CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Ascension St Vincent Williamsport

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $8
  • Cash Discount Price: $172
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Ascension St Vincent Williamsport is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $172. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 0.95x the Medicare baseline. Located in 412 N Monroe St, Williamsport, IN.
Cash / Self-Pay
$172

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: $172 (2033%)
Insurance Median: $8 (95%)
Cash: $172 (2033% 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
Blue Cross Blue Shield $3 - $8 35%
Encore Exclusive $3 35%
Patoka Valley Tier 1 $3 35%
Patoka Valley Tier 2 $3 35%
UnitedHealthcare $5 - $8 59%
Aetna $8 95%
Corizon $8 95%
Helping Hand Old Order $8 95%
Humana $8 - $19 95%
Immergrun $8 95%
Medicaid / KanCare $8 95%
Medicare (plans) $8 95%
Mhs Care Connect $8 95%
Personalized Care $8 95%
Secure Horizons-Pacificare $8 95%
Secure Horizons-Unicare $8 95%
Smarthealth Ppo $8 - $14 95%
Smarthealth Ppo/Hdhp 20161001 $14 165%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 412 N Monroe St, Williamsport, IN 47993
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals