Blood test, basic metabolic panel
Facility: Kosciusko Community Hospital
Billing Code: 80048 (CPT)
- CPT Billing Code: 80048
- Insurance Median: $17
- Cash Discount Price: $55
- vs. Medicare Baseline: 2.01x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 201% of the Medicare baseline (a markup of 101%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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 | $1 - $236 | 12% |
| Connecticut General Life Insurance Company | $1 - $220 | 12% |
| First Health Network | $1 - $280 | 12% |
| Lutheran Preferred Network | $1 - $298 | 12% |
| Prime Health Services | $1 - $280 | 12% |
| Tricare | $1 - $8 | 12% |
| Advantage Health | $2 - $310 | 24% |
| Aetna | $2 - $198 | 24% |
| Amish Aid | $2 - $78 | 24% |
| Blue Cross Blue Shield | $2 - $14 | 24% |
| Department Of Veterans Affairs | $2 - $8 | 24% |
| Encore Health Network | $2 - $347 | 24% |
| Humana | $2 - $8 | 24% |
| In Dept Of Correction | $2 - $9 | 24% |
| Iu Health | $2 - $8 | 24% |
| Medicare (plans) | $2 - $8 | 24% |
| Mhs | $2 - $8 | 24% |
| Node Devoted Health Mcr Adv | $2 - $8 | 24% |
| Node Non Par Hospice Agree | $2 - $8 | 24% |
| Node Pphp Mcr Adv | $2 - $9 | 24% |
| Node Va | $2 - $8 | 24% |
| Private Healthcare Systems | $2 - $321 | 24% |
| Sagamore | $2 - $351 | 24% |
| Self Pay | $2 - $145 | 24% |
| UnitedHealthcare | $2 - $196 | 24% |
| Us Department Of Labor | $2 - $11 | 24% |
| Veterans Eval Services | $2 - $8 | 24% |
| Align In Work Comp | $3 - $14 | 35% |
| Encore Work Comp In | $3 - $15 | 35% |
| Lutheran Advanced Network | $3 - $13 | 35% |
| Lutheran Preferred | $3 - $17 | 35% |
| One Call Work Comp | $3 - $14 | 35% |
| Encore | $4 - $149 | 47% |
| Encore Kba Epo | $4 - $20 | 47% |
| Managed Health Services Exchange | $4 - $17 | 47% |
| Php Freedom Network | $4 - $144 | 47% |
| Physicians Health Plan | $4 - $172 | 47% |
| Trma Inc | $4 - $168 | 47% |
| Workers Comp | $4 - $17 | 47% |
| Encore Kba Ppo | $6 - $25 | 71% |
| Caresource | $8 | 95% |
| Managed Health Services | $8 | 95% |
| Medicaid / KanCare | $8 | 95% |