Blood test, basic metabolic panel
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 80048 (CPT)
- CPT Billing Code: 80048
- Insurance Median: $324
- Cash Discount Price: $432
- vs. Medicare Baseline: 38.30x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 3830% of the Medicare baseline (a markup of 3730%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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 | $259 | 3061% |
| Americas Choice Provider Network | $302 | 3570% |
| Quiktrip Corporation | $324 | 3830% |
| Velocity | $324 | 3830% |
| Provider Network Of America | $324 | 3830% |
| Usa Managed Care Organization | $324 | 3830% |
| Multiplan-Phcs | $345 | 4078% |
| Prime Health Services | $367 | 4338% |
| Medincrease | $389 | 4598% |
Consumer Guidance & Cost Commentary
For the basic metabolic panel procedure at the Rehabilitation Hospital Of Overland Park, the cash price is $432.00, which matches the facility's median cash rate. This amount is significantly higher than the Medicare benchmark of $8.46, reflecting a markup of 38.3% above the federal baseline. While commercial insurance plans negotiate rates ranging from $259 to $389 depending on the carrier, these negotiated amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying the full cash price of $432.00 upfront may result in lower out-of-pocket costs compared to the insurance allowed amount, especially if the patient has not yet met their deductible.
Patients should verify whether the facility offers "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is important to note that while the facility is a Part A provider in Overland Park, KS, the specific negotiated rates vary by payer, with the lowest commercial rate being $259 and the highest at $389. To ensure you are receiving the most accurate pricing, always request a detailed, itemized bill that lists specific CPT codes rather than accepting a summary total, and confirm your deductible status prior to receiving care to avoid unexpected balance billing.