CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Black River Memorial Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $180
Cash Discount Price: $176
vs. Medicare Baseline: 21.28x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Black River Memorial Hospital is $180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $176. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 21.28x the Medicare baseline. Located in 711 W Adams St, Black River Falls, WI.

Cash / Self-Pay

$176

Average discount available for prompt cash payment at this facility.

Insurance Median

$180

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: $176 (2080%)

Insurance Median: $180 (2128%)

Cash: $176 (2080% of Medicare)

Ins. Median: $180 (2128% 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 2128% of the Medicare baseline (a markup of 2028%). 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
Blue Cross Blue Shield	$6 - $100	71%
Group Health Cooperative Of Eau Claire	$9 - $190	106%
My Choice Wisconsin, Inc.	$9 - $100	106%
Quartz Health Solutions, Inc	$9 - $178	106%
UnitedHealthcare	$9 - $185	106%
Humana	$100 - $182	1182%
Security Health Plan	$100 - $183	1182%
Corvel	$120	1418%
The Alliance	$167 - $188	1974%
Triology Health Solutions	$176 - $186	2080%
Medica	$183	2163%
Association Benefits Solution	$186	2199%
Family Health Center Of Marshfield	$186	2199%
First Health Group Corporation	$186	2199%
Provider Network Of America	$186	2199%
Cigna	$190	2246%
Cofinity	$190	2246%
Coventry Health Care	$190	2246%
Custom Benefit Administrators	$190	2246%
Healthpartners, Inc.	$190	2246%
Multiplan	$190 - $194	2246%
Wisconsin Physicians Service Insurance Corp	$190	2246%
Chorus	$192	2270%

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 $176.
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 Black River Memorial 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.