80048
Basic metabolic panel
Basic metabolic panel is the #285 most-billed Medicaid procedure code, with $496.8M in payments across 67.4M claims from 2018–2024. The national median cost per claim is $5.78. Costs vary widely — the 90th percentile is $19.07 per claim, 3.3× the median.
Total Paid
$496.8M
0.05% of all spending
Total Claims
67.4M
Providers
8K
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 80048? Based on 7K providers billing this code nationally.
Median
$5.78
Average
$10.17
Std Dev
$23.88
Max
$719.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.69 and $8.54 per claim for this code.
90% bill between $0.90 and $19.07.
Top 1% bill above $99.87.
About This Procedure
HCPCS code 80048 (Basic metabolic panel) was billed by 8K providers across 67.4M claims, totaling $496.8M in Medicaid payments from 2018–2024. This code was used for 50.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.78
Providers Billing
7K
National Spending
$496.8M
Avg/Median Ratio
1.76×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 80048
| # | Provider | Total Paid |
|---|---|---|
| 1 | Palomar Health Escondido, CA · General Acute Care Hospital | $9.0M |
| 2 | Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital | $5.2M |
| 3 | Truman Medical Center, Incorporated Kansas City, MO · General Acute Care Hospital | $5.1M |
| 4 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $5.1M |
| 5 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $4.8M |
| 6 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $4.6M |
| 7 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $4.3M |
| 8 | The Children's Mercy Hospital Kansas City, MO · General Acute Care Hospital Children | $4.0M |
| 9 | 1417919531 | $3.9M |
| 10 | 1649726738 | $3.5M |
| 11 | Spartanburg Medical Center Spartanburg, SC · Ambulance | $3.5M |
| 12 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $3.5M |
| 13 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $3.2M |
| 14 | 1154373843 | $3.2M |
| 15 | 1376513754 | $3.1M |
| 16 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $3.1M |
| 17 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $3.0M |
| 18 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $2.9M |
| 19 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $2.7M |
| 20 | 1487868097 | $2.7M |
Showing top 20 of 8K providers billing this code