CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Prov Sacred Hrt Med Ctr & Childs Hosp.

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $15
Cash Discount Price: $62
vs. Medicare Baseline: 1.77x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Prov Sacred Hrt Med Ctr & Childs Hosp. is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.77x the Medicare baseline. Located in 101 West 8Th Avenue, Spokane, WA.

Cash / Self-Pay

$62

Average discount available for prompt cash payment at this facility.

Insurance Median

$15

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: $62 (733%)

Insurance Median: $15 (177%)

Cash: $62 (733% of Medicare)

Ins. Median: $15 (177% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Kaiser	$8 - $21	95%
Aetna	$9 - $50	106%
Blue Cross Blue Shield	$9 - $15	106%
Blue Shield	$9	106%
Community Health Plan	$9	106%
UnitedHealthcare	$9 - $28	106%
Molina	$14	165%
Coordinated Care	$16	189%
Cigna	$18	213%
Providence Health Plan	$22	260%
First Choice	$30	355%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $62.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80048.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Prov Sacred Hrt Med Ctr & Childs Hosp. is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80048.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.