CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Moberly Regional Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $47
  • Cash Discount Price: $66
  • vs. Medicare Baseline: 5.56x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Moberly Regional Medical Center is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 5.56x the Medicare baseline. Located in 1515 Union Ave, Moberly, MO.
Cash / Self-Pay
$66

Average discount available for prompt cash payment at this facility.

Insurance Median
$47

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: $66 (780%)
Insurance Median: $47 (556%)
Cash: $66 (780% of Medicare)
Ins. Median: $47 (556% 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 556% of the Medicare baseline (a markup of 456%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Tricare $7 83%
Blue Access $8 95%
Blue Cross Blue Shield $8 - $63 95%
Blue Preferred $8 95%
Medicaid / KanCare $8 - $13 95%
Medicare (plans) $8 95%
Node Va $8 95%
Pathway/Pathway X $8 95%
UnitedHealthcare $8 - $134 95%
Veterans Eval Services $8 95%
Node Devoted Health Mcr Adv $9 106%
Centurion Correctional $11 130%
Corizon $11 130%
Us Department Of Labor $11 130%
Home State Health Plan $13 - $16 154%
Healthscope Benefits $14 165%
Naphcare $16 189%
United Behavioral Health Mcd $35 414%
Self Pay $47 - $84 556%
Cigna $55 650%
Access Health Services, Llc $114 1348%
Aetna $116 - $141 1371%
Healthlink $123 - $141 1454%
Blue Traditional $126 - $131 1489%
Multiplan Primary $132 1560%
Coventry Wc $141 1667%
Multiplan $142 1678%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Union Ave, Moberly, MO 65270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals