CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Holland Community Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $13
  • Cash Discount Price: $43
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Holland Community Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.54x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.
Cash / Self-Pay
$43

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $43 (508%)
Insurance Median: $13 (154%)
Cash: $43 (508% of Medicare)
Ins. Median: $13 (154% 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
Nomi Health - All Plans $6 71%
UnitedHealthcare $6 - $72 71%
Health Alliance Mcr Adv $8 95%
Life Circles-All Plans $8 95%
Ph Mcr Adv $8 95%
Va Ccn - All Plans $8 95%
Aetna $9 - $12 106%
Longevity Health Plan-All Plans $9 106%
Cofinity -All Plans $10 118%
Asr - All Plans $13 154%
Health Alliance Ahl - All Other Plans $13 154%
Health Alliance Hmo $13 154%
Sisco Epi $13 154%
Sisco-All Other Plans $13 154%
Blue Cross Blue Shield $14 165%
Molina Mcaid - All Plans $23 272%
Ph Mcaid $23 272%
Cigna $24 284%
Priority Health - All Other Plans $27 319%
Multiplan - All Plans $63 745%
Benefit Source Inc-All Plans $65 768%
First Health-All Plans $65 768%
Usa Managed Care-All Plans $65 768%
Integrated Health Plans-All Plans $68 804%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 602 Michigan Ave, Holland, MI 49423
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals