CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Sunrise Hospital and Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $8
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Sunrise Hospital and Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 0.95x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $35 (414%)
Insurance Median: $8 (95%)
Cash: $35 (414% of Medicare)
Ins. Median: $8 (95% 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.

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 $1 - $14 12%
Blue Cross Blue Shield $4 - $11 47%
United $4 - $345 47%
Cigna $5 - $22 59%
Community Care Health $5 - $6 59%
Humana $5 - $12 59%
Molina Healthcare $5 - $6 59%
Sierra Hpn $5 - $6 59%
Ambetter / Centene $6 - $9 71%
Amerigroup $6 71%
Caresource $6 71%
Health Plan Nevada $6 71%
Molina $6 71%
Silver Summit $6 71%
Alignment Health Plan $8 95%
Health Net $8 95%
Hometown Health Mcr $8 95%
Select Health $8 - $381 95%
Sierra $8 - $11 95%
Triwest Healthcare Alliance $8 95%
Caremore $9 106%
Health Services Coalition $9 106%
Imperial Nv $9 106%
Universal Healthcare $10 118%
Legacy Provider Network $26 307%
Comp-Med Workers Comp $28 331%
Corvel $28 - $30 331%
Olympus Medsave Usa $29 - $1,238 343%
Prominence Healthfirst $495 5851%
Cmn Global $693 8191%
Hometown Health Providers $826 9764%
Nv Health & Welfare Trust $991 11714%
Multiplan $1,040 - $1,205 12293%
First Health $1,090 - $1,321 12884%
Medcare International $1,238 14634%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3186 S Maryland Pkwy, Las Vegas, NV 89109
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals