CMS Price Transparency Data
Blood test, basic metabolic panel
Facility: Coastal Communities Hospital
Billing Code: 80048 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80048
- Insurance Median: $11
- Cash Discount Price: $48
- vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Coastal Communities Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.30x the Medicare baseline. Located in 2701 S Bristol St, Santa Ana, CA.
Cash / Self-Pay
$48
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: $48 (567%)
Insurance Median: $11 (130%)
Cash: $48 (567% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Altamed Health Services | $8 - $12 | 95% |
| Altamed Mcal Hmo (Ancillary) | $8 | 95% |
| Blue Shield | $8 - $32 | 95% |
| Caloptima | $8 - $12 | 95% |
| Central Health Plan Of California | $8 | 95% |
| Champion Health Plan | $8 | 95% |
| Choice Physicians Network | $8 | 95% |
| Citizens Choice Health Plan | $8 | 95% |
| Clever Care Health Plan | $8 | 95% |
| Easy Choice Health Plan | $8 | 95% |
| For Your Benefit | $8 | 95% |
| Health Net | $8 - $35 | 95% |
| Healthcare Partners | $8 | 95% |
| Healthcare Partners Sr Hmo | $8 | 95% |
| Heritage | $8 | 95% |
| Hollywood Presbyterian | $8 | 95% |
| Humana | $8 | 95% |
| Imperial Health Plan Of Ca | $8 | 95% |
| Innovative Integrated Health | $8 | 95% |
| Kaiser | $8 - $30 | 95% |
| Kpc Healthcare Inc | $8 - $12 | 95% |
| Medcare Partners | $8 | 95% |
| Medi-Cal Hmo/Non Contract | $8 | 95% |
| Medicaid / KanCare | $8 | 95% |
| Monarch | $8 - $9 | 95% |
| Onecare | $8 | 95% |
| Onecare Connect | $8 | 95% |
| Other Senior Non Contract | $8 | 95% |
| Prospect Health Plan | $8 - $13 | 95% |
| Scan Health Plan | $8 | 95% |
| Self Pay Ab774/Cbo Use Only | $8 | 95% |
| UnitedHealthcare | $8 | 95% |
| Us Dept Of Labor | $8 | 95% |
| Us Federal Marshall/Department Of Immigration | $8 | 95% |
| Velocity Provider Network Sr | $8 | 95% |
| Verda Health Plan Sr | $8 | 95% |
| Veterans Administration | $8 | 95% |
| Victim Of Violent Crime | $8 | 95% |
| Victoria Hospice | $8 | 95% |
| Brand New Day | $9 | 106% |
| Champus | $9 | 106% |
| Coventry Auto Network | $9 | 106% |
| Coventry Wc | $9 | 106% |
| Interplan | $9 - $36 | 106% |
| Monarch Health Plan | $9 | 106% |
| Prime Health Srvs/Wc | $9 | 106% |
| Multiplan | $10 - $34 | 118% |
| Prime Health Srvs | $10 - $38 | 118% |
| Three Rivers | $10 | 118% |
| Velocity National Provider Network Wc | $10 | 118% |
| Workers Comp State Of California | $10 | 118% |
| County Of Orange/Custody/Advanced Medmgt | $11 | 130% |
| Veterans Evaluation Services | $11 | 130% |
| Choc Health Alliance | $12 | 142% |
| County Of Orange | $12 | 142% |
| Family Choice | $12 | 142% |
| Heritage Provider Network | $12 - $29 | 142% |
| Staywell/Island Home Ins | $12 | 142% |
| Ihhi Reciprocity | $14 | 165% |
| Three Rivers Network | $15 | 177% |
| Velocity National Provider Network Ppo | $15 | 177% |
| Cigna | $16 - $31 | 189% |
| First Health | $25 | 296% |
| Aetna | $28 | 331% |
| Magellan | $29 | 343% |
| Networks By Design | $34 | 402% |
| Networks By Design Wc | $34 | 402% |
| Healthsmart | $36 | 426% |
| Prime Health | $36 | 426% |
| Pnoa-Provider Network Of America | $38 | 449% |
| Prime Health Srvs/Network | $41 | 485% |
| Lucet Behavioral Health Sr | $48 | 567% |
| Managed Health Network | $48 | 567% |
| Other Insurance Loa | $48 | 567% |
| Other Non Contracted Plans | $48 | 567% |
| Private Pay | $48 | 567% |
| Us Behavioral Health Plan | $48 | 567% |
| Vitas Hospice | $48 | 567% |