CMS Price Transparency Data
Blood test, basic metabolic panel
Facility: Garfield Medical Center
Billing Code: 80048 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80048
- Insurance Median: $12
- Cash Discount Price: $382
- vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Garfield Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $382. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.42x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$382
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: $382 (4515%)
Insurance Median: $12 (142%)
Cash: $382 (4515% 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.
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 |
|---|---|---|
| Pacific Independent Physician Association | $1 - $120 | 12% |
| Access Ipa Ancillary | $2 - $224 | 24% |
| Associated Hispanic Phys Of So Cal | $2 - $149 | 24% |
| Care First Health Plan | $2 - $75 | 24% |
| UnitedHealthcare | $2 - $448 | 24% |
| Employee Health Systems Mg | $3 - $149 | 35% |
| Ahmc Healthcare Inc | $5 - $224 | 59% |
| Family Health Alliance | $5 - $224 | 59% |
| Allied Physicians Risk Pool | $6 - $261 | 71% |
| Allied Physicians Risk Pool Agreement | $6 - $261 | 71% |
| Central Health Plan | $6 - $299 | 71% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $6 - $299 | 71% |
| Health Net Foundation M Cal (Family Health Alliance) | $6 - $299 | 71% |
| Healthnet Medi Cal Cap | $6 - $261 | 71% |
| Molina Medical Group | $6 - $291 | 71% |
| Phys Assoc Of San Gab Valley | $6 - $299 | 71% |
| Pipa Risk Pool Agreement | $6 - $261 | 71% |
| Veterans Administration | $6 | 71% |
| Allied Physicians | $7 - $13 | 83% |
| Beverly Hospital | $7 - $9 | 83% |
| Blue Cross Blue Shield | $7 - $374 | 83% |
| Brand New Day | $7 - $11 | 83% |
| Care 1St Mcl/Gar Cap Reciprocity | $7 | 83% |
| Community Health Plan | $7 | 83% |
| Emanate Health | $7 - $11 | 83% |
| Health Net | $7 - $627 | 83% |
| Healthy Way La | $7 | 83% |
| La Care Health Plan | $7 - $411 | 83% |
| Other Non-Contracting Medi-Cal | $7 | 83% |
| Physicians Healthways Medi-Cal | $7 - $747 | 83% |
| Advantage Care Ipa | $8 - $747 | 95% |
| Aetna | $8 - $544 | 95% |
| Aids Health Foundation | $8 | 95% |
| Allied Physicians Med Grp | $8 - $374 | 95% |
| Apa Aco Inc | $8 | 95% |
| Avanti | $8 - $10 | 95% |
| Blue Shield | $8 - $119 | 95% |
| Blue Shield Of California | $8 - $374 | 95% |
| Cms | $8 | 95% |
| Cv-19 Hrsa Uninsured Testing And Tx | $8 | 95% |
| Easy Choice Health Plan | $8 | 95% |
| First Health Network | $8 - $523 | 95% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $8 | 95% |
| Hollywood Presbyterian Medpoint Mcal | $8 | 95% |
| Humana | $8 | 95% |
| La Care Covered Direct | $8 | 95% |
| Non-Contract Medi-Care | $8 | 95% |
| Pacific Alliance Medical Center Comm/Sr | $8 | 95% |
| Physicians Healthways Medical Corporation | $8 - $747 | 95% |
| Scan Health Plan Sr Hmo | $8 | 95% |
| Self-Pay | $8 | 95% |
| State Of California Medi-Cal | $8 | 95% |
| Ucla Impact Dept Of Uncology | $8 | 95% |
| Alignment Health Plan | $9 | 106% |
| Cigna | $9 | 106% |
| Health Net Comm/Hmo | $9 - $411 | 106% |
| Inter Valley Health Plan | $9 | 106% |
| Molina Healthcare | $9 | 106% |
| Molina Healthcare Of California | $9 - $11 | 106% |
| National Disaster Medical System | $9 | 106% |
| San Miguel Health Plan | $9 | 106% |
| Alhambra Hospital | $10 - $448 | 118% |
| Athens Administrators | $10 | 118% |
| Care 1St Health Plan | $10 - $448 | 118% |
| Chinatown Service Center Pace | $10 | 118% |
| Interplan | $10 - $560 | 118% |
| Multiplan | $10 - $635 | 118% |
| Other Non-Contracted Workers Compensation | $10 | 118% |
| Physician Healthways Medical Corporation | $10 | 118% |
| Preferred Health Network | $10 | 118% |
| Ahmc Health Epo | $11 | 130% |
| Knox-Keene Act | $11 | 130% |
| One Health Plan | $11 - $523 | 130% |
| Caloptima Direct | $12 | 142% |
| Fmc Los Angeles Co Epo | $12 - $560 | 142% |
| Corvel Corporation | $13 - $598 | 154% |
| Americas Health Plan | $14 - $635 | 165% |
| Health Net Inc | $14 | 165% |
| Health Payors Organization | $14 - $672 | 165% |
| East La Reg Ctr | $16 - $747 | 189% |
| Non Contract Commercial | $16 - $747 | 189% |
| One Legacy | $16 - $747 | 189% |
| Private Pay | $16 - $747 | 189% |
| Pacificare Of California Inc | $17 | 201% |
| Pacificare Ppo | $17 | 201% |