CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: North Oaks Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $9
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at North Oaks Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.06x the Medicare baseline. Located in 15790 Paul Vega Md Drive, Hammond, LA.
Cash / Self-Pay
$19

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $19 (225%)
Insurance Median: $9 (106%)
Cash: $19 (225% of Medicare)
Ins. Median: $9 (106% 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
Aetna $8 - $289 95%
Allwell $8 95%
Blue Advantage $8 95%
Champva $8 95%
Healthy Blue Dual Advantage $8 95%
Humana $8 - $255 95%
Mco Lhc $8 95%
Peoples Health $8 95%
Tricare $8 95%
UnitedHealthcare $8 - $105 95%
Vantage 65 $8 95%
Veterans Administration $8 95%
Wellcare $8 95%
Mco Hb $9 106%
Mco Lacare Am $9 106%
Medicaid / KanCare $9 106%
Blue Cross Blue Shield $19 225%
Coventry $221 2612%
Verity Healthnet $221 2612%
Ppoplus Llc $238 2813%
Multiplan $255 3014%
Cigna $269 3180%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15790 Paul Vega Md Drive, Hammond, LA 70403
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals