CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Intermountain Health Garfield Memorial Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $52
  • Cash Discount Price: $41
  • vs. Medicare Baseline: 6.15x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Intermountain Health Garfield Memorial Hospital is $52. 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 6.15x the Medicare baseline. Located in 200 North 400 East, Panguitch, UT.
Cash / Self-Pay
$41

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

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: $52 (615%)
Cash: $41 (485% of Medicare)
Ins. Median: $52 (615% 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 615% of the Medicare baseline (a markup of 515%). 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 Utah $8 - $49 95%
Healthy U $8 - $49 95%
Medicare (plans) $8 - $21 95%
Molina $8 - $52 95%
Molina Healthcare Of Utah $8 - $52 95%
Selecthealth $8 - $67 95%
Uofu $8 - $52 95%
Aetna $9 - $67 106%
Tricare $24 - $28 284%
Triwest $24 - $28 284%
UnitedHealthcare $45 - $46 532%
Blue Cross Blue Shield $52 615%
Byu Athletic Department $52 - $67 615%
Campbell Scientific $52 - $67 615%
Cigna $52 - $67 615%
Deseret Mutual $52 - $67 615%
Emi Health $52 - $67 615%
Franklin County $52 - $67 615%
Health Utah $52 - $67 615%
Hygeia Corporation $52 615%
Juniper Systems $52 - $67 615%
Lw Miller $52 - $67 615%
Managed Care Administrators, Inc. $52 - $67 615%
Medcare International $52 615%
Motivhealth $52 - $67 615%
Pehp $52 - $67 615%
Prodegi Corporate Benefit Services, Llc $52 - $67 615%
Springtide $52 615%
Tanner Llc $52 - $67 615%
Utah State University $52 - $67 615%
Utah Tech University $52 - $67 615%
Wise $52 - $67 615%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 North 400 East, Panguitch, UT 84759
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals