Blood test, basic metabolic panel
Facility: University Of Kansas Hospital
Billing Code: 80048 (CPT)
- CPT Billing Code: 80048
- Insurance Median: $82
- Cash Discount Price: $35
- vs. Medicare Baseline: 9.69x 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 969% of the Medicare baseline (a markup of 869%). 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 |
|---|---|---|
| Larned State Hospital [503200090] | $12 - $90 | 142% |
| Health Plan Inc [503999941] | $19 - $143 | 225% |
| Alt Carelon Behavioral Health [503200905] | $20 - $152 | 236% |
| Accarent Health [503999034] | $20 - $152 | 236% |
| Allied National [503999937] | $24 - $183 | 284% |
| Geha [503200036] | $24 - $185 | 284% |
| Healthlink [503200007] | $24 - $225 | 284% |
| Inter-Americas Insurance [503999032] | $24 - $185 | 284% |
| Alt Wppa [5032000964] | $24 - $185 | 284% |
| Med-Pay [503200040] | $24 - $185 | 284% |
| Cerner [503200038] | $24 - $185 | 284% |
| Php [503200005] | $24 - $225 | 284% |
| Cigna | $25 - $244 | 296% |
| First Health [5032000110] | $26 - $201 | 307% |
| Aha-Healthcare Preferred [503200050] | $26 - $201 | 307% |
| Blue Cross Blue Shield | $28 - $234 | 331% |
| Correct Care Solutions [50311253] | $28 - $214 | 331% |
| Consolidated Billing [50311256] | $28 - $214 | 331% |
| Ascension Living Hope [503201517] | $28 - $214 | 331% |
| Coeur Plan Services [503301517] | $28 - $214 | 331% |
| Orscheln Industries [503201608] | $30 - $229 | 355% |
| Alt Lucent Health Solutions [503202603] | $31 - $234 | 366% |
| Alt Lineco [5032000976] | $31 - $234 | 366% |
| Empire Plan/Nyship [503200705] | $31 - $234 | 366% |
| Quiktrip [5032000412] | $32 - $244 | 378% |
| Century Health Solutions [503200054] | $32 - $244 | 378% |
| Point Comfort Underwriters [503200018] | $32 - $244 | 378% |
| Meritain Health [503200039] | $34 - $256 | 402% |
| Wppa [503200056] | $34 - $256 | 402% |
| Usa Managed Care [503999030] | $36 - $274 | 426% |
| Three Rivers Provider Network [503999029] | $36 - $274 | 426% |
| Employers Health Network [503999025] | $36 - $274 | 426% |
| Sanford Health Plan [503999027] | $36 - $274 | 426% |
| Plan Care America [503999026] | $36 - $274 | 426% |
| Workers Comp [503999901] | $38 - $290 | 449% |
Consumer Guidance & Cost Commentary
For this blood test, the University Of Kansas Hospital's cash rate of $35 is significantly lower than the facility's gross charge of $173 and the Medicare benchmark of $8.46, though the cash price remains higher than the Medicare amount itself. While the facility is a public hospital in Kansas City, KS, with a top rating of 5, the actual cost to patients varies widely depending on insurance coverage. The median negotiated rate for in-network payers is $82, and the median paid rate is $29, indicating that insurance plans generally pay less than the cash price for this service.
Patients with high-deductible plans may find that paying the cash price of $35 upfront is more cost-effective than relying on insurance, as several payers have negotiated rates exceeding this amount; for instance, Workers Comp has a high rate of $290 and UsA Managed Care has a high rate of $274. It is important to contact the hospital directly to confirm "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full within 30 days. Additionally, if you have an out-of-network plan or encounter unexpected charges, you should request a detailed itemized audit to identify any errors or balance billing issues before making a payment.