CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Good Samaritan Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $11
  • Cash Discount Price: $2,185
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Good Samaritan Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,185. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.30x the Medicare baseline. Located in 2425 Samaritan Drive, San Jose, CA.
Cash / Self-Pay
$2,185

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: $2,185 (25827%)
Insurance Median: $11 (130%)
Cash: $2,185 (25827% 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 - $43 95%
Affinity Medical Group $8 95%
Alignment Health Plan $8 95%
Blue Cross Blue Shield $8 - $44 95%
Central Health Plan $8 95%
Clever Care Of Golden State $8 95%
Easy Choice Health Plan $8 95%
Humana $8 - $1,529 95%
Managed Health Network $8 95%
On Lok Senior Health $8 95%
Palo Alto Medical $8 - $11 95%
Santa Clara Family Health Plan $8 - $415 95%
Scan Health Plan $8 95%
Triwest Healthcare Alliance $8 95%
United $8 - $557 95%
University Healthcare $8 95%
Vitality Health Plan $8 95%
Blue Shield $9 - $16 106%
Care1St Health Plan $9 106%
Physicians Medical Group $9 106%
Corvel Corporation $10 118%
Health Net $10 - $509 118%
Affinity Medical Group Comm $11 130%
Canopy $15 177%
Bright Health $17 201%
Cigna $88 - $1,748 1040%
Medcare Partners $328 3877%
Nx Health Network $1,311 15496%
Sutter Select $1,311 15496%
Multiplan $1,420 - $1,748 16785%
First Health $1,660 - $2,184 19622%
Healthsmart $1,748 20662%
Intercontinental Corporation $1,748 20662%
Pha Pacific Health Alliance $1,748 20662%
Ppo Next $1,748 20662%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2425 Samaritan Drive, San Jose, CA 95124
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals