CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Aspen Valley Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $205
  • Cash Discount Price: $205
  • vs. Medicare Baseline: 24.23x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Aspen Valley Hospital is $205. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $205. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 24.23x the Medicare baseline. Located in 401 Castle Creek Rd, Aspen, CO.
Cash / Self-Pay
$205

Average discount available for prompt cash payment at this facility.

Insurance Median
$205

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: $205 (2423%)
Insurance Median: $205 (2423%)
Cash: $205 (2423% of Medicare)
Ins. Median: $205 (2423% 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 2423% of the Medicare baseline (a markup of 2323%). 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
Aetna $111 - $205 1312%
Blue Cross Blue Shield $111 - $190 1312%
Humana $111 - $195 1312%
Medicare (plans) $111 1312%
Tricare $111 - $205 1312%
UnitedHealthcare $111 - $205 1312%
Veterans Administration [100068] $111 1312%
Cigna $144 - $205 1702%
Allied Benefit Systems [100015] $195 2305%
Geha [100039] $195 2305%
Healthscope [100157] $195 2305%
Aarp [100007] $205 2423%
Aig Travel [100255] $205 2423%
Aig [700029] $205 2423%
Ameriben [100266] $205 2423%
American Republic [100018] $205 2423%
Amtrust North America [700042] $205 2423%
Axa Travel [100256] $205 2423%
Bankers Life Casualty [100022] $205 2423%
Broadspire [700043] $205 2423%
Bupa Global [100257] $205 2423%
Ccmsi [700017] $205 2423%
Champ Va [500001] $205 2423%
Chp [300053] $205 2423%
Chubb Services [700054] $205 2423%
Companion Life Pivot Health [100258] $205 2423%
Corvel [700058] $205 2423%
Employee Benefit Management [100033] $205 2423%
Equitable Life [100160] $205 2423%
Esis Work Comp [700010] $205 2423%
Freedom Life Insurance Company [100158] $205 2423%
Gallagher Bassett Work Comp [700013] $205 2423%
Generic Commercial [109999] $205 2423%
Generic Other [509999] $205 2423%
Generic Travel Insurance [109998] $205 2423%
Generic Workers' Comp [709999] $205 2423%
Gerber Life Insurance [100265] $205 2423%
Global Excel [100259] $205 2423%
Gmmi [100260] $205 2423%
Hartford Work Comp [700055] $205 2423%
Harvard Pilgrim Healthcare [100241] $205 2423%
Health Net [100261] $205 2423%
Imagine 360 [100043] $205 2423%
Kaiser Permanente [100254] $205 2423%
Liberty Healthshare [100262] $205 2423%
Liberty Mutual Work Comp [700016] $205 2423%
Marriott Claim [700056] $205 2423%
Medi Share [100263] $205 2423%
Medicaid / KanCare $205 2423%
Mutual Of Omaha [100074] $205 2423%
Owcp [700057] $205 2423%
Physicians Mutual [100075] $205 2423%
Pinnacol Assurance Wc [700059] $205 2423%
Relations Insurance Kaiser [800004] $205 2423%
Sedgwick [700027] $205 2423%
Sentinel Security Life [100264] $205 2423%
Skico Ortho Alternative Payer [100163] $205 2423%
Transamerica [100097] $205 2423%
Travelers Work Comp [700028] $205 2423%
Tufts Health Plan [100268] $205 2423%
United American Insurance [100119] $205 2423%
Usaa Life Insurance Company [100155] $205 2423%
Wea [100120] $205 2423%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Castle Creek Rd, Aspen, CO 81611
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals