CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Adventist Health Ukiah Valley

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $94
Cash Discount Price: $39
vs. Medicare Baseline: 11.11x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Adventist Health Ukiah Valley is $94. 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 11.11x the Medicare baseline. Located in 275 Hospital Drive, Ukiah, CA.

Cash / Self-Pay

$39

Average discount available for prompt cash payment at this facility.

Insurance Median

$94

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: $94 (1111%)

Cash: $39 (461% of Medicare)

Ins. Median: $94 (1111% 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 1111% of the Medicare baseline (a markup of 1011%). 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
Blue Shield Epn-All Other Plans	$3 - $93	35%
Blue Shield Non-Epn	$3 - $94	35%
Healthnet-All Plans	$4 - $139	47%
Western Growers-All Plans	$4 - $126	47%
Foundation For Medical Care-All Plans	$5 - $182	59%
Mendocino Lcc District-All Plans	$5 - $158	59%
Beech Street-All Plans	$6 - $207	71%
Choice Care-All Plans	$6 - $207	71%
Cigna	$6 - $190	71%
Health Mgmt Network-All Plans	$6 - $207	71%
Interplan-All Plans	$6 - $199	71%
Kaiser-All Other Plans	$6 - $194	71%
Networks By Design-All Plans	$6 - $194	71%
Phcs Multiplan-All Plans	$6 - $194	71%
UnitedHealthcare	$6 - $203	71%
Kaiser Medi-Cal	$7 - $10	83%
Medi-Cal	$7 - $10	83%
Three Rivers-All Plans	$7 - $219	83%
Blue Shield Mcr Adv	$8	95%
Kaiser Mcr Adv	$8	95%
Tricare	$8	95%
Ah Employee Health Plan - All Plans	$15	177%
Aetna	$75	887%
Blue Cross Blue Shield	$86 - $114	1017%

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 $39.
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 Adventist Health Ukiah Valley 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.