CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Upland Hills Health

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $89
Cash Discount Price: $172
vs. Medicare Baseline: 10.52x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Upland Hills Health is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $172. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 10.52x the Medicare baseline. Located in 800 Compassion Way, Dodgeville, WI.

Cash / Self-Pay

$172

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $172 (2033%)

Insurance Median: $89 (1052%)

Cash: $172 (2033% of Medicare)

Ins. Median: $89 (1052% 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 1052% of the Medicare baseline (a markup of 952%). 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
UnitedHealthcare	$4 - $7	47%
Blue Cross Blue Shield	$6 - $89	71%
Ghc Of Eau Claire	$10	118%
Ghc Of Sc Wi	$10 - $217	118%
Mhs	$10 - $89	118%
Quartz	$33	390%
Dean Health Plan	$56	662%
Humana	$89 - $287	1052%
Icare	$89	1052%
Medical Associates	$89 - $239	1052%
Security Health Plan	$89	1052%
Alliance	$180	2128%
Wps	$195 - $201	2305%
Cigna	$238 - $266	2813%
Multiplan	$281	3322%

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 $172.
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 Upland Hills Health 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.