CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Marinhealth Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $11
  • Cash Discount Price: $292
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Marinhealth Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $292. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.30x the Medicare baseline. Located in 250 Bon Air Road, Greenbrae, CA.
Cash / Self-Pay
$292

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: $292 (3452%)
Insurance Median: $11 (130%)
Cash: $292 (3452% 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
Aetna $8 - $18 95%
Brown And Tolan $8 95%
Healthnet Tailored Network $8 95%
Kaiser $8 95%
Marin Cancer Care $8 95%
Blue Cross Blue Shield $11 - $13 130%
Canopy Hill Physicians $11 130%
Cigna $11 - $26 130%
Healthnet Hmo/Ppo Hill Physicians $11 130%
Hills Blue Shield Hmo/Ppo $11 130%
Ca Prison Health Care Services $14 165%
Healthnet Enhancedcare $22 260%
UnitedHealthcare $23 - $2,330 272%
Provider Network Of America $40 473%
Canopy $49 579%
Blue Shield Cpic/Epo $50 591%
Providers Network Of America $53 626%
Blue Shield Hmo/Ppo $56 662%
Healthnet Hmo/Ppo $56 662%
Blue Shield Aco $58 686%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 250 Bon Air Road, Greenbrae, CA 94904
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals