CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Mercy Hospital Southeast

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $14
  • Cash Discount Price: $199
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Mercy Hospital Southeast is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $199. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.65x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.
Cash / Self-Pay
$199

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $199 (2352%)
Insurance Median: $14 (165%)
Cash: $199 (2352% of Medicare)
Ins. Median: $14 (165% 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 - $196 95%
Blue Cross Blue Shield $8 - $291 95%
Cross Timbers Hospice [20098] $8 95%
Dept Of Veteran Affairs Contracted [320106] $8 95%
Elara Caring Aspire Hospice Contracted [320433] $8 95%
Elara Caring Aspire Hospice [20433] $8 95%
Halo Hcr Inc Hospice Contracted [320432] $8 95%
Halo Hcr Inc Hospice [20432] $8 95%
Humana $8 - $260 95%
Kindful Hospice Contracted [320434] $8 95%
Kindful Hospice [20434] $8 95%
Medicaid / KanCare $8 - $46 95%
Medicare (plans) $8 - $9 95%
Mercy Hospice Okc [20252] $8 95%
Pace Of The Ozarks Contracted [320518] $8 95%
Tricare $8 95%
UnitedHealthcare $8 - $20 95%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $9 106%
Provider Partners Health Plans Contracted [320450] $10 118%
United Medical Resources Contracted [320454] $10 118%
Ambetter / Centene $11 130%
Home State Health Plan Contracted [320187] $11 130%
Consociate Consolidated Health Contracted [320490] $12 - $19 142%
Auxiant Contracted [320462] $14 - $17 165%
Centivo Contracted [320505] $14 165%
Ebms Contracted [320493] $14 165%
Healthlink Contracted [320179] $14 - $239 165%
Imagine 360 Contracted [320494] $14 165%
Mercy Benefit Admin Contracted [320251] $14 - $208 165%
Reflect Health Contracted [320492] $14 165%
Yuzu Health Contracted [320521] $14 - $208 165%
Preferred Health Plan Contracted [320522] $15 177%
Hope Trust Contracted [320488] $21 248%
Cigna $23 272%
First Health Contracted [320128] $196 2317%
Health Alliance Contracted [320164] $199 2352%
Aither Health Contracted [320449] $208 2459%
Edison Health Solutions Contracted [320502] $208 2459%
Mercy Benefit Admin [20251] $208 2459%
Workers Comp [20426] $230 - $245 2719%
Multiplan Contracted [320270] $245 2896%
Private Health Care Systems Contracted [320320] $245 2896%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Lacey St, Cape Girardeau, MO 63701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals