CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Hospital San Francisco

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $11
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Hospital San Francisco is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.30x the Medicare baseline. Located in 371 De Diego Ave, San Juan, PR.
Cash / Self-Pay
$75

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: $75 (887%)
Insurance Median: $11 (130%)
Cash: $75 (887% 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

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
First Medical $8 - $16 95%
Mso $8 - $10 95%
Aarp $9 106%
Pr Other Insurances $9 106%
Triple S $9 - $12 106%
Ch $10 118%
Fondo Del Seguro Estado $10 118%
Humana $10 - $15 118%
Mcs $10 - $13 118%
Medicare (plans) $10 118%
Mpc - Us $10 118%
Tricare $10 118%
UnitedHealthcare $10 118%
Us $10 118%
Comerciales $11 130%
Plan De Salud Menonita $11 - $12 130%
Bl $12 142%
Corvel Network $12 142%
Mpc-Pr Other Insurances $12 142%
Mc $14 165%
Acaa $15 177%
Cigna $15 177%
Medicaid / KanCare $15 177%
Prossam $15 177%
Va $15 177%
Western Medical Hospice $16 189%
Mapfre $40 473%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 371 De Diego Ave, San Juan, PR 00923
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals