Blood test, basic metabolic panel
Facility: Overland Park Reg Med Ctr
Billing Code: 80048 (CPT)
- CPT Billing Code: 80048
- Insurance Median: $114
- Cash Discount Price: $806
- vs. Medicare Baseline: 13.48x 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 1348% of the Medicare baseline (a markup of 1248%). 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 | $4 - $9 | 47% |
| Blue Cross Blue Shield | $8 - $434 | 95% |
| Humana | $8 - $21 | 95% |
| Aetna | $8 - $515 | 95% |
| Home State Health Plan | $8 | 95% |
| Amerigroup | $8 | 95% |
| Coventry | $8 - $406 | 95% |
| Devoted Health | $8 | 95% |
| United | $8 - $455 | 95% |
| Triwest Health Alliance | $9 | 106% |
| Unicare | $9 | 106% |
| Wellcare | $9 | 106% |
| Medicaid / KanCare | $9 | 106% |
| Celtic | $9 | 106% |
| Healthyblue | $9 | 106% |
| Pyramid Life | $9 | 106% |
| Oscar | $13 | 154% |
| Multiplan | $15 - $748 | 177% |
| Corvel Corporation | $18 - $657 | 213% |
| Oha Network | $19 - $505 | 225% |
| Ambetter / Centene | $112 - $188 | 1324% |
| Nhc Advantage | $114 - $192 | 1348% |
| Wppa Providrs Care Network | $120 - $202 | 1418% |
| Universal Healthcare | $210 - $354 | 2482% |
| Coventry Kc Mo | $246 - $414 | 2908% |
| College Park Family Care Center | $258 - $434 | 3050% |
| Cco, Inc. | $451 - $758 | 5331% |
| Focus Healthcare Mgmt, Inc | $451 - $758 | 5331% |
Consumer Guidance & Cost Commentary
For the CPT code 80048, representing a basic metabolic panel blood test, the Overland Park Reg Med Ctr in Kansas lists a cash median price of $806.00. This cash rate is notably higher than the state average, which is $8.46, and significantly exceeds the Medicare benchmark of $8.46. While the facility offers a median negotiated rate of $114.00 for in-network insurance plans, patients should be aware that commercial insurance contracts often include administrative overheads that can inflate the final allowed amount. If you have a high-deductible plan where your deductible has not yet been met, paying the cash price directly might be more cost-effective than relying on an insurance claim that could result in a higher out-of-pocket maximum or delayed reimbursement.
To ensure you are receiving the most accurate pricing, it is crucial to request an itemized billing audit before finalizing payment, as summary bills often obscure individual line items and potential errors. Additionally, you should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the total cost by 20% to 50% if settled upfront. While this facility is a Proprietary Acute Care Hospital located in Overland Park (ZIP 66215) with a facility rating of 4, verifying the specific allowed amount with your insurance carrier before scheduling is essential to avoid unexpected balance billing, particularly if ancillary services like lab draws are processed by out-of-network vendors.