Basic metabolic panel at CHI Health Good Samaritan. CPT 80048.
What CHI Health Good Samaritan publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$111cash price (self-pay)
$182list price
$8.20–$169range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid|All Plans | $8.20 |
| Centene | Medicaid|IA Total Care | $8.20 |
| IAMolina | Medicaid|All Plans | $8.36 |
| BCBS - NE | Medicare|All Plans | $8.46 |
| Humana | Medicare|All Plans | $8.46 |
| Medica | Medicare|All Plans | $8.46 |
| PACE | Medicare|All Plans | $8.46 |
| United | Medicare|All Plans | $8.46 |
| Centene | Medicare|All Plans | $8.71 |
| Amerigroup | Medicare|All Plans | $8.88 |
| Great Plains | Medicare|All Plans | $8.88 |
| Medica | Commercial|ACO | $16.40 |
| Medica | Commercial|CHI Health | $17.39 |
| Medica | Commercial|All Other Plans | $18.21 |
| AMPS | Commercial|All Plans | $18.78 |
| United | Medicaid|Community Plan | $38.22 |
| Centene | Medicaid|NE Total Care | $38.61 |
| Greater Omaha Packing | Commercial|Narrow Network | $84.81 |
| Millard Public Schools | Commercial|Narrow Network | $84.81 |
| One World | Commercial|Narrow Network | $84.81 |
| Creighton University Employees | Commercial|All Plans | $89.18 |
| Greater Omaha Packing | Commercial|Broad Network | $97.53 |
| Millard Public Schools | Commercial|Broad Network | $97.53 |
| One World | Commercial|Broad Network | $97.53 |
| Timpte | Commercial|Broad Network | $97.53 |
| ELAP | Commercial|All Plans | $106 |
| United | Commercial|All Plans | $138 |
| Medica | Commercial|Open Access | $142 |
| Midlands Choice | Commercial|Premier | $142 |
| Midlands Choice | Commercial|Standard | $167 |
Inpatient
$111cash price (self-pay)
$182list price
$89.18–$169range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Creighton University Employees | Commercial|All Plans | $89.18 |
| United | Commercial|All Plans | $138 |
| Medica | Commercial|Open Access | $142 |
| Midlands Choice | Commercial|Premier | $142 |
| Midlands Choice | Commercial|Standard | $167 |
| MultiPlan PHCS | Commercial|All Plans | $169 |
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