CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Adventist Health Howard Memorial

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $77
Cash Discount Price: $54
vs. Medicare Baseline: 9.10x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Adventist Health Howard Memorial is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 9.10x the Medicare baseline. Located in 1 Marcela Dr, Willits, CA.

Cash / Self-Pay

$54

Average discount available for prompt cash payment at this facility.

Insurance Median

$77

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: $54 (638%)

Insurance Median: $77 (910%)

Cash: $54 (638% of Medicare)

Ins. Median: $77 (910% 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 910% of the Medicare baseline (a markup of 810%). 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
Blue Shield Mcare	$1 - $63	12%
Medicare (plans)	$1 - $64	12%
Tricare	$1 - $63	12%
UnitedHealthcare	$2 - $245	24%
Ah Employee Health Plan - All Plans	$4 - $164	47%
Aetna	$5 - $212	59%
Blue Shield - All Other Plans	$5 - $216	59%
Blue Shield Epn	$5 - $216	59%
Western Growers/Pinnacle - All Plans	$5 - $237	59%
Brms - All Plans	$6 - $269	71%
Cigna	$6 - $269	71%
First Health Ppo - All Plans	$6 - $253	71%
Ghn Ppo - All Plans	$6 - $253	71%
Healthnet - All Plans	$6 - $259	71%
Medi-Cal	$7 - $10	83%
Blue Cross Blue Shield	$84 - $101	993%

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 $54.
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 Adventist Health Howard Memorial 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.