Basic metabolic panel at Intermountain Health Good Samaritan Medical Center. CPT 80048.
What Intermountain Health Good Samaritan Medical Center publishes for this service, straight from its standard-charges file, last updated March 22, 2026.
Outpatient / ER
—cash price (self-pay)
$256list price
$5.50–$230range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Allegiance | Cigna Sclhs Employees | $63.96 |
| Cigna Scl Employees | Cigna Sclhs Cdhp | $63.96 |
| Cigna | Cigna Co Public Option | $65.11 |
| Cigna | Cigna Connect Exchange | $65.11 |
| Cigna | Cigna Surefit | $65.11 |
| Aetna | Aetna Colorado Preferred | $95.18 |
| BCBS/Anthem | BCBS Co Federal | $102 |
| BCBS/Anthem | BCBS Co HMO | $102 |
| BCBS/Anthem | BCBS Co PPO | $102 |
| Aetna | Aetna HMO/EPO | $102 |
| Aetna | Aetna Indemnity | $102 |
| Aetna | Aetna Other | $102 |
| Aetna | Aetna POS/Qpos | $102 |
| Aetna | Aetna PPO | $102 |
| Aetna | Aetna Src | $102 |
| Choicecare Humana | Choicecare Humana HMO EPO | $107 |
| Choicecare Humana | Choicecare Humana PPO | $107 |
| United Healthcare | Selectcolorado | $111 |
| Cigna | Cigna HMO | $146 |
| Cigna | Cigna Indemnity | $146 |
| Cigna | Cigna Local Plus | $146 |
| Cigna | Cigna Other | $146 |
| Cigna | Cigna POS/Qpos | $146 |
| Cigna | Cigna PPO | $146 |
| Cigna | Eighth Dist Elect Ben Pln | $146 |
| Cigna | Health-Partners | $146 |
| Geha | Geha | $148 |
| Geha | Geha Mcr Supplemental | $148 |
| United Healthcare | All Savers Alternative Funding | $148 |
| United Healthcare | Golden Rule Ins | $148 |
Inpatient
—cash price (self-pay)
$256list price
$75.48–$256range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser Perm HMO | Kp Select HMO | $75.48 |
| Kaiser Perm HMO | Kaiser HMO Exchange Plan | $108 |
| Kaiser Perm HMO | Kaiser Out Of State | $108 |
| Kaiser Perm HMO | Kaiser Permanente HMO | $108 |
| Kaiser Self Funded | Kaiser Self Funded | $108 |
| Kaiser Perm PPO/POS | Kaiser Perm PPO/POS | $111 |
| Private Hlthcare Sys | Phcs Other | $192 |
| Private Hlthcare Sys | Phcs PPO | $192 |
| BCBS/Anthem | BCBS Co Indemnity | $215 |
| Multiplan Inc | Multiplan Inc Other | $217 |
| Multiplan Inc | Multiplan Inc PPO | $217 |
| Aetna | Aetna Nap | $230 |
| Cigna | Cigna HMO | $256 |
| Cigna | Cigna Indemnity | $256 |
| Cigna | Cigna Local Plus | $256 |
| Cigna | Cigna Other | $256 |
| Cigna | Cigna POS/Qpos | $256 |
| Cigna | Cigna PPO | $256 |
| Cigna | Eighth Dist Elect Ben Pln | $256 |
| Cigna | Health-Partners | $256 |
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All common services at Intermountain Health Good Samaritan Medical Center