CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Spanish Peaks Regional Health Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $162
Cash Discount Price: $162
vs. Medicare Baseline: 19.15x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Spanish Peaks Regional Health Center is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $162. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 19.15x the Medicare baseline. Located in 23500 Us Highway 160, Walsenburg, CO.

Cash / Self-Pay

$162

Average discount available for prompt cash payment at this facility.

Insurance Median

$162

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: $162 (1915%)

Insurance Median: $162 (1915%)

Cash: $162 (1915% of Medicare)

Ins. Median: $162 (1915% 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 1915% of the Medicare baseline (a markup of 1815%). 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
Beacon Health Op Only-All Plans	$12	142%
Blue Cross Blue Shield	$88 - $162	1040%
Humana	$88	1040%
Medicare (plans)	$88	1040%
UnitedHealthcare	$88 - $167	1040%
Devoted Health Mcr - All Plans	$93	1099%
Apostrophe - All Plans	$162	1915%
Cigna	$162	1915%
Friday Hp Chp - All Plans	$162	1915%
Kaiser Ppo - All Other Plans	$162	1915%
Prov Ntwrk Of America - All Plans	$162	1915%
Cofinity - All Plans	$166	1962%
Connect For Health - All Plans	$167	1974%
Rmhp - All Plans	$167	1974%
Multiplan Phcs - All Plans	$171	2021%
Kaiser Ppo Mcr	$180	2128%

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 $162.
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 Spanish Peaks Regional Health Center 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.