CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Merit Health Women's Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $8
  • Cash Discount Price: $82
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Merit Health Women's Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 0.95x the Medicare baseline. Located in 1026 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$82

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: $82 (969%)
Insurance Median: $8 (95%)
Cash: $82 (969% 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
Cigna $2 - $168 24%
Self Pay $2 - $170 24%
UnitedHealthcare $2 - $220 24%
State Hospital $3 - $293 35%
Trimed Billing Solutions $3 - $231 35%
Coventry First Health $4 - $401 47%
First Choice Mpcn $4 - $347 47%
First Choice Standard $4 - $355 47%
First Choice Ppo Plus $5 - $424 59%
Aetna $6 - $500 71%
Benefit Management Systems $6 - $655 71%
First Choice Stratose $7 - $617 83%
Health Choice Of Mississippi $7 - $617 83%
Prime Health Services $7 - $617 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%
Mississippi Department Of Rehabilitation Services $8 - $771 95%
Molina Chip $8 95%
Molina Exchange $8 - $15 95%
Ms Work Comp $8 - $771 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 Seven Corners $8 - $14 95%
Node Molina Mcr Adv $8 95%
Node Shared Health Of Ms Mcr Adv $8 95%
Node Va $8 95%
Node Vantage Health Mcr Adv $8 95%
Node Windsor Mcr Adv $8 95%
Veterans Eval Services $8 95%
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%
First Choice Lgp $18 213%
Vantage Health $19 225%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1026 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals