CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Sharp Chula Vista Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $211
Cash Discount Price: $264
vs. Medicare Baseline: 24.94x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Sharp Chula Vista Medical Center is $211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $264. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 24.94x the Medicare baseline. Located in 751 Medical Center Court, Chula Vista, CA.

Cash / Self-Pay

$264

Average discount available for prompt cash payment at this facility.

Insurance Median

$211

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: $264 (3121%)

Insurance Median: $211 (2494%)

Cash: $264 (3121% of Medicare)

Ins. Median: $211 (2494% 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 2494% of the Medicare baseline (a markup of 2394%). 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
Aetna	$1 - $345	12%
Blue Cross Blue Shield	$1 - $45,632	12%
Epic Americas	$1 - $211	12%
UnitedHealthcare	$1 - $218	12%
Blue Shield	$22 - $169	260%
California Health And Wellness	$49 - $225	579%
Health Net	$105 - $236	1241%
Managed Health Network	$105 - $231	1241%
San Diego Pace	$105 - $264	1241%
Cigna	$199 - $264	2352%
Community Health Group	$199	2352%
Molina	$234 - $246	2766%
Multiplan	$246	2908%
Humana	$264	3121%
Medi-Cal	$264	3121%

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 $264.
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 Sharp Chula Vista Medical Center 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.