CMS Price Transparency Data
Blood test, basic metabolic panel
Facility: Houlton Regional Hospital
Billing Code: 80048 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$31
about 3.9× the $8 Medicare rate · typically $9–$62
modeled estimate · not a bill or quote
Medicare pays $8 Fair price $31 Cash price $92 Hospital's list price $97
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $92 | 1087% |
| Blue Cross Blue Shieldmajor | $31 - $43 | 366% |
| Aetnamajor | $44 | 520% |
| Cignamajor | $88 | 1040% |
| WellCare | $43 | 508% |
| + 2 smaller / regional plans | $49 - $85 |
Government programs also on file: Military & VA.
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Other Procedures at Houlton Regional Hospital
Compare: Blood test, basic metabolic panel at other ME hospitals
- Central Maine Medical Center · Lewiston $8
- Cary Medical Center · Caribou $8
- Mainehealth Mid Coast Hospital · Brunswick $9
- Mainehealth Pen Bay Hospital · Rockport $9
- Mainehealth Maine Medical Center · Portland $10
- Mainehealth Stephens Hospital · Norway $10
- Mainehealth Franklin Hospital · Farmington $10
- Lincolnhealth · Damariscotta $11
Insurance negotiated median for the same procedure, sorted lowest first.