CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Community Memorial Hospital - Ventura

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $12
Cash Discount Price: $46
vs. Medicare Baseline: 1.42x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Community Memorial Hospital - Ventura is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.42x the Medicare baseline. Located in 147 North Brent Street, Ventura, CA.

Cash / Self-Pay

$46

Average discount available for prompt cash payment at this facility.

Insurance Median

$12

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: $46 (544%)

Insurance Median: $12 (142%)

Cash: $46 (544% of Medicare)

Ins. Median: $12 (142% 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.

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
Seaview	$7	83%
Blue Cross Blue Shield	$8 - $12	95%
California Workers Compensation	$8	95%
Medicare (plans)	$8 - $9	95%
Non Contracted	$8	95%
Wellcare Of California	$8	95%
Alignment Health Plan	$9	106%
Humana	$9	106%
Scan Health Plan	$9	106%
Tricare	$9	106%
UnitedHealthcare	$9 - $15	106%
Medi-Cal	$10	118%
Cigna	$11	130%
Aetna	$12 - $58	142%
Medicaid / KanCare	$15 - $27	177%
Valley Care	$15 - $19	177%
Gold Coast Health Plan	$16 - $27	189%
Ventura County Health Care Plan	$19	225%
Kaiser Commercial	$30	355%
Blue Shield Epn	$33	390%
Health Net Commercial	$35	414%
Blue Shield Commercial	$38	449%
Multiplan	$46	544%

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 $46.
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 Community Memorial Hospital - Ventura 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.