CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Oklahoma Heart Hospital, LLC

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $48
Cash Discount Price: $2,928
vs. Medicare Baseline: 5.67x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Oklahoma Heart Hospital, LLC is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,928. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 5.67x the Medicare baseline. Located in 4050 West Memorial Road, Oklahoma City, OK.

Cash / Self-Pay

$2,928

Average discount available for prompt cash payment at this facility.

Insurance Median

$48

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: $2,928 (34610%)

Insurance Median: $48 (567%)

Cash: $2,928 (34610% of Medicare)

Ins. Median: $48 (567% 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 567% of the Medicare baseline (a markup of 467%). 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
Aetna	$8 - $3,118	95%
Blue Cross Blue Shield	$8 - $3,118	95%
Cigna	$8 - $5,000	95%
Geha	$8 - $3,312	95%
Humana	$8 - $3,118	95%
Medicare (plans)	$8 - $3,212	95%
UnitedHealthcare	$8 - $3,312	95%
Va Ccn	$8 - $3,118	95%
Veterans Eval Services	$8 - $3,118	95%
Ambetter / Centene	$12 - $4,365	142%
Community Care	$17 - $6,236	201%
Healthcare Highways	$20 - $49	236%
The Kempton Group	$21 - $7,795	248%
Healthscope	$38	449%
Oscar Insurance Company	$38	449%
Webtpa Chickasaw Nation Hch	$39	461%
Webtpa Hobby Lobby Hch	$43	508%
Coventry	$48 - $14,802	567%
Global Health	$52	615%
Sana Benefits	$53	626%
Ufcw	$53	626%
First Health Network	$57	674%
Manhattan Life	$57	674%
Phcs	$57	674%
Preferred Community Choice	$62	733%
Multiplan	$74	875%

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 $2,928.
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 Oklahoma Heart Hospital, LLC 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.