CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Northern Louisiana Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $272
  • Cash Discount Price: $214
  • vs. Medicare Baseline: 32.15x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Northern Louisiana Medical Center is $272. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $214. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 32.15x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$214

Average discount available for prompt cash payment at this facility.

Insurance Median
$272

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: $214 (2530%)
Insurance Median: $272 (3215%)
Cash: $214 (2530% of Medicare)
Ins. Median: $272 (3215% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 3215% of the Medicare baseline (a markup of 3115%). 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.

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
Champus $7 83%
Champva $7 83%
Golden Rule Ins $7 - $233 83%
Tricare $7 - $8 83%
UnitedHealthcare $7 - $233 83%
Aetna $8 - $233 95%
Blue Cross Blue Shield $8 - $56 95%
Gulf South Services $8 95%
Humana $8 - $61 95%
Medicaid / KanCare $8 - $388 95%
Medicare (plans) $8 95%
Mutual Of Omaha $8 95%
Va $8 95%
Vantage Advantage $8 95%
Veterans Evaluation Svcs $8 95%
Vantage Health Plan Ppaca $16 189%
Vantage Health Plan $17 201%
First Health $18 - $330 213%
Verity Healthnet $190 2246%
Cigna $194 2293%
Kaiser Permanente $194 2293%
Gilsbar $214 2530%
Self Pay $214 2530%
Geha $311 - $369 3676%
Multiplan $330 3901%
Phcs $330 3901%
Work Comp City Of Ruston $350 4137%
Work Comp First Health $350 4137%
Work Comp Nlmc Emp $350 4137%
Workers Compensation $350 4137%
Aarp $388 4586%
Aflc American Family Life $388 4586%
American Life Accident $388 4586%
Apwu Health Plan $388 4586%
Bankers Life And Casualty $388 4586%
Benefit Trust Life $388 4586%
Crime Victims Compensatio $388 4586%
Equitable $388 4586%
Fox Everett Inc $388 4586%
Gmp Employers Retiree Tru $388 4586%
Gsu Athletics $388 4586%
Guarantee Trust Life Ins $388 4586%
Healthfirst Tpa $388 4586%
Hospice Of Caring Hearts $388 4586%
Ima Insurance $388 4586%
Industrial Accounts $388 4586%
Liberty Healthshare $388 4586%
Liberty Mutual Group $388 4586%
Lifecare Specialty Hosp $388 4586%
Lin Parish Detention $388 4586%
Lincoln Kidney Center $388 4586%
Ltu Athletics $388 4586%
Ltu Student Ins Bollinger $388 4586%
Mcr American Hlth Adv $388 4586%
Misc Commercial $388 4586%
Mva Insurance Payors $388 4586%
Nalc Health Benefit Plan $388 4586%
Nalc Natl Assoc Ltr Carri $388 4586%
Newera $388 4586%
Nlmc Community Services $388 4586%
Physicians Mutual Ins $388 4586%
Premier Hospice $388 4586%
Principal Mutual Life Ins $388 4586%
Protective Life Ins $388 4586%
Ruston Regional Specialty $388 4586%
Specialty Hosp Of Winnfie $388 4586%
State Farm Insurance $388 4586%
State Mutual Ins $388 4586%
Sterling Investors Life $388 4586%
The Hartford $388 4586%
Union Bankers Insurance C $388 4586%
Union Fidelity Life Ins $388 4586%
United American $388 4586%
United Teachers Ins $388 4586%
Us Dept Of Labor $388 4586%
Washington National Ins $388 4586%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals