CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Abbeville General Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $15
  • Cash Discount Price: $10
  • vs. Medicare Baseline: 1.77x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Abbeville General Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.77x the Medicare baseline. Located in 118 N Hospital Dr, Abbeville, LA.
Cash / Self-Pay
$10

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $10 (118%)
Insurance Median: $15 (177%)
Cash: $10 (118% of Medicare)
Ins. Median: $15 (177% 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 - $39 47%
Cigna $5 - $62 59%
Self Pay $6 - $62 71%
Aetna $8 - $87 95%
Healthy Blue $8 95%
Humana $8 - $94 95%
Medicare (plans) $8 95%
People'S Health $8 95%
Sierra Health And Life Insurance $8 95%
Sterling Life Insurance Company $8 95%
Triwest Healthcare Alliance $8 95%
UnitedHealthcare $8 - $100 95%
American Lifecare (Phcs) $9 - $100 106%
Gilsbar Ppo $9 - $97 106%
Guardian Resources $9 - $100 106%
Ppo Plus $9 - $94 106%
United Behavioral Health Inc $9 - $94 106%
Verity Healthnet National $9 - $94 106%
Coventry Company $10 - $106 118%
Galaxy Health Network $10 - $106 118%
Health Payors Organization $10 - $112 118%
Magellan Behavioral Health $10 118%
Usa Managed Care $10 - $106 118%
Miscellaneous Insurance $12 - $125 142%
Ppo Plus Professional $12 - $15 142%
Wellcare Of Louisiana $12 - $125 142%
Vantage Health Plan $18 - $225 213%
Office Of Group Benefits $23 272%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 118 N Hospital Dr, Abbeville, LA 70510
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals