CMS Price Transparency Data
Blood test, basic metabolic panel
Facility: Stoughton Hospital
Billing Code: 80048 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$27
about 3.4× the $8 Medicare rate · typically $9–$54
modeled estimate · not a bill or quote
Medicare pays $8 Fair price $27 Cash price $122 Hospital's list price $223
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $89 - $194 | 1052% |
| Blue Cross Blue Shieldmajor | $176 - $211 | 2080% |
| Aetnamajor | $61 - $207 | 721% |
| Cignamajor | $162 - $194 | 1915% |
| Humanamajor | $57 - $219 | 674% |
| Dean Health Plan | $47 - $68 | 556% |
| GEHA | $152 - $182 | 1797% |
| Health Net | $54 - $65 | 638% |
| Quartz | $54 - $68 | 638% |
| + 2 smaller / regional plans | $17 - $219 |
Government programs also on file: Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Stoughton Hospital
Compare: Blood test, basic metabolic panel at other WI hospitals
- Fort Memorial Hospital · Fort Atkinson $8
- Gundersen Lutheran Medical Center · La Crosse $8
- Unitypoint Health - Meriter · Madison $8
- Sauk Prairie Hospital · Prairie Du Sac $8
- University of Wi Hospitals & Clinics Authority · Madison $8
- Froedtert Memorial Lutheran Hospital · Milwaukee $8
- Oakleaf Surgical Hospital · Altoona $8
- Froedtert Community Hospital · New Berlin $8
Insurance negotiated median for the same procedure, sorted lowest first.