CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Sarah D Culbertson Memorial Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $187
Cash Discount Price: $187
vs. Medicare Baseline: 22.10x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Sarah D Culbertson Memorial Hospital is $187. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $187. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 22.10x the Medicare baseline. Located in 238 South Congress Street, Rushville, IL.

Cash / Self-Pay

$187

Average discount available for prompt cash payment at this facility.

Insurance Median

$187

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: $187 (2210%)

Insurance Median: $187 (2210%)

Cash: $187 (2210% of Medicare)

Ins. Median: $187 (2210% 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 2210% of the Medicare baseline (a markup of 2110%). 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	$24 - $187	284%
Blue Cross Blue Shield	$24 - $204	284%
Corvel-All Plans	$24	284%
Meridian Hp Mcaid-All Plans	$24	284%
Molina Healthcare Mcaid	$24	284%
Humana	$89	1052%
Molina Mmai-All Other Plans	$89	1052%
UnitedHealthcare	$89 - $187	1052%
Cigna	$154	1820%
Beech Street-All Plans	$187	2210%
Encompass-All Plans	$187	2210%
Health Dynamics-All Plans	$187	2210%
Healthlink-All Plans	$187	2210%
Hfn Epo	$187	2210%
Hfn Ppo Ip/Op Only-All Other Plans	$187	2210%
Multiplan/Phcs-All Plans	$187	2210%
Preferred Medical Claims Solution-All Plans	$187	2210%
Three Rivers Provider Network-All Plans	$187	2210%
Wexford Ip/Op Only-All Plans	$187	2210%
Healthsmart-All Plans	$198	2340%

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 $187.
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 Sarah D Culbertson Memorial Hospital 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.