CMS Price Transparency Data
Blood test, basic metabolic panel
Facility: Clovis Community Medical Center
Billing Code: 80048 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80048
- Insurance Median: $8
- Cash Discount Price: $146
- vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Clovis Community Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 0.95x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$146
Average discount available for prompt cash payment at this facility.
Insurance Median
$8
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: $146 (1726%)
Insurance Median: $8 (95%)
Cash: $146 (1726% of Medicare)
Ins. Median: $8 (95% 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.
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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 |
|---|---|---|
| Generic Ccs Other Counties | $7 | 83% |
| Fresno County Funded Specialty Care | $7 | 83% |
| Medi-Cal Partnership Health Plan of Ca | $7 | 83% |
| Ccs Stanislaus | $7 | 83% |
| Genetically Handicapped Person | $7 | 83% |
| Cal Caloptima | $7 | 83% |
| Ccs Fresno | $7 | 83% |
| Medi-Cal Health Plan of San Mateo | $7 | 83% |
| Ccs Tulare | $7 | 83% |
| Medi-Cal Alameda Alliance for Health | $7 | 83% |
| Medi-Cal Kern Family Health | $7 | 83% |
| Chdp | $7 | 83% |
| Ccs Madera/Sacramento | $7 | 83% |
| Medi-Cal Community Health Group | $7 | 83% |
| Blue Shield | $7 - $104 | 83% |
| Santa Clara Family Health Plan - Valley Health | $7 | 83% |
| Ccs Kern | $7 | 83% |
| Generic Care Out of County | $7 | 83% |
| Medi-Cal Contra Costa Health Plan | $7 | 83% |
| San Francisco Health Plan Medi-Cal | $7 | 83% |
| Medi-Cal Inland Empire Health | $7 | 83% |
| Ccs Kings | $7 | 83% |
| Medi-Cal La Care Health | $7 | 83% |
| Santa Clara Family Health Plan - Premier Health | $7 | 83% |
| Ccs Merced | $7 | 83% |
| Medi-Cal Molina | $7 | 83% |
| Blue Cross Blue Shield | $7 - $116 | 83% |
| Ccs Mariposa | $7 | 83% |
| Gold Coast Medi-Cal | $7 | 83% |
| Medi-Cal Blue Shield Promise Health | $7 | 83% |
| Medi-Cal California Health & Wellness Plan | $7 | 83% |
| Medi-Cal Cencal Health | $7 | 83% |
| Healthnet Sante Dual Risk | $8 | 95% |
| Advantek Table Mountain Rancheria Tribal Member | $8 | 95% |
| Cares Act Provider Relief Fund | $8 | 95% |
| UnitedHealthcare | $8 - $96 | 95% |
| Sante | $8 - $11 | 95% |
| Humana | $8 - $156 | 95% |
| Railroad Part A & B | $8 | 95% |
| Sequoia Pace - Peak Tpa | $8 | 95% |
| Medi-Cal Innovative Integrated Health | $8 | 95% |
| Victims of Crime | $8 | 95% |
| Sante-Sub Cap Ma Brand New Day | $8 | 95% |
| Hartford Life Supplement | $8 | 95% |
| Blue Shield Hmo-Cvmp/Medpro | $8 | 95% |
| Railroad Part B | $8 | 95% |
| Care1St HMO - Ehs | $8 | 95% |
| Blue Shield Sante | $8 | 95% |
| Generic Bscphp | $8 | 95% |
| Aetna | $8 - $92 | 95% |
| Bscphp - Dhmso | $8 | 95% |
| Sante Sub Cap-Blue Shield/Sante | $8 | 95% |
| Healthnet HMO - La Salle | $8 | 95% |
| Healthnet HMO - Cvmp/Medpro | $8 | 95% |
| Meritage Brand New Day | $8 | 95% |
| Medicare (plans) | $8 | 95% |
| Sante-Healthnet Seniority | $8 | 95% |
| Todays Pyramid | $8 | 95% |
| Kaiser | $8 | 95% |
| Wellcare | $8 | 95% |
| Railroad Part A | $8 | 95% |
| Healthnet Sante | $8 | 95% |
| Generic Victims of Crime | $8 | 95% |
| Gemcare HMO | $8 | 95% |
| Blue Shield 65 Plus HMO Ehs | $8 | 95% |
| Meritage Healthnet HMO | $8 | 95% |
| Healthnet Sante - Sub Cap Dual Risk | $8 | 95% |
| Generic | $8 | 95% |
| Sante Sub Cap Healthnet Seniority | $8 | 95% |
| Healthnet HMO - Dhmso | $8 | 95% |
| Us Marshal | $8 | 95% |
| Bscphp HMO - First Choice | $8 | 95% |
| Blue Shield 65 Plus HMO First Choice | $8 | 95% |
| Brand New Day | $8 | 95% |
| Cigna | $8 - $114 | 95% |
| Healthnet HMO - Sante | $8 | 95% |
| Meritage Blue Shield 65 Plus | $8 | 95% |
| Scan Health Plan | $8 | 95% |
| Bscphp - First Choice | $8 | 95% |
| Sante-Blue Shield/Sante | $8 | 95% |
| Blue Shield Saint Agnes | $8 | 95% |
| Blue Shield Promise - Imperial | $8 | 95% |
| Champion Health Plan of California Ma | $9 | 106% |
| Alignment Health Plan | $9 | 106% |
| Innovative Integrated Health Community Plans HMO | $9 | 106% |
| Imperial Health Plan HMO | $10 | 118% |
| Correctcare Integrated Health | $11 | 130% |
| Health Plan of San Joaquin | $11 | 130% |
| Sequoia Pace | $11 | 130% |
| Adventist -McL Calviva Sub Cap | $12 | 142% |
| Healthnet | $14 - $107 | 165% |
| Coalinga State Hospital | $17 | 201% |
| Naphcare Inc-Mendota | $18 | 213% |
| Central Valley Medical Providers | $46 - $128 | 544% |
| Community Care | $47 | 556% |
| Employer 90/40 | $73 | 863% |
| Nx Health Network PPO | $101 | 1194% |
| Central Ca Indian Health | $101 | 1194% |
| Healthsmart | $124 - $146 | 1466% |
| Network By Design | $137 | 1619% |
| Coventry Health Care (First Health Network) | $137 | 1619% |
| PHCS | $156 | 1844% |
| Generic Multiplan | $156 | 1844% |
| Well Path (Cfmg) | $201 | 2376% |