CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Surgical Specialty Center of Baton Rouge

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $11
Cash Discount Price: $78
vs. Medicare Baseline: 1.30x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Surgical Specialty Center of Baton Rouge is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.30x the Medicare baseline. Located in 8080 Bluebonnet Blvd, Baton Rouge, LA.

Cash / Self-Pay

$78

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: $78 (922%)

Insurance Median: $11 (130%)

Cash: $78 (922% 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.

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
Uhc_Commcoffee	$5	59%
Aetna	$8 - $9	95%
Amerihealth	$8	95%
Blue Cross Blue Shield	$8 - $10	95%
Cigna	$8	95%
Healthy_Blue	$8	95%
Humana	$8 - $13	95%
Lhc	$8	95%
Medadv-Peoples	$8	95%
Medicaid / KanCare	$8	95%
Medicare (plans)	$8	95%
United	$8	95%
UnitedHealthcare	$8	95%
United_Caid	$8	95%
Va	$8	95%
Wellcare	$9	106%
Verity	$10	118%
Lucent	$12	142%
Ambetter / Centene	$16	189%
Workcomp_Saints	$19	225%
Lsufirst	$23	272%
Gilsbar	$51	603%
Multiplan-Pos	$62	733%
Multiplan-Ppo	$62	733%
Ppoplus	$63	745%
Stjude	$68	804%
Bayou-Med	$73	863%
Dma	$73	863%
Lsu	$73	863%
Southern-Univ	$73	863%
Womans_Hosp	$73	863%
Reny	$78	922%
Ehn	$83	981%
Workcomp_3R	$84	993%
Three_Rivers	$88	1040%
Workcomp_Strat	$88	1040%
Geha	$92	1087%
Workcomp_Fp	$94	1111%
Usa_Mco	$98	1158%

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 $78.
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 Surgical Specialty Center of Baton Rouge 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.