CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Henry Ford Macomb Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $9
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Henry Ford Macomb Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.06x the Medicare baseline. Located in 15855 Nineteen Mile Rd, Clinton Township, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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%)
Insurance Median: $9 (106%)
Ins. Median: $9 (106% 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
Hap $2 - $17 24%
Aetna $5 - $29 59%
Blue Cross Blue Shield $5 - $13 59%
Mclaren $5 59%
Meridian Health Plan Of Mi $5 - $11 59%
Molina $5 - $11 59%
Priority Health $5 - $30 59%
Humana $7 - $9 83%
Bcn $8 95%
Cca Health Michigan $8 95%
Hap Caresource $8 95%
Mclaren Health $8 - $28 95%
Molina Mi Health Link $8 95%
Mount Carmel Health Plan $8 95%
Pace Of Se Mi $8 95%
UnitedHealthcare $8 - $10 95%
Wellcare $9 106%
Cofinity Group Health $19 - $41 225%
Vitalcore Physicians Group Of Mi $26 307%
Multiplan, Inc. $35 414%
University Of Michigan $42 496%
Cigna $43 508%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15855 Nineteen Mile Rd, Clinton Township, MI 48038
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals