CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Copper Queen Community Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $36
  • Cash Discount Price: $103
  • vs. Medicare Baseline: 4.26x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Copper Queen Community Hospital is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 4.26x the Medicare baseline. Located in 101 Cole Avenue, Bisbee, AZ.
Cash / Self-Pay
$103

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

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: $103 (1217%)
Insurance Median: $36 (426%)
Cash: $103 (1217% of Medicare)
Ins. Median: $36 (426% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 426% of the Medicare baseline (a markup of 326%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Allwell $21 248%
Amerigroup $21 248%
Azch Complete $21 248%
Banner Uc Health $21 248%
Humana $21 248%
Triwest $21 248%
UnitedHealthcare $23 - $75 272%
Copperpoint $32 378%
Bisbee Police $34 402%
Aetna $36 - $116 426%
Health Net Of Az $36 - $77 426%
Apipa $48 567%
Cigna $84 993%
Blue Cross Blue Shield $88 1040%
Self Pay $103 1217%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Cole Avenue, Bisbee, AZ 85603
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals