CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Hillsboro Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $10
  • Cash Discount Price: $52
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Hillsboro Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.18x the Medicare baseline. Located in 335 Se 8Th Avenue, Hillsboro, OR.
Cash / Self-Pay
$52

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $52 (615%)
Insurance Median: $10 (118%)
Cash: $52 (615% of Medicare)
Ins. Median: $10 (118% 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
Care Oregon $7 - $10 83%
Intercommunity Health Network $7 83%
Kaiser Foundation Hospitals $7 - $25 83%
Medicare (plans) $7 - $10 83%
Pacific Source $7 - $18 83%
Community Health Plan Of Washington $8 - $91 95%
Providence Health Plan $8 - $13 95%
Samaritan Health Plan $8 95%
Trillium $8 95%
Aetna $9 - $24 106%
Humana $9 106%
Moda $9 - $30 106%
UnitedHealthcare $9 - $14 106%
Health Net Health Plan Of Oregon, Inc. $10 - $60 118%
Cigna $22 260%
Blue Cross Blue Shield $27 319%
Tuality Health $44 - $59 520%
First Choice $54 - $73 638%
Coventry First Health $58 - $77 686%
Molina Exchange $68 - $91 804%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 335 Se 8Th Avenue, Hillsboro, OR 97123
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals