CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Cedar City Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $50
  • Cash Discount Price: $41
  • vs. Medicare Baseline: 5.91x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Cedar City Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 5.91x the Medicare baseline. Located in 1303 North Main Street, Cedar City, UT.
Cash / Self-Pay
$41

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $41 (485%)
Insurance Median: $50 (591%)
Cash: $41 (485% of Medicare)
Ins. Median: $50 (591% 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 591% of the Medicare baseline (a markup of 491%). 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
Health Choice $7 - $49 83%
Health Plan Of Nevada $7 - $49 83%
Healthy U $7 - $49 83%
Molina $7 - $52 83%
Selecthealth $7 - $67 83%
Aetna $8 - $67 95%
American Health $8 - $9 95%
Blue Cross Blue Shield $8 - $67 95%
Health Partners Of Nevada $8 95%
Humana $8 - $9 95%
Southwest Behavioral Health $8 95%
Triwest $8 95%
UnitedHealthcare $8 - $50 95%
Corporation Of The President $41 485%
Corvel Corporation $41 485%
Injury Care Of Nevada $41 485%
Wcf Insurance $41 485%
Byu Risk Management $47 556%
Awh Connected $50 - $67 591%
Byu Athletic Department $50 - $67 591%
Campbell Scientific $50 - $67 591%
Deseret Mutual $50 - $67 591%
Emi $50 - $67 591%
Emi Health $50 - $67 591%
Franklin County $50 - $67 591%
Global Excel $50 591%
Ifit $50 - $67 591%
Juniper Systems $50 - $67 591%
Lw Miller $50 - $67 591%
Managed Care Admin $50 - $67 591%
Medcare International $50 591%
Motivhealth $50 - $67 591%
Pehp $50 - $67 591%
Prodegi Corp Benefit $50 - $67 591%
Tanner Llc $50 - $67 591%
Uofu $50 - $52 591%
Utah Tech $50 - $67 591%
Wise Network $50 - $67 591%
Cigna $52 - $67 615%
Health Utah $52 615%
Hygeia Corporation $52 615%
Springtide $52 615%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1303 North Main Street, Cedar City, UT 84721
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals