CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: AHMC Seton Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $11
  • Cash Discount Price: $314
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at AHMC Seton Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $314. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.30x the Medicare baseline. Located in 1900 Sullivan Avenue, Daly City, CA.
Cash / Self-Pay
$314

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $314 (3712%)
Insurance Median: $11 (130%)
Cash: $314 (3712% of Medicare)
Ins. Median: $11 (130% 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
Veterans Administration (Va) $6 71%
Medi-Cal $7 83%
Aetna $8 - $26 95%
Apcmg $8 - $13 95%
Asian American Medical Group $8 - $11 95%
Blue Cross Blue Shield $8 - $298 95%
Blue Shield Of California $8 - $108 95%
Brand New Day $8 - $11 95%
Brown And Toland Medical Group $8 - $11 95%
Canopy Health $8 - $15 95%
Care Advantage $8 95%
Chinese Community Health Plan $8 - $196 95%
Cmac $8 95%
Covid-19 Uninsured Program $8 95%
For Your Benefit $8 95%
Healthnet Seniority $8 95%
Hill Physicians Medical Group Inc $8 - $10 95%
Humana $8 95%
Imperial Health Plan $8 95%
Jade Health Care Mg $8 - $196 95%
Kaiser $8 - $321 95%
Medicare (plans) $8 95%
North East Medical Services $8 - $10 95%
Pacificare $8 95%
UnitedHealthcare $8 - $17 95%
Central Health Plan $9 106%
Easy Choice Hospital Services $9 106%
San Mateo County/San Mateo County General Hospital $9 106%
Athens Administrators $10 118%
Corvel Healthcare $10 118%
Health Plan Of San Mateo Healthworx $10 118%
Multiplan/Bce Emergis $10 - $294 118%
San Francisco Health Plan $10 118%
Tricare $10 118%
Work Comp Other $10 118%
Ahmc Health $11 130%
Knox-Keene Act $11 130%
Health Plan Of San Mateo $12 142%
Cigna $45 532%
Self Pay $59 - $133 697%
Interplan Corporation $235 2778%
Healthcare Foundation Of San Mateo $274 - $294 3239%
Private Healthcare Sytems Inc $294 3475%
The First Health Network $294 3475%
Health Net $301 3558%
Beech Street Corporation $314 3712%
Choicecare Network $333 3936%
Multiplan $333 3936%
Mills Peninsula Health Services $353 4173%
Indemnity $392 4634%
Workers Compensation Federal $392 4634%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Sullivan Avenue, Daly City, CA 94015
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals