CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Lincoln Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $92
Cash Discount Price: $103
vs. Medicare Baseline: 10.87x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Lincoln Hospital is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 10.87x the Medicare baseline. Located in 10 Nichols Street, Davenport, WA.

Cash / Self-Pay

$103

Average discount available for prompt cash payment at this facility.

Insurance Median

$92

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: $103 (1217%)

Insurance Median: $92 (1087%)

Cash: $103 (1217% of Medicare)

Ins. Median: $92 (1087% 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 1087% of the Medicare baseline (a markup of 987%). 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
Labor & Industries - All Plans	$14	165%
Ambetter / Centene	$54	638%
Molina Hlthy Options	$54	638%
UnitedHealthcare	$54 - $101	638%
Amerigroup Mcaid - All Plans	$57	674%
Aetna	$64 - $109	757%
Indian Hlth Services - All Plans	$64	757%
Tricare	$64	757%
Va Ccn - All Plans	$64	757%
Cigna	$88	1040%
Molina Exchange-All Other Plans	$91	1076%
Focus Healthcare Mgmt - All Plans	$92	1087%
Blue Cross Blue Shield	$101	1194%
Uniform Medical Plan-All Plans	$101	1194%
First Health Coventry-All Plans	$102	1206%
Health Management Network-All Plans	$103	1217%
Three Rivers-All Plans	$103	1217%
Asuris Nw Health-All Plans	$106	1253%
Multiplan-All Plans	$109	1288%
Physician Hosp Comm Org-All Plans	$109	1288%
First Choice Health- All Plans	$111	1312%

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 $103.
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 Lincoln Hospital 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.