CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Casa Colina Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $9
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Casa Colina Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.06x the Medicare baseline. Located in 255 E Bonita Ave, Pomona, CA.
Cash / Self-Pay
$11

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $11 (130%)
Insurance Median: $9 (106%)
Cash: $11 (130% of Medicare)
Ins. Median: $9 (106% 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
Heritage Prvdr Ntwrk Mcal $7 83%
Aetna $8 - $18 95%
Blue Cross Blue Shield $8 - $30 95%
Blue Shield Mcr Adv $8 95%
Caremore Mcr Adv - All Plans $8 95%
Central Hlth Plan - All Plans $8 95%
Doctors Managed Op Only - All Plans $8 95%
Empire Healthcare Op Only - All Plans $8 95%
Epic Comm - All Other Plans $8 95%
Epic Mcr Adv $8 95%
Focus Healthcare Wc - All Plans $8 95%
Healthnet Mcr Adv $8 95%
Humana $8 - $25 95%
Iehp - All Other Plans $8 95%
Iehp Mcr Adv $8 95%
Kaiser Comm - All Other Plans $8 95%
Kaiser Mcr Adv $8 95%
Premiercare Op Only - All Plans $8 95%
Promed Hlth Ntwrk Op Only - All Plans $8 95%
Prospect Hp Mcal $8 95%
Prospect Hp Mcr Adv $8 95%
Triwest - All Plans $8 95%
UnitedHealthcare $8 95%
Wellcare Mcr Adv - All Plans $8 95%
Prospect Hp Comm - All Other Plans $9 106%
Medi-Cal $10 118%
Affiliated Hlth Funds - All Plans $11 130%
Kaiser Mcal $11 130%
Cigna $12 142%
Heritage Prvdr Ntwrk Comm - All Other Plans $20 236%
Heritage Prvdr Ntwrk Mcr $20 236%
Healthnet Comm - All Other Plans $21 248%
Iehp Mcal $24 284%
Corvel - All Plans $25 296%
Coventry - All Plans $25 296%
Multiplan - All Plans $25 296%
Three Rivers - All Plans $25 296%
Brand New Day Mcr Adv - All Plans $30 355%
Galaxy Provdr Ntwrk - All Plans $36 426%
Blue Shield Comm - All Other Plans $37 437%
Healthcare Partners - All Other Plans $41 485%
Healthcare Partners Mcr $41 485%
Primecare Comm - All Other Plans $41 485%
Primecare Mcr Adv $41 485%
Prospect Med Grp Alta - All Plans $43 508%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals