CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $92
Cash Discount Price: $151
vs. Medicare Baseline: 10.87x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 10.87x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$151

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: $151 (1785%)

Insurance Median: $92 (1087%)

Cash: $151 (1785% 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
Humana	$8 - $142	95%
Managed Health Services	$8 - $9	95%
Molina Healthcare Of Wi	$8 - $135	95%
Network Health Plan	$8 - $133	95%
Quartz	$8 - $91	95%
Security Health Plan (Shp)	$8 - $92	95%
UnitedHealthcare	$8 - $30	95%
Veteran'S Administration (Va Ccn)	$8	95%
Blue Cross Blue Shield	$9 - $44	106%
Group Health Cooperative Of Eau Claire	$9 - $151	106%
Icare	$9 - $10	106%
My Choice	$9	106%
Trilogy	$9 - $143	106%
The Alliance	$81	957%
Amish/Mennonite	$87	1028%
Wps Health Insurance	$107	1265%
Cigna	$108 - $118	1277%
Health Payment Systems	$111	1312%
First Health	$135	1596%
Healtheos By Multiplan Inc.	$148 - $151	1749%
Health Partners	$151	1785%
Coventry	$153	1809%

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 $151.
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 Marshfield Medical Center - Beaver Dam (Mmc-Bd) 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.