CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Riverside Community Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $14
  • Cash Discount Price: $1,841
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Riverside Community Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,841. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.65x the Medicare baseline. Located in 4445 Magnolia Avenue, Riverside, CA.
Cash / Self-Pay
$1,841

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $1,841 (21761%)
Insurance Median: $14 (165%)
Cash: $1,841 (21761% of Medicare)
Ins. Median: $14 (165% 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.

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
Bristol Hospice $7 83%
Aetna $8 - $347 95%
Alignment Health Plan $8 95%
Blue Cross Blue Shield $8 - $44 95%
Blue Shield $8 - $93 95%
Brand New Day $8 - $10 95%
Central Health Plan $8 95%
Clever Care Of Golden State $8 95%
Easy Choice Health Plan $8 95%
Heritage Provider Network $8 - $12 95%
Humana $8 95%
Redlands Community Hospital $8 95%
Riverside Medical Clinic $8 - $10 95%
Riverside Physician $8 95%
Scan Health Plan $8 95%
Triwest Healthcare Alliance $8 95%
United $8 - $507 95%
UnitedHealthcare $8 95%
Care1St Health Plan $9 106%
Health Net $9 - $430 106%
La Care Health $9 106%
Molina $9 106%
Corvel Corporation $10 118%
Healthsmart $10 - $1,543 118%
Next $10 - $1,543 118%
Inland Empire Health Plan $14 165%
Bright Health $21 248%
Cigna $23 272%
Medcare Partners $263 - $289 3109%
First Health $771 - $1,736 9113%
American Health System $789 - $868 9326%
Multiplan $1,402 - $1,639 16572%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4445 Magnolia Avenue, Riverside, CA 92501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals