CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Merit Health Central

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $8
  • Cash Discount Price: $3
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Merit Health Central is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 0.95x the Medicare baseline. Located in 1850 Chadwick Dr, Jackson, MS.
Cash / Self-Pay
$3

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $3 (35%)
Insurance Median: $8 (95%)
Cash: $3 (35% of Medicare)
Ins. Median: $8 (95% 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
UnitedHealthcare $1 - $190 12%
Cigna $2 - $176 24%
Self Pay $2 - $224 24%
Ms State Hospital Of Whitfield $3 - $340 35%
Trimed Billing Solutions $3 - $268 35%
First Choice Ppo Plus $4 - $402 47%
First Choice Standard $4 - $411 47%
First Choice Mpcn Standard $5 - $492 59%
Benefit Management Systems $6 - $760 71%
Citizens State Bank Inc $6 - $760 71%
American Health Group $7 - $760 83%
Beech Street $7 - $760 83%
First Choice Stratose $7 - $715 83%
Hinds County Prisoners $7 83%
Prime Health Services $7 - $715 83%
Tricare $7 - $8 83%
Advanced Health Systems $8 - $12 95%
Blue Cross Blue Shield $8 - $13 95%
Caresource Truecare $8 95%
Humana $8 95%
Magnolia Mcd Ms Chip $8 95%
Medicaid / KanCare $8 95%
Medicare (plans) $8 95%
Molina $8 95%
Molina Chip $8 95%
Molina Exchange $8 - $15 95%
Ms Dept Of Rehabilitation Services $8 - $894 95%
Node Champva $8 95%
Node Devoted Health Mcr Adv $8 95%
Node First Choice American Health Of Ms Mcr Adv $8 95%
Node First Choice Shared Health Of Ms Mcr Adv $8 95%
Node Hospice Non Par Agree $8 95%
Node Magnolia Mcr Adv $8 95%
Node Va $8 95%
Node Vantage Health Mcr Adv $8 95%
One Health Plan $8 - $805 95%
Seven Corners $8 - $14 95%
Veterans Eval Services $8 95%
Aetna $9 - $500 106%
Node First Choice Wellcare Mcr Adv $9 106%
Node Healthy Mississippi Mcr Adv $9 106%
Node Us Dept Of Labor $11 130%
First Choice Preferred $13 154%
Occunet $13 154%
Magnolia Exchange $15 177%
Prime Work Comp $15 177%
Ms Work Comp $16 189%
First Choice Lgp $18 213%
Vantage Health Commercial $19 225%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1850 Chadwick Dr, Jackson, MS 39204
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals