CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Madison Parish Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $33
Cash Discount Price: $31
vs. Medicare Baseline: 3.90x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Madison Parish Hospital is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 3.90x the Medicare baseline. Located in 900 Johnson Street, Tallulah, LA.

Cash / Self-Pay

$31

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $31 (366%)

Insurance Median: $33 (390%)

Cash: $31 (366% of Medicare)

Ins. Median: $33 (390% 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 390% of the Medicare baseline (a markup of 290%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Amerihealth	$8	95%
Humana	$8	95%
Louisana_Healthcare_Connections	$8	95%
Medicaid / KanCare	$8	95%
Cigna	$28	331%
Aetna	$33	390%
Medicare (plans)	$33	390%
Peoples_Health	$33	390%
Tricare	$33	390%
Dignity_Health	$34	402%
Zelis_Ppo	$34	402%
Three_Rivers_Provider_Network	$50	591%
Vantage_Commercial	$56	662%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $31.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80048.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Madison Parish Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80048.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.