CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Alhambra Hospital Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $10
  • Cash Discount Price: $455
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Alhambra Hospital Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $455. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.18x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$455

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: $455 (5378%)
Insurance Median: $10 (118%)
Cash: $455 (5378% 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
Stewart Mg Senior Hmo $6 71%
Ahmc-Reciprocity-Medi-Cal/Healthy Families $7 83%
Citrus Valley Health Partners $7 83%
Kaiser Medi-Cal $7 83%
La Care Pasc Seiu Misc $7 83%
Miscellaneous Medi-Cal Hmo $7 83%
Aetna $8 - $14 95%
Allied Physicians Of Ca Medi-Cal $8 95%
Altamed Senior Services $8 95%
Apa Aco $8 95%
Blue Cross Blue Shield $8 - $16 95%
Blue Shield 65 Plus $8 95%
Brand New Day Sr $8 95%
Central Health Plan Of Ca Senior Hmo $8 95%
Health Net Medi-Cal $8 95%
Health Net Senior Hmo $8 95%
Humana $8 95%
La Care Exchange $8 95%
La Care Medi-Cal Hmo $8 95%
Medi-Cal $8 95%
Medicare (plans) $8 - $273 95%
Miscellaneous Senior Hmo $8 95%
UnitedHealthcare $8 - $17 95%
Wellcare Senior Hmo $8 95%
Alignment Senior Hmo $9 106%
Cigna $10 - $205 118%
Health Net Exchange $10 118%
Health Net Salud Con Hmo $10 118%
Miscellaneous Work Comp Hmo $10 118%
Molina Exchange $10 118%
Tricare $10 118%
Ahmc Health $12 142%
Allied Physicians Of Ca Commercial $13 154%
Health Net Ppo/Epo/Pos $18 213%
Blue Shield Value Network Exchange $106 1253%
Blue Shield Hmo/Ppo $118 1395%
Ahmc-Reciprocity-Comm/Senior $137 1619%
Allied Physicians Comm/Sr $159 1879%
Allied Physicians Medi-Cal $159 1879%
Wellcare Allied Senior Hmo $159 1879%
Molina Health Plan $178 2104%
Self Pay $182 2151%
Health Net Exchange Enhanced Ppo $193 2281%
Kaiser Commercial $282 3333%
Scan Senior Plan $296 3499%
Multiplan $364 4303%
Miscellaneous Commercial Ppo/Hmo $455 5378%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals