CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Los Robles Hospital & Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $108
Cash Discount Price: $880
vs. Medicare Baseline: 12.77x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Los Robles Hospital & Medical Center is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $880. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 12.77x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.

Cash / Self-Pay

$880

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $880 (10402%)

Insurance Median: $108 (1277%)

Cash: $880 (10402% of Medicare)

Ins. Median: $108 (1277% 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 1277% of the Medicare baseline (a markup of 1177%). 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 - $1,685	95%
Alignment Health Plan	$8	95%
Blue Cross Blue Shield	$8 - $44	95%
Brand New Day	$8 - $10	95%
Central Health Plan	$8	95%
Clever Care Of Golden State	$8	95%
Easy Choice Health Plan	$8	95%
Facey Medical Group	$8 - $11	95%
Humana	$8	95%
La Care	$8	95%
Scan Health Plan	$8	95%
Triwest Healthcare Alliance	$8	95%
United	$8 - $473	95%
Blue Shield	$9 - $179	106%
Care1St Health Plan	$9	106%
Health Net	$9 - $686	106%
Corvel Corporation	$10	118%
Gold Coast Health Plan	$10	118%
Ventura County Foundation	$10 - $1,516	118%
Medcare Partners	$18 - $253	213%
Bright Health	$21	248%
Cigna	$30	355%
First Health	$84 - $1,348	993%
Choicecare Network	$86 - $1,179	1017%
Multiplan	$99 - $1,601	1170%
Ppo Next	$99 - $1,348	1170%
Interplan Corporation	$111 - $1,516	1312%

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 $880.
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 Los Robles Hospital & Medical Center 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.