CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Rush Memorial Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $2,269
Cash Discount Price: $2,333
vs. Medicare Baseline: 268.20x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Rush Memorial Hospital is $2,269. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,333. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 268.20x the Medicare baseline. Located in 1300 N Main St, Rushville, IN.

Cash / Self-Pay

$2,333

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,269

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: $2,333 (27577%)

Insurance Median: $2,269 (26820%)

Cash: $2,333 (27577% of Medicare)

Ins. Median: $2,269 (26820% 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 26820% of the Medicare baseline (a markup of 26720%). 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
Health Net	$912 - $1,045	10780%
Caresource Mcr Adv	$960 - $1,100	11348%
My True Advantage - All Plans	$960 - $1,100	11348%
UnitedHealthcare	$960 - $2,840	11348%
Aetna	$970 - $3,266	11466%
Humana	$970 - $3,266	11466%
Blue Cross Blue Shield	$989 - $2,600	11690%
Today'S Option Mcr Adv-All Plans	$989 - $1,133	11690%
Viant Beech St Mcr Adv	$989 - $1,133	11690%
Caresource Marketplace-All Other Plans	$1,537 - $1,761	18168%
Phcs-All Plans	$2,479 - $2,840	29303%
Consumers Life Ins-All Plans	$2,788 - $3,195	32955%
Coventry/First Health-All Plans	$2,788 - $3,195	32955%
Cigna	$2,840	33570%
Sagamore-All Plans	$2,850 - $3,266	33688%
Siho-All Plans	$2,850 - $3,266	33688%
Multiplan-All Plans	$2,881 - $3,301	34054%
Community Health Alliance-All Plans	$2,912 - $3,337	34421%
Encore Health Services-All Plans	$3,036 - $3,479	35887%

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 $2,333.
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 Rush 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.