CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Mercy Hospital - Cassville

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $175
Cash Discount Price: $142
vs. Medicare Baseline: 20.69x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Mercy Hospital - Cassville is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $142. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 20.69x the Medicare baseline. Located in 94 Main Street, Cassville, MO.

Cash / Self-Pay

$142

Average discount available for prompt cash payment at this facility.

Insurance Median

$175

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: $142 (1678%)

Insurance Median: $175 (2069%)

Cash: $142 (1678% of Medicare)

Ins. Median: $175 (2069% 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 2069% of the Medicare baseline (a markup of 1969%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $195	95%
Blue Cross Blue Shield	$8 - $212	95%
Humana	$8 - $186	95%
Medicaid / KanCare	$8 - $114	95%
Medicare (plans)	$9 - $94	106%
UnitedHealthcare	$12 - $208	142%
Dept Of Veteran Affairs Contracted [320106]	$75	887%
Tricare	$89	1052%
Cherokee Nation Health Serv Contracted [320066]	$90	1064%
Cigna	$90 - $208	1064%
Cross Timbers Hospice [20098]	$90	1064%
Elara Caring Aspire Hospice [20433]	$90	1064%
Globalhealth Contracted [320145]	$90	1064%
Halo Hcr Inc Hospice Contracted [320432]	$90	1064%
Halo Hcr Inc Hospice [20432]	$90	1064%
Indian Health Service Contracted [320198]	$90	1064%
Kindful Hospice Contracted [320434]	$90	1064%
Kindful Hospice [20434]	$90	1064%
Medical Associates Health Contracted [320444]	$90	1064%
Mercy Hospice Okc [20252]	$90	1064%
Mercy Mgd Behavioral Health Contracted [320259]	$90	1064%
Pace Of The Ozarks Contracted [320518]	$90	1064%
Provider Partners Health Plans Contracted [320450]	$90	1064%
Qual Choice Contracted [320325]	$90	1064%
Healthscope Contracted [320182]	$92	1087%
Administrative Payor Contracted [320005]	$99	1170%
Centivo Contracted [320505]	$112	1324%
Ambetter / Centene	$114	1348%
Home State Health Plan Contracted [320187]	$114	1348%
Novasys Contracted [320285]	$114	1348%
Healthlink Contracted [320179]	$142 - $197	1678%
Preferred Health Plan Contracted [320522]	$142	1678%
Health Systems Inc Contracted [320174]	$175	2069%
Insurance System Inc Contracted [320465]	$175	2069%
Point C Contracted [320238]	$175 - $197	2069%
Point C [20238]	$175	2069%
United Medical Resources Contracted [320454]	$175 - $186	2069%
Workers Comp [20426]	$175 - $197	2069%
Municipal Health Plan Contracted [320271]	$177	2092%
Medica Contracted [320239]	$196	2317%
90 Degree Benefits Contracted [320436]	$197	2329%
Aither Health Contracted [320449]	$197	2329%
American Healthcare Alliance Contracted [320020]	$197	2329%
Auxiant Contracted [320462]	$197	2329%
Benefit Management Contracted [320052]	$197	2329%
Ebms Contracted [320493]	$197	2329%
Edison Health Solutions Contracted [320502]	$197	2329%
Evolutions Health Care Contracted [320124]	$197	2329%
Imagine 360 Contracted [320494]	$197	2329%
Mercy Benefit Admin Contracted [320251]	$197	2329%
Reflect Health Contracted [320492]	$197	2329%
Show-Me Health Administrators Contracted [320483]	$197	2329%
Usa Managed Care Org Contracted [320429]	$197	2329%
Yuzu Health Contracted [320521]	$197	2329%
First Health Contracted [320128]	$208	2459%
Multiplan Contracted [320270]	$208	2459%
Private Health Care Systems Contracted [320320]	$208	2459%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $142.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80048.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercy Hospital - Cassville is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80048.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.