CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Verde Valley Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $12
  • Cash Discount Price: $135
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Verde Valley Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $135. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.42x the Medicare baseline. Located in 269 South Candy Lane, Cottonwood, AZ.
Cash / Self-Pay
$135

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $135 (1596%)
Insurance Median: $12 (142%)
Cash: $135 (1596% of Medicare)
Ins. Median: $12 (142% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Aetna $8 - $234 95%
Community Health Center Of Yavapai $8 95%
Devoted $8 - $9 95%
Health Choice $8 - $16 95%
Health Choice Integrated Care $8 95%
Health Net Federal $8 95%
Humana $8 95%
Medicare (plans) $8 95%
Mercy Care Advantage $8 95%
Snf Vvmc $8 95%
UnitedHealthcare $8 - $249 95%
University Of Arizona Health Plans $8 - $12 95%
Va Pccc Triwest $8 95%
Vvmc 30/70 $8 95%
Wellcare $8 95%
Wellcare By Allwell $8 95%
Ahcccs $9 106%
Mercy Care Rhba $9 106%
Ambetter / Centene $10 118%
Gold Kidney $10 118%
Ahcccs Other $12 142%
Care 1St $12 142%
Health Choice Arizona $12 142%
Health Net Of Arizona $12 142%
Mercy Care $12 142%
Nhi Out Of State Ahcccs $12 142%
Vvmc Jail $12 142%
Pnoa-Provider Network Of America $13 154%
Naphcare $15 - $17 177%
Self Pay $135 - $270 1596%
Self-Pay 50% Discount $135 1596%
Blue Cross Blue Shield $157 - $196 1856%
Workers Comp $175 2069%
Copperpoint $196 2317%
Cigna $243 2872%
Vvmc 90/10 $243 2872%
Auto Insurance $5,000 59102%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 269 South Candy Lane, Cottonwood, AZ 86326
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals