CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Holy Family Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $8
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Holy Family Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 0.95x the Medicare baseline. Located in 100 N River Rd, Des Plaines, IL.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $8 (95%)
Insurance Median: $8 (95%)
Cash: $8 (95% of Medicare)
Ins. Median: $8 (95% 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
Cigna $5 59%
Aetna $6 - $13 71%
Blue Cross Blue Shield $6 - $12 71%
Countycare $6 71%
Humana $6 - $9 71%
Medicaid / KanCare $6 71%
Meridian $7 - $9 83%
Molina $7 - $13 83%
Celtic (Wellcare) $8 95%
Clear Spring Health Of Illinois $8 95%
Devoted Health $8 95%
Essential Health Partners $8 - $10 95%
Illinois Physicians Alliance $8 95%
Longevity Health Plan Of Illinois $8 95%
Medicare (plans) $8 95%
Ravenswood Physicians Associates Ipa $8 95%
Resurrection Physicians Provider Group Ipa $8 - $11 95%
Self-Pay $8 95%
Tricare $8 95%
United Behavioral Health $8 95%
UnitedHealthcare $8 - $11 95%
Provider Partners Health Plan (Pphp) $9 106%
Zing Health Provider Network $9 106%
Access Community Health Network $10 118%
Imagine Health Network $12 142%
Clifton Health Systems $13 154%
Ambetter / Centene $14 165%
Health Link, Inc. $145 1714%
Coventry $172 2033%
Workers Comp $172 2033%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 N River Rd, Des Plaines, IL 60016
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL