CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Oak Valley Hospital District

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $553
Cash Discount Price: $716
vs. Medicare Baseline: 65.37x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Oak Valley Hospital District is $553. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $716. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 65.37x the Medicare baseline. Located in 350 S Oak Ave, Oakdale, CA.

Cash / Self-Pay

$716

Average discount available for prompt cash payment at this facility.

Insurance Median

$553

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: $716 (8463%)

Insurance Median: $553 (6537%)

Cash: $716 (8463% of Medicare)

Ins. Median: $553 (6537% 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 6537% of the Medicare baseline (a markup of 6437%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Alignment Op Only Ip/Op Only-All Plans	$8	95%
Humana	$8	95%
Kaiser Mcr Adv Ip/Op Only	$8	95%
Imperial Health Ip/Op Only-All Plans	$9	106%
Scan Health Plan Ip/Op Only-All Plans	$9	106%
Blue Cross Blue Shield	$10 - $859	118%
Healthnet Medi-Cal Ip/Op Only	$10	118%
Kaiser Medi-Cal Ip/Op Only	$10	118%
Medi-Cal Ip/Op Only	$10	118%
Hp Of San Joaquin Ip/Op Only-All Plans	$12	142%
Blue Shield Epn Ip/Op Only	$516	6099%
Healthnet Comm Op Only Ip/Op Only-All Other Plans	$553	6537%
Kaiser Comm Ip/Op Only-All Other Plans	$591	6986%
Blue Shield/Bcout Ip/Op Only-All Other Plans	$630	7447%
Cigna	$639	7553%
UnitedHealthcare	$668	7896%
Aetna	$812	9598%

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 $716.
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 Oak Valley Hospital District 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.