CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Alliancehealth Madill

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $11
  • Cash Discount Price: $54
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Alliancehealth Madill is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.30x the Medicare baseline. Located in 901 S 5Th Ave, Madill, OK.
Cash / Self-Pay
$54

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $54 (638%)
Insurance Median: $11 (130%)
Cash: $54 (638% of Medicare)
Ins. Median: $11 (130% 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
Blue Cross Blue Shield $1 - $64 12%
Preferred Community Choice Ppo $1 - $45 12%
Humana $2 - $62 24%
Medicare (plans) $2 - $62 24%
Node Champva $2 - $65 24%
Node Global Health Mcr Adv $2 - $62 24%
Node Indian Health Service Managed Care $2 - $63 24%
Node Va $2 - $145 24%
Tricare $2 - $65 24%
UnitedHealthcare $2 - $63 24%
Self Pay $3 - $105 35%
Coventry $4 - $150 47%
Globalhealth $5 - $186 59%
Healthcare Highways $5 - $188 59%
Multiplan $6 - $234 71%
Phcs $6 - $210 71%
Aetna $7 - $240 83%
Cigna $7 - $255 83%
Evolutions Healthcare Systems $7 - $255 83%
First Health $7 - $246 83%
Medicaid / KanCare $8 95%
Healthchoice $11 130%
Node Us Dept Of Labor $11 130%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 S 5Th Ave, Madill, OK 73446
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals