CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Chinese Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $31
Cash Discount Price: $127
vs. Medicare Baseline: 3.66x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Chinese Hospital is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $127. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 3.66x the Medicare baseline. Located in 845 Jackson St, San Francisco, CA.

Cash / Self-Pay

$127

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $127 (1501%)

Insurance Median: $31 (366%)

Cash: $127 (1501% of Medicare)

Ins. Median: $31 (366% 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 366% of the Medicare baseline (a markup of 266%). 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
Aetna	$8 - $44	95%
Cchp Mcr Adv	$8	95%
Jade Mcr Adv	$8	95%
Blue Cross Blue Shield	$9 - $11	106%
Jade-All Other Plans	$9	106%
On Lok Mcr Adv-All Plans	$9	106%
Medi-Cal	$10	118%
San Francisco Health Plan- All Plans	$10	118%
Hp Of San Mateo Medi-Cal	$12	142%
Blue Shield Medi-Cal	$13	154%
Hp Of San Mateo Health Kids/Health Worx-All Other	$13	154%
Asian Medical Group Medi-Cal Op Only	$14	165%
Jade Medi-Cal	$17	201%
Health Net-All Plans	$64 - $70	757%
Cigna	$67 - $73	792%
Cchp-All Other Plans	$103 - $112	1217%
Hp Of San Mateo Mcr Adv	$109 - $119	1288%
Asian Medical Group Mcare Op Only-All Other Plans	$121 - $132	1430%
Bay Area Accountable Care Mcare	$121 - $132	1430%
Bay Area Accountable Care - All Other Plans	$218 - $238	2577%
Blue Shield - All Other Plans	$261	3085%

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 $127.
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 Chinese Hospital 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.