CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Phoenix Children's Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $9
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Phoenix Children's Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.06x the Medicare baseline. Located in 1919 East Thomas Road, Phoenix, AZ.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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%)
Insurance Median: $9 (106%)
Ins. Median: $9 (106% 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
Ahc Healthchoice $8 95%
Ahc Lcd $8 95%
Ahccs $8 - $9 95%
UnitedHealthcare $8 95%
Ahc Apipa $9 106%
Ahc Care First $9 106%
Ahc Cmdp $9 106%
Ahc Crs $9 106%
Ahc Ihs $9 106%
Ahc Mercy Care $9 106%
Ahc University $10 118%
Selfpay $19 225%
Cigna $33 - $358 390%
Blue Cross Blue Shield $35 - $49 414%
Healthcomp $179 2116%
Intel $179 2116%
Aetna $205 - $328 2423%
Antidote $291 3440%
Multiplan $358 4232%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1919 East Thomas Road, Phoenix, AZ 85016
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens