CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Banner Lassen Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $104
  • Cash Discount Price: $69
  • vs. Medicare Baseline: 12.29x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Banner Lassen Medical Center is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 12.29x the Medicare baseline. Located in 1800 Spring Ridge Drive, Susanville, CA.
Cash / Self-Pay
$69

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $69 (816%)
Insurance Median: $104 (1229%)
Cash: $69 (816% of Medicare)
Ins. Median: $104 (1229% 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 1229% of the Medicare baseline (a markup of 1129%). 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
Blue Cross Blue Shield $2 24%
Partnership Healthplan Of Ca $12 142%
Banner Health $46 544%
UnitedHealthcare $46 - $103 544%
Network Providers, Llc $59 697%
Imperial Health Plan Of California, Inc $61 721%
Blue Shield Of California $97 1147%
Multiplan $100 1182%
Cigna $105 1241%
Coventry $107 1265%
First Health $107 1265%
Health Net $108 1277%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 Spring Ridge Drive, Susanville, CA 96130
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals