CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Deaconess Henderson Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $8
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Deaconess Henderson Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 0.95x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$17

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: $17 (201%)
Insurance Median: $8 (95%)
Cash: $17 (201% 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 $5 - $8 59%
UnitedHealthcare $5 - $10 59%
Aetna $8 - $14 95%
Alliance Coal $8 - $9 95%
Caresource In $8 95%
Center Care Narrow $8 - $9 95%
Center Care Open Access $8 - $9 95%
Encircle/Encore Combined $8 - $13 95%
Encircle/Encore Prime $8 - $13 95%
Humana $8 - $9 95%
Iu Health Plans $8 - $14 95%
Medicaid / KanCare $8 95%
Medicare (plans) $8 95%
Mhs Mco $8 95%
Molina Healthcare Of Ky $8 95%
Molina Healthcare Of Ky - Exchange $8 95%
Mytru Advantage $8 95%
One Care $8 95%
Umwa $8 95%
Wellcare Il $8 95%
Wellcare Ky $8 - $10 95%
Caresource In Marketplace $11 - $13 130%
Wellcare Ky Commercial Exchange $11 - $17 130%
Hopetrust $12 - $29 142%
Hstechnology $12 - $29 142%
Amish And Mennonite Of Western Ky $13 - $32 154%
First Health Network (Coventry) $14 165%
Healthlink $14 165%
Noncontracted $14 165%
Phcs/Multiplan $14 165%
Sagamore $14 165%
Ky Racing Health & Welfare Fund $17 201%
Self-Pay $17 201%
Claimdoc $20 - $29 236%
Cigna $29 343%
Coventry National Network $39 461%
Webster County Detention Center $39 461%
Henderson County Detention Center $44 520%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals