Blood test, basic metabolic panel
Facility: Mercy Hospital Pittsburg, Inc
Billing Code: 80048 (CPT)
- CPT Billing Code: 80048
- Insurance Median: $14
- Cash Discount Price: $100
- vs. Medicare Baseline: 1.65x 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.
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 |
|---|---|---|
| Aetna | $8 - $131 | 95% |
| Pace Of The Ozarks Contracted [320518] | $8 | 95% |
| Kindful Hospice Contracted [320434] | $8 | 95% |
| Blue Cross Blue Shield | $8 - $24 | 95% |
| Halo Hcr Inc Hospice Contracted [320432] | $8 | 95% |
| Medicaid / KanCare | $8 - $14 | 95% |
| Mercy Hospice Okc [20252] | $8 | 95% |
| UnitedHealthcare | $8 - $104 | 95% |
| Humana | $8 | 95% |
| Halo Hcr Inc Hospice [20432] | $8 | 95% |
| Cross Timbers Hospice [20098] | $8 | 95% |
| Tricare | $8 | 95% |
| Medicare (plans) | $8 | 95% |
| Dept Of Veteran Affairs Contracted [320106] | $8 | 95% |
| Medica Contracted [320239] | $8 | 95% |
| Elara Caring Aspire Hospice [20433] | $8 | 95% |
| Kindful Hospice [20434] | $8 | 95% |
| American Health Advantage Of Ks Mcr Contracted [320508] | $9 | 106% |
| Health Choice Contracted [320166] | $11 | 130% |
| Ambetter / Centene | $14 | 165% |
| Home State Health Plan Contracted [320187] | $14 | 165% |
| Providrs Care Network Contracted [320484] | $16 | 189% |
| Cigna | $47 - $48 | 556% |
| United Medical Resources Contracted [320454] | $104 | 1229% |
| Imagine 360 Contracted [320494] | $123 | 1454% |
| Healthlink Contracted [320179] | $123 | 1454% |
| American Healthcare Alliance Contracted [320020] | $123 | 1454% |
| Reflect Health Contracted [320492] | $123 | 1454% |
| Edison Health Solutions Contracted [320502] | $123 | 1454% |
| Auxiant Contracted [320462] | $123 | 1454% |
| Ebms Contracted [320493] | $123 | 1454% |
| Yuzu Health Contracted [320521] | $123 | 1454% |
| Workers Comp [20426] | $123 | 1454% |
| Mercy Benefit Admin Contracted [320251] | $123 | 1454% |
| Aither Health Contracted [320449] | $123 | 1454% |
| First Health Contracted [320128] | $131 | 1548% |
Consumer Guidance & Cost Commentary
For this blood test, basic metabolic panel, Mercy Hospital Pittsburg, Inc. lists a cash price of $100.00, which is notably lower than the facility's negotiated rates with most insurance carriers. While the hospital's cash rate is significantly below its gross charge of $154.00, patients should be aware that many commercial payers, including UnitedHealthcare and Aetna, negotiate rates that can exceed the cash price due to administrative overhead and contract structures. If you have a high-deductible plan or have not yet met your deductible, paying the cash price of $100.00 upfront may result in lower out-of-pocket costs compared to the insurance negotiated rate, provided you can afford the immediate payment. We recommend contacting the hospital directly to confirm their "self-pay" or "prompt-pay" discount policies before scheduling, as these upfront incentives can further reduce your financial burden.
The facility's pricing for this service is benchmarked against the Medicare rate of $8.46, which serves as a scientifically validated baseline for healthcare costs. The cash price of $100.00 represents a markup of 1.7 times the Medicare amount, while the median negotiated rate across all payers is $14.00. It is important to note that while commercial negotiated rates often average 200% to 300% of Medicare, fair pricing is typically defined as 120% to 150% of the Medicare rate. If you receive an itemized bill that includes charges for services not rendered, unbundled components, or errors, you have the right to request a formal itemized billing audit to identify and correct these discrepancies