CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Adventist Health Hanford

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $16
  • Cash Discount Price: $39
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Adventist Health Hanford is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.89x the Medicare baseline. Located in 115 Mall Drive, Hanford, CA.
Cash / Self-Pay
$39

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $39 (461%)
Insurance Median: $16 (189%)
Cash: $39 (461% of Medicare)
Ins. Median: $16 (189% 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
Aetna $3 - $102 35%
Bc Mcal $3 35%
Blue Shield Epn $3 - $132 35%
UnitedHealthcare $3 - $118 35%
Western Growers/Pinnacle- All Plans $3 - $129 35%
Blue Shield Non-Epn - All Other Plans $4 - $145 47%
Cigna $4 - $167 47%
Healthnet - All Other Plans $4 - $150 47%
Kaiser - All Other Plans $4 - $140 47%
Community Hlth Ntwork-All Plans $5 - $188 59%
Phcs Ppo- All Plans $5 - $183 59%
Beech Street- All Plans $6 - $239 71%
Choicecare- All Plans $6 - $230 71%
First Health - All Plans $6 - $219 71%
Interplan- All Plans $6 - $236 71%
Multiplan- All Plans $6 - $233 71%
Fresno - All Plans $7 - $16 83%
Healthnet Mcal $7 - $13 83%
Kaiser Mcal $7 - $10 83%
Medi-Cal $7 - $10 83%
Pacific Health Alliance- All Plans $7 - $273 83%
Preferred Health Network- All Plans $7 - $267 83%
Valley Childrens - All Plans $7 - $16 83%
Blue Shield Mcr Adv $8 95%
Fhcn Pace Mcr Adv-All Plans $8 95%
Healthnet Mcr Adv $8 95%
Kaiser Mcr Adv $8 95%
Key Medical Mcr Adv $8 95%
Prime Health Mcr Adv- All Plans $8 95%
Tricare $8 95%
Bright Health Mcr Adv-All Plans $13 154%
Ah Employee Health Plan - All Plans $15 177%
Key Medical Group Commercial - All Other Plans $18 - $24 213%
Blue Cross Blue Shield $86 - $104 1017%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Mall Drive, Hanford, CA 93230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals