CMS Price Transparency Data
Blood test, basic metabolic panel
Facility: Claiborne Memorial Medical Center
Billing Code: 80048 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80048
- Insurance Median: $78
- Cash Discount Price: $121
- vs. Medicare Baseline: 9.22x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Claiborne Memorial Medical Center is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 9.22x the Medicare baseline. Located in 620 East College Street, Homer, LA.
Cash / Self-Pay
$121
Average discount available for prompt cash payment at this facility.
Insurance Median
$78
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: $121 (1430%)
Insurance Median: $78 (922%)
Cash: $121 (1430% of Medicare)
Ins. Median: $78 (922% 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 922% of the Medicare baseline (a markup of 822%). 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.
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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 - $78 | 95% |
| Amerihealth Caritas La | $8 - $52 | 95% |
| Arcadian Community Mcr Hm | $8 | 95% |
| Blue Cross Blue Shield | $8 - $46 | 95% |
| Champus | $8 | 95% |
| Champva | $8 | 95% |
| Cigna | $8 - $90 | 95% |
| Community Health Solution | $8 - $52 | 95% |
| Correctcare Intergrated | $8 - $52 | 95% |
| Healthy Blue | $8 - $52 | 95% |
| Healthy Blue Dual Adv | $8 | 95% |
| Humana | $8 - $120 | 95% |
| Kaiser Foundation Health | $8 | 95% |
| Louisiana Hc Connections | $8 - $52 | 95% |
| Magellan Services | $8 - $52 | 95% |
| Medicaid / KanCare | $8 - $52 | 95% |
| Medicare (plans) | $8 | 95% |
| Peoples Health Network | $8 | 95% |
| Pyramid Claims Mcr Hmo | $8 | 95% |
| Sterling Connect 2 | $8 | 95% |
| Sterling Premier Mc Hmo | $8 | 95% |
| Superior Health Mcr Hmo | $8 | 95% |
| Tenet Mcr Hmo | $8 | 95% |
| Tricare | $8 | 95% |
| United Hc Mcr Hmo | $8 | 95% |
| UnitedHealthcare | $8 - $52 | 95% |
| Universal Hc Mcr Hmo | $8 | 95% |
| Us Dept Of Labor | $8 | 95% |
| Vantage Health Mcr Hmo | $8 | 95% |
| Windsor Sterling Mcr Hmo | $8 | 95% |
| Wps Mvh Vapc3 | $8 | 95% |
| All Savers | $10 | 118% |
| Golden Rule Ins Co | $10 | 118% |
| United Behavioral Health | $10 | 118% |
| Vantage Health Plan Inc | $11 | 130% |
| Ambetter / Centene | $12 | 142% |
| Commercial Insurance | $48 - $120 | 567% |
| Meritain Health | $48 - $78 | 567% |
| Coventry Healthcare | $72 | 851% |
| Geha | $84 | 993% |
| Health Plus Of La | $84 - $90 | 993% |
| Apwu Healthplan | $90 | 1064% |
| Great West Healthcare | $90 | 1064% |
| Phcs | $96 | 1135% |
| Ppo Plus | $96 | 1135% |
| Sedgwick Claims Mgmt Serv | $108 | 1277% |
| Workman'S Comp | $108 | 1277% |
| Aarp | $120 | 1418% |
| Accordia National | $120 | 1418% |
| Aflac | $120 | 1418% |
| Alameda Alliance Forhealt | $120 | 1418% |
| American Pioneer | $120 | 1418% |
| Benefit Management | $120 | 1418% |
| Benesys Inc | $120 | 1418% |
| Business Guarantor | $120 | 1418% |
| Chubb | $120 | 1418% |
| Commercial Sr. Care | $120 | 1418% |
| Employee Benefit Services | $120 | 1418% |
| Family Life Insurance Co | $120 | 1418% |
| Farm Bureau Insurance | $120 | 1418% |
| Fiserv Health Benefit | $120 | 1418% |
| Gmp | $120 | 1418% |
| Group And Pension Admin | $120 | 1418% |
| Group Resources | $120 | 1418% |
| Haik Minvielle And Grubbs | $120 | 1418% |
| Harrington Benefit Svs | $120 | 1418% |
| Health Design Plus | $120 | 1418% |
| Health Plan | $120 | 1418% |
| Healthscope Benefits | $120 | 1418% |
| Insurance Management Admi | $120 | 1418% |
| Jefferson National | $120 | 1418% |
| John Alden Health Ins | $120 | 1418% |
| John Hancock | $120 | 1418% |
| Liberty Mutual | $120 | 1418% |
| Mailhandlers Benefit Plan | $120 | 1418% |
| Manhattan Life Ins Co | $120 | 1418% |
| Mega Life And Health | $120 | 1418% |
| Msa Careguard | $120 | 1418% |
| Mutual Of Omaha | $120 | 1418% |
| Nalc Health Benefit Plan | $120 | 1418% |
| Naphcare Inc. | $120 | 1418% |
| New Era Life Ins Co | $120 | 1418% |
| Physicians Mutual | $120 | 1418% |
| Principal Financial Group | $120 | 1418% |
| Prudential Healthcare | $120 | 1418% |
| Self Pay | $120 | 1418% |
| State Farm | $120 | 1418% |
| State Farm Insurance | $120 | 1418% |
| State Mutual Insurance Co | $120 | 1418% |
| Sterling Investors Life | $120 | 1418% |
| Tower Life | $120 | 1418% |
| Transamerica Premier Ins | $120 | 1418% |
| United American | $120 | 1418% |
| United Comm Travelers | $120 | 1418% |
| United Teachers | $120 | 1418% |
| Usable Administrator | $120 | 1418% |
| Visn 16 Cfu | $120 | 1418% |
| Wausau Benefits | $120 | 1418% |
| Webtpa | $120 | 1418% |
| Wells Fargo | $120 | 1418% |
| Woodmen Of The World | $120 | 1418% |