CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Ascension River District Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $9
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Ascension River District Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.06x the Medicare baseline. Located in 4100 River Rd, East China, MI.
Cash / Self-Pay
$18

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%)
Cash / Self-Pay: $18 (213%)
Insurance Median: $9 (106%)
Cash: $18 (213% of Medicare)
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
Aetna $8 95%
Amerihealth Vip Care $8 95%
Great Lakes Health Plan $8 95%
Harbor Advantage Hmo $8 95%
Medicare (plans) $8 - $9 95%
Tricare $8 95%
Veterans Choice $8 95%
Humana $9 106%
Meridian Wellcare $9 106%
Molina Advantage $9 106%
Molina Health Link $9 106%
Total Health Care $9 106%
Ambetter / Centene $11 130%
Molina Market Place $11 130%
Phcs Pos $12 142%
Phcs Ppo $12 142%
Smarthealth $12 142%
Ahlic $13 154%
Hap Hmo $13 154%
Hap Preferred $13 154%
Ppom $14 165%
Priority Hmo $14 165%
Aaa-Auto Insurance $16 189%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4100 River Rd, East China, MI 48054
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals