CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Arkansas Valley Regional Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $114
  • Cash Discount Price: $76
  • vs. Medicare Baseline: 13.48x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Arkansas Valley Regional Medical Center is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 13.48x the Medicare baseline. Located in 1100 Carson Avenue, Lajuna, CO.
Cash / Self-Pay
$76

Average discount available for prompt cash payment at this facility.

Insurance Median
$114

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: $76 (898%)
Insurance Median: $114 (1348%)
Cash: $76 (898% of Medicare)
Ins. Median: $114 (1348% 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 1348% of the Medicare baseline (a markup of 1248%). 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 $110 1300%
America $114 1348%
Humana $114 1348%
Meritain Health $114 1348%
Muti-Plan $114 1348%
Rocky Mountain Hospital & Medical $118 1395%
UnitedHealthcare $118 1395%
Cigna $121 1430%
Aetna $127 1501%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Carson Avenue, Lajuna, CO 81050
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals