CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Lutheran Hospital of Indiana

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $6
  • Cash Discount Price: $3
  • vs. Medicare Baseline: 0.71x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Lutheran Hospital of Indiana is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 0.71x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$3

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $3 (35%)
Insurance Median: $6 (71%)
Cash: $3 (35% of Medicare)
Ins. Median: $6 (71% 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 $1 - $89 12%
Encore Ppo $1 - $91 12%
Lutheran Network $1 - $93 12%
Lutheran Preferred Network $1 - $112 12%
Sagamore $1 - $101 12%
UnitedHealthcare $1 - $92 12%
Advantage Health Solutions $2 - $154 24%
Allied Benefit Systems $2 - $167 24%
Blue Cross Blue Shield $2 - $69 24%
Department Of Veterans Affairs $2 - $8 24%
Encore Health Network $2 - $167 24%
Evolutions $2 - $167 24%
Humana $2 - $8 24%
In Dept Of Correction $2 - $9 24%
Iu Health Plan $2 - $8 24%
Ky Work Comp $2 - $47 24%
Managed Health Services $2 - $17 24%
Medicare (plans) $2 - $8 24%
Multiplan $2 - $154 24%
Node Devoted Health Mcr Adv $2 - $8 24%
Node Hospice Non Par Agree $2 - $8 24%
Node Pphp Mcr Adv $2 - $9 24%
Node Va $2 - $8 24%
Php Freedom Network $2 - $16 24%
Physicians Health Plan Of Northern Indiana $2 - $73 24%
Prime Health Services $2 - $140 24%
Tricare $2 - $8 24%
Veterans Eval Services $2 - $8 24%
Align Network $3 - $14 35%
Amish Aid $3 - $56 35%
Cigna $3 - $68 35%
Lutheran Advanced Network $3 - $13 35%
Lutheran Preferred $3 - $74 35%
Node Lutheran Network $3 - $15 35%
Node Lutheran Preferred Fixed 2 $3 - $13 35%
Self Pay $3 - $67 35%
Us Department Of Labor $3 - $11 35%
Encore Work Comp In $4 - $15 47%
Node Encore Kba Epo $5 - $20 59%
Node Encore Kba Ppo $6 - $25 71%
Care Source $8 95%
Medicaid / KanCare $8 95%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals