Blood test, basic metabolic panel
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 80048 (CPT)
- CPT Billing Code: 80048
- Insurance Median: $113
- Cash Discount Price: $41
- vs. Medicare Baseline: 13.36x 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 1336% of the Medicare baseline (a markup of 1236%). 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 |
|---|---|---|
| Wppa [503200056] | $45 - $128 | 532% |
| Alt Wppa [5032000964] | $45 - $128 | 532% |
| Meritain Health [503200039] | $45 - $183 | 532% |
| Alt Carelon Behavioral Health [503200905] | $54 - $152 | 638% |
| Aetna | $65 - $183 | 768% |
| Php [503200005] | $65 - $183 | 768% |
| Cigna | $65 - $244 | 768% |
| First Health [5032000110] | $65 - $183 | 768% |
| Allied National [503999937] | $65 - $183 | 768% |
| National Assn Letter Carriers [503200019] | $65 - $183 | 768% |
| Alt Meritain Health [503999911] | $65 - $183 | 768% |
| Aha-Healthcare Preferred [503200050] | $65 - $183 | 768% |
| Correct Care Solutions [50311253] | $76 - $214 | 898% |
| Workers Comp [503999901] | $92 - $259 | 1087% |
| Usa Managed Care [503999030] | $97 - $274 | 1147% |
Consumer Guidance & Cost Commentary
For this basic metabolic panel blood test at the University of KS Health System Great Bend Campus, the facility's cash price of $41.00 is significantly lower than the average negotiated rates paid by insurance companies, which range from $45 to $274 depending on the payer. While the facility's negotiated rate of $113.00 is higher than the cash price, patients with high-deductible plans may find paying cash upfront more cost-effective, as the cash rate avoids the administrative markup inherent in insurance billing cycles. It is important to note that while the facility is in-network for many payers, the No Surprises Act protects patients from balance billing for out-of-network services at this acute care hospital, though patients should still verify their specific plan details before scheduling to ensure they are not subject to unexpected charges.
When compared to the national benchmark, the facility's cash price of $41.00 is 52.4% lower than the Medicare-approved amount of $84.60, indicating a pricing structure that aligns closely with the true cost of care rather than inflated chargemaster lists. The facility's overall rating of 4 out of 5 reflects its status as a government-owned hospital district, which often influences its pricing transparency and administrative overhead. Consumers are encouraged to request a prompt-pay discount before check-in, which can further reduce the final bill by 20% to 50% if paid in full within 30 days, effectively bypassing the costly claims processing that typically inflates commercial rates.