Basic metabolic panel at Good Samaritan Hospital (GSH). CPT 80048.
What Good Samaritan Hospital (GSH) publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$74.40cash price (self-pay)
$124list price
$3.47–$124range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $8.46 |
| Allwell | MCR ADV/PPO/HMO | $8.46 |
| Anthem HIP | HIP | $8.46 |
| Anthem MCR | MCR ADV/PPO/HMO | $8.46 |
| Anthem MCR | Medicare Advantage | $8.46 |
| Anthem | MCR ADV/PPO/HMO | $8.46 |
| Anthem | Medicaid | $8.46 |
| BCBS | Medicare Advantage | $8.46 |
| Caresource HIP | Medicaid | $8.46 |
| Caresource | Medicaid | $8.46 |
| Cigna | Medicare Advantage | $8.46 |
| Humana | Medicare Advantage | $8.46 |
| United Healthcare | Medicare Advantage | $8.46 |
| Aetna | Medicaid | $8.46 |
| Anthem Pathways | Medicaid | $8.46 |
| Indiana University | MCR ADV/PPO/HMO | $8.46 |
| MHS Ambetter | Commercial | $8.46 |
| Alliance Coal | Commercial | $10.57 |
| CareSource | Commercial | $11.63 |
| Encore Prime | Commercial | $12.76 |
| Aetna | Commercial | $14.22 |
| Hope Trust | Commercial | $16.92 |
| Anthem | Trad/PPO/HMO | $45.95 |
| Direct Health | Direct Health | $51.78 |
| OneCare | Commercial | $52.74 |
| Anthem | HealthSync | $57.55 |
| Amish | Commercial | $62.00 |
| HealthLink | HMO | $70.23 |
| Anthem | Exchange | $70.75 |
| HealthLink | PPO | $74.16 |
Inpatient
$74.40cash price (self-pay)
$124list price
$72.14–$124range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Exchange | $72.14 |
| United Healthcare | Commercial | $82.09 |
| Anthem | Trad/PPO/HMO | $90.17 |
| Direct Health | Direct Health | $95.11 |
| SIHO | Commercial | $95.11 |
| Cigna | Commercial | $97.96 |
| Sagamore | Commercial | $97.96 |
| Corvel | Workers Comp | $102 |
| Aetna | Commercial | $104 |
| Anthem | HealthSync | $107 |
| HealthLink | HMO | $109 |
| Encore Prime | Commercial | $112 |
| Humana | Commercial | $112 |
| HealthLink | PPO | $115 |
| Molina | Medicaid | $124 |
| Underwriters Safety | Commercial | $124 |
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