CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Mercy Rehabilitation Hospital St Louis

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $225
Cash Discount Price: $225
vs. Medicare Baseline: 26.60x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Mercy Rehabilitation Hospital St Louis is $225. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 26.60x the Medicare baseline. Located in 14561 N Outer 40 Rd, Chesterfield, MO.

Cash / Self-Pay

$225

Average discount available for prompt cash payment at this facility.

Insurance Median

$225

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: $225 (2660%)

Insurance Median: $225 (2660%)

Cash: $225 (2660% of Medicare)

Ins. Median: $225 (2660% 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 2660% of the Medicare baseline (a markup of 2560%). 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	$208 - $265	2459%
Ambetter / Centene	$208 - $265	2459%
Blue Cross Blue Shield	$208 - $265	2459%
Cigna	$208 - $265	2459%
Devoted Health	$208 - $265	2459%
Essence	$208 - $265	2459%
Healthlink Hmo	$208 - $265	2459%
Healthlink Ppo	$208 - $265	2459%
Healthy Blue (Missouri Care)	$208 - $265	2459%
Homestate Health Plan	$208 - $265	2459%
Humana	$208 - $265	2459%
Medica	$208 - $265	2459%
Medicaid / KanCare	$208 - $265	2459%
Meritain Health Cpd	$208 - $265	2459%
Meritain Health Ppo Cpd	$208 - $265	2459%
Starmark Cpd	$208 - $265	2459%
Tricare	$208 - $265	2459%
UnitedHealthcare	$208 - $265	2459%
Wellcare	$208 - $265	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 $225.
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 Rehabilitation Hospital St Louis 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.