CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: HCA Healthone Rose

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $381
Cash Discount Price: $1,849
vs. Medicare Baseline: 45.04x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at HCA Healthone Rose is $381. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,849. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 45.04x the Medicare baseline. Located in 4567 E 9Th Ave, Denver, CO.

Cash / Self-Pay

$1,849

Average discount available for prompt cash payment at this facility.

Insurance Median

$381

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: $1,849 (21856%)

Insurance Median: $381 (4504%)

Cash: $1,849 (21856% of Medicare)

Ins. Median: $381 (4504% 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 4504% of the Medicare baseline (a markup of 4404%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Cigna	$4 - $1,188	47%
Aetna	$8 - $980	95%
Blue Cross Blue Shield	$8 - $1,374	95%
Bright Health	$8 - $557	95%
Devoted Health	$8	95%
Humana	$8	95%
Mutual Of Omaha	$8	95%
Rocky Mountain Health	$8	95%
Rocky Mountain Health Plan	$8	95%
Total Longterm Care	$8	95%
Triwest Health Alliance	$8	95%
United	$8 - $836	95%
Delaware Life Insurance	$9	106%
Innovage Pace	$9	106%
Kaiser	$9 - $483	106%
Wellcare	$9	106%
Pinnacol Workers Comp	$23	272%
Multiplan	$24 - $1,671	284%
Vail Health	$280 - $282	3310%
Colorado Program For Children With Special Needs	$828 - $836	9787%
Western Plains Community Health	$1,197 - $1,207	14149%
Northcare	$1,289 - $1,300	15236%
Physician Health Partners	$1,289 - $1,300	15236%
Medical Development International	$1,473 - $1,486	17411%
Rocky Mtn Planned Parenthood	$1,565 - $1,578	18499%
Prime Health	$1,657 - $1,671	19586%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,849.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80048.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Healthone Rose is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80048.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.