CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Tulsa Spine & Specialty Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $75
Cash Discount Price: $46
vs. Medicare Baseline: 8.87x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Tulsa Spine & Specialty Hospital is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 8.87x the Medicare baseline. Located in 6901 South Olympia Avenue, Tulsa, OK.

Cash / Self-Pay

$46

Average discount available for prompt cash payment at this facility.

Insurance Median

$75

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: $46 (544%)

Insurance Median: $75 (887%)

Cash: $46 (544% of Medicare)

Ins. Median: $75 (887% 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 887% of the Medicare baseline (a markup of 787%). 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
Black Lung [6055]	$46	544%
Healthcare Highways [2210]	$46 - $75	544%
Lucent Health [6000]	$46	544%
Oncology Patient Assistance Programs [2295]	$46	544%
Oscar Insurance Company [7005]	$46	544%
Osma Health Network [2345]	$46	544%
Healthscope Benefits [2290]	$47	556%
UnitedHealthcare	$47	556%
Resource One Administrators [2815]	$75	887%
Universal Fidelity [2085]	$75	887%
Web Tpa [2115]	$75	887%
The Kempton Group Administrators [2905]	$82	969%
First Health [1375]	$113	1336%
Medica [2910]	$113	1336%
Multiplan [1680]	$113	1336%
Cigna	$119	1407%
National Association Of Letter Carriers [1695]	$119	1407%
Pba [1775]	$119	1407%

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 $46.
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 Tulsa Spine & Specialty Hospital 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.