CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Northwest Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $11
  • Cash Discount Price: $171
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Northwest Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $171. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.30x the Medicare baseline. Located in 6200 North La Cholla Boulevard, Tucson, AZ.
Cash / Self-Pay
$171

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $171 (2021%)
Insurance Median: $11 (130%)
Cash: $171 (2021% of Medicare)
Ins. Median: $11 (130% 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 - $256 95%
Blue Cross Blue Shield $8 - $86 95%
Cigna $8 - $14 95%
Department Of Veterans Affairs $8 95%
Fresenius Health $8 95%
Humana $8 95%
Medicaid / KanCare $8 - $9 95%
Medicare (plans) $8 95%
Node Caremore Mcr Adv $8 95%
Node Non Par Hospice Agree $8 95%
Node Va $8 95%
Pascua Yaqui Tribe $8 95%
Scan Health Plan $8 95%
Tricare $8 95%
Triwest $8 95%
UnitedHealthcare $8 - $285 95%
Veterans Eval Services $8 95%
Magellan $9 106%
Node Banner Mcr Adv $9 106%
Node Clover Health Mcr Adv $9 106%
Node Devoted Health Mcr Adv $9 106%
Wellcare $9 106%
Node Us Dept Of Labor $11 130%
Ambetter / Centene $12 142%
Node Health Choice Health Exchange $12 142%
Health Net $13 154%
Node Fusion Network $15 177%
Node J Allen Inmate Health Svcs $16 189%
Seven Corners $19 225%
Self Pay $137 - $205 1619%
First Health Coventry $299 3534%
Coventry Medical Center $342 4043%
Multiplan $473 5591%
Prime Health $484 5721%
Healthsmart $513 6064%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6200 North La Cholla Boulevard, Tucson, AZ 85741
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals