CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Southern Hills Hospital and Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $9
  • Cash Discount Price: $581
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Southern Hills Hospital and Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $581. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.06x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.
Cash / Self-Pay
$581

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $581 (6868%)
Insurance Median: $9 (106%)
Cash: $581 (6868% of Medicare)
Ins. Median: $9 (106% 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%
Ambetter / Centene $6 - $9 71%
Caresource $6 71%
Community Care Health $6 71%
Molina Healthcare $6 71%
Sierra Hpn $6 71%
Alignment Health Plan $8 95%
Blue Cross Blue Shield $8 - $11 95%
Health Net $8 95%
Hometown Health Mcr $8 95%
Humana $8 95%
Select Health $8 - $134 95%
Sierra $8 95%
Triwest $8 95%
United $8 - $127 95%
Caremore $9 106%
Health Services Coalition $9 106%
Imperial Nv $9 106%
Universal Healthcare $10 118%
Cigna $22 260%
Corvel $30 355%
Olympus Medsave Usa $31 - $436 366%
Prominence Healthfirst $174 2057%
Cmn Global $244 2884%
Evernorth $290 3428%
Hometown Health Providers $290 3428%
Nv Health & Welfare Trust $349 4125%
Multiplan $366 - $424 4326%
First Health $383 - $465 4527%
Medcare International $436 5154%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9300 West Sunset Rd, Las Vegas, NV 89148
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals