CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Ventura County Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $10
  • Cash Discount Price: $101
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Ventura County Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $101. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.18x the Medicare baseline. Located in 300 Hillmont Avenue, Ventura, CA.
Cash / Self-Pay
$101

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $101 (1194%)
Insurance Median: $10 (118%)
Cash: $101 (1194% of Medicare)
Ins. Median: $10 (118% 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
Vchcp-All Plans $2 - $76 24%
Blue Shield Epn $3 - $154 35%
Healthnet Comm-All Other Plans $4 - $219 47%
Kaiser Comm Pediatric Ip/Op Only $4 - $219 47%
UnitedHealthcare $4 - $218 47%
Aetna $5 - $398 59%
Blue Cross Blue Shield $5 - $368 59%
Multiplan/Claritev-All Plans $6 - $318 71%
Three Rivers Ip/Op Only-All Plans $6 - $318 71%
Ppo Next Ip/Op Only-All Plans $7 - $358 83%
Alignment Hp - All Plans $8 95%
Americas Hp Mcal Ip/Op Only $8 - $13 95%
Blue Shield Mcr Adv $8 95%
Clinicas Mcal $8 - $12 95%
Gold Coast Medi-Cal-All Plans $8 - $17 95%
Hpn Ip/Op Only Medi-Cal $8 - $10 95%
Humana $8 95%
Kaiser Mcal Pediatric Ip/Op Only $8 - $11 95%
Kaiser Mcr Pediatric Ip/Op Only $8 - $398 95%
Kaiser Medi-Cal Ip/Op Only $8 - $10 95%
Medi-Cal $8 - $10 95%
Medicare (plans) $8 - $398 95%
Healthnet Mcr Adv $9 106%
Americas Hp Mcr Adv Ip/Op Only $10 118%
Clinicas Mcr Adv $10 118%
Scan-All Plans $10 118%
Clinicas Comm - All Other Plans $11 130%
Hpn Comm Ip/Op Only-All Other Plans $11 - $565 130%
Imperial-All Plans $11 130%
Ntwrk Provdrs-All Plans $11 130%
Western Growers-All Plans $11 130%
Americas Hp Comm Ip/Op Only-All Other Plans $13 154%
Cigna $15 177%
Blue Shield Comm - All Other Plans $29 343%
Tricare $34 402%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Hillmont Avenue, Ventura, CA 93003
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals