CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Ochsner LSU Health Monroe

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $14
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Ochsner LSU Health Monroe is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.65x the Medicare baseline. Located in 4864 Jackson Street, Monroe, LA.
Cash / Self-Pay
$29

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $29 (343%)
Insurance Median: $14 (165%)
Cash: $29 (343% of Medicare)
Ins. Median: $14 (165% 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 $4 - $20 47%
(Healthy Louisiana) And Healthy Blue Dual Advantage (Hmo-D-Snp) $8 95%
Aetna $8 - $21 95%
Amerihealth Caritas Louisiana (Healthy Louisiana) $8 95%
Healthy Blue (Formerly Amerigroup Louisiana Inc.) $8 95%
Humana $8 95%
Louisiana Healthcare Connections (Healthy Louisiana) $8 95%
Medicare (plans) $8 95%
UnitedHealthcare $8 95%
Vantage Health Plan - Commercial $9 106%
Zelis $14 165%
Healthcomp Ppo (Formerly Gilsbar 360 $21 248%
First Health Network $22 260%
Cigna $23 272%
Verity Health Network – Lsu First Choice $26 - $53 307%
Multiplan/Phcs/American Lifecare $43 - $89 508%
Usa Managed Care Network $46 - $95 544%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4864 Jackson Street, Monroe, LA 71202
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals