Basic metabolic panel at St. Luke's Jerome Standard Charges. CPT 80048.
What St. Luke's Jerome Standard Charges publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$38.00cash price (self-pay)
$38.00list price
$8.46–$36.10range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Slplan Tap Mc St Lukes Health Plan [1641000001] | Hb Mv Slhp St Lukes | $8.46 |
| Blue Cross Idaho [1007] | Hb Mv Slhp Blue Cross Carepoint Qhp | $8.46 |
| Blue Cross Idaho [1007] | Hb Mv Slhp Blue Cross Large Group | $8.46 |
| Commercial [1028] | Hb Mv Slhp Mountain Health Coop | $8.46 |
| Commercial [1028] | Hb Mv Slhp Select Health | $8.46 |
| Commercial [1028] | Hb Mv Slhp Select Health Qhp | $8.46 |
| Commercial [1028] | Hb Mv Va Ccn | $8.46 |
| Medicare Advantage Generic [1019] | Hb Mv Medicare Advantage | $8.46 |
| Medicare Advantage Generic [1019] | Hb Mv Molina Mmcp | $8.46 |
| Medicare Advantage Molina [1053] | Hb Mv Molina Mmcp | $8.46 |
| Medicare Advantage Pacificsource [1039] | Hb Mv Pacificsource HMO PPO | $8.46 |
| Medicare Advantage Pacificsource [1039] | Hb Mv Slhp Pacificsource Med | $8.46 |
| Medicare Advantage Regence [1016] | Hb Mv Medicare Advantage | $8.46 |
| Blue Cross/Medicare Advantage [1009] | Hb Mv Bci True & Secure Med Adv | $8.54 |
| Medicare Advantage Generic [1019] | Hb Mv Molina Med Adv | $8.63 |
| Medicare Advantage Molina [1053] | Hb Mv Molina Med Adv | $8.63 |
| Medicare Advantage Aetna [1017] | Hb Mv Aetna Med Adv | $9.31 |
| Blue Cross Out Of State [1041] | Hb Mv Bci Out Of State | $19.04 |
| Blue Shield Alt [100401] | Hb Mv Regence Out Of State | $19.04 |
| Commercial [1028] | Hb Mv Regence PPO & Traditional | $19.04 |
| Commercial [1028] | Hb Mv H2b | $28.50 |
| H2b [1068] | Hb Mv H2b | $28.50 |
| Aetna [1021] | Hb Mv Bp Aetna | $30.40 |
| Cigna [1062] | Hb Mv Cigna | $30.40 |
| Commercial [1028] | Hb Mv Bp Aetna | $30.40 |
| Commercial [1028] | Hb Mv Cigna | $30.40 |
| Commercial [1028] | Hb Mv Multiplan Primary Network | $30.40 |
| Blue Cross Federal [1008] | Hb Mv Bci PPO Fep | $32.00 |
| Blue Cross Idaho [1007] | Hb Mv Bci PPO Fep | $32.00 |
| Commercial [1028] | Hb Mv Amps | $32.30 |
Inpatient
$65.00cash price (self-pay)
$65.00list price
$42.25–$61.75range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Slplan Tap Mc St Lukes Health Plan [1641000001] | Hb Mv Slhp St Lukes | $42.25 |
| Blue Cross Idaho [1007] | Hb Mv Slhp Blue Cross Carepoint Qhp | $42.25 |
| Blue Cross Idaho [1007] | Hb Mv Slhp Blue Cross Large Group | $42.25 |
| Commercial [1028] | Hb Mv Slhp Mountain Health Coop | $42.25 |
| Commercial [1028] | Hb Mv Slhp Select Health | $42.25 |
| Commercial [1028] | Hb Mv Slhp Select Health Qhp | $42.25 |
| Medicare Advantage Pacificsource [1039] | Hb Mv Slhp Pacificsource Med | $42.25 |
| Mountain Health Co-Op [1067] | Hb Mv Slhp Mountain Health Coop | $42.25 |
| Pacificsource [1020] | Hb Mv Pacificsource Navigator Large Group | $42.25 |
| Pacificsource [1020] | Hb Mv Slhp Pacificsource Navigator Qhp | $42.25 |
| Select Health [1063] | Hb Mv Slhp Select Health | $42.25 |
| Select Health [1063] | Hb Mv Slhp Select Health Qhp | $42.25 |
| St Lukes Health Plan [1046] | Hb Mv Slhp St Lukes Health Plan Large Gr | $42.25 |
| St Lukes Health Plan [1046] | Hb Mv Slhp St Lukes Health Plan Qhp | $42.25 |
| Commercial [1028] | Hb Mv H2b | $48.75 |
| H2b [1068] | Hb Mv H2b | $48.75 |
| Pacificsource [1020] | Hb Mv Pacificsource PPO Voyager | $48.75 |
| Aetna [1021] | Hb Mv Bp Aetna | $52.00 |
| Cigna [1062] | Hb Mv Cigna | $52.00 |
| Commercial [1028] | Hb Mv Bp Aetna | $52.00 |
| Commercial [1028] | Hb Mv Cigna | $52.00 |
| Commercial [1028] | Hb Mv Multiplan Primary Network | $52.00 |
| Commercial [1028] | Hb Mv Va Ccn | $52.00 |
| Providence [1022] | Hb Mv Cigna | $52.00 |
| Commercial [1028] | Hb Mv Amps | $55.25 |
| Commercial [1028] | Hb Mv Christian Health Aid | $55.25 |
| Commercial [1028] | Hb Mv First Choice Health | $55.25 |
| First Health [1064] | Hb Mv First Choice Health | $55.25 |
| Blue Cross Federal [1008] | Hb Mv Bci PPO Fep | $55.58 |
| Blue Cross Idaho [1007] | Hb Mv Bci PPO Fep | $55.58 |
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