CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Shriners Hospitals for Children Northern Calif

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $10
Cash Discount Price: $79
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Shriners Hospitals for Children Northern Calif is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.18x the Medicare baseline. Located in 2425 Stockton Boulevard, Sacramento, CA.

Cash / Self-Pay

$79

Average discount available for prompt cash payment at this facility.

Insurance Median

$10

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: $79 (934%)

Insurance Median: $10 (118%)

Cash: $79 (934% of Medicare)

Ins. Median: $10 (118% 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.

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	$3 - $10	35%
Blue Cross Blue Shield	$3 - $13	35%
Amerigroup Nv	$5	59%
Ambetter / Centene	$6 - $15	71%
Health Plan Of Nv	$6	71%
Amerigroup Tx	$8	95%
Coventry Cares Ky	$8	95%
Humana	$8	95%
Medicaid / KanCare	$8	95%
Molina Healthcare Of Ky	$8	95%
Molina Healthcare Of Ms	$8	95%
Soonercare	$8	95%
UnitedHealthcare	$8 - $12	95%
Cigna	$9	106%
Gateway Health Plan	$9	106%
Providence Health Plan	$9	106%
Amerihealth Caritas Nc	$10 - $15	118%
Amerihealth Caritas Sc	$10	118%
Caresource Of Oh	$10	118%
Central California Alliance For Health	$10	118%
Health Plan Of San Joaquin	$10	118%
Kaiser Permanente	$10 - $100	118%
Molina Healthcare Of Ca	$10	118%
Partnership Healthplan Of Ca	$10	118%
Caresource Of Ga	$11	130%
Healthchoice Of Oklahoma	$11	130%
Wellcare Of Ga	$11	130%
Sana Benefits	$12	142%
Dignity Health	$536	6336%

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 $79.
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 Shriners Hospitals for Children Northern Calif 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.