Medicare baseline. Located in 422 W White St, Clinton, IL.

Cash / Self-Pay

$233

Average discount available for prompt cash payment at this facility.

Insurance Median

$182

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: $233 (2754%)

Insurance Median: $182 (2151%)

Cash: $233 (2754% of Medicare)

Ins. Median: $182 (2151% 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 2151% of the Medicare baseline (a markup of 2051%). 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
Aetna	$28 - $198	331%
Blue Cross Blue Shield	$28 - $228	331%
Harmony Hp Mcaid-All Plans	$28	331%
Medicaid / KanCare	$28	331%
Meridian Hp-All Plans	$28	331%
Molina-All Other Plans	$28	331%
Health Alliance Med Adv	$96	1135%
Humana	$96 - $198	1135%
Molina Mcr/Mcd Dual	$96	1135%
UnitedHealthcare	$96 - $198	1135%
Wellcare Mcr Adv-All Plans	$96	1135%
Healthlink Hmo	$182	2151%
City Of Clinton (Employees Serv)-All Plans	$187	2210%
Cigna	$194	2293%
Caterpillar-All Plans	$198	2340%
Multiplan Phcs-All Plans	$198	2340%
Health Alliance-All Other Plans	$205	2423%
Healthlink Ppo/Work Comp-All Other Plans	$205	2423%
Consociate Care Ppo-All Plans	$210	2482%
Hfn Ppo/Epo-All Plans	$210	2482%
Three Rivers-All Plans	$221	2612%

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 $233.
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 Warner Hospital and Health Services 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.