CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: UT of Texas Southwestern University Hospital - William P. Clements Jr.

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $15
  • Cash Discount Price: $59
  • vs. Medicare Baseline: 1.77x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at UT of Texas Southwestern University Hospital - William P. Clements Jr. is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.77x the Medicare baseline. Located in 6201 Harry Hines Blvd, Dallas, TX.
Cash / Self-Pay
$59

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $59 (697%)
Insurance Median: $15 (177%)
Cash: $59 (697% of Medicare)
Ins. Median: $15 (177% 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
Blue Cross Blue Shield $2 - $76 24%
United Options Nexus $5 - $8 59%
UnitedHealthcare $5 - $99 59%
Molina $7 - $9 83%
Parkland $7 83%
Superior $7 - $9 83%
Wellpoint $7 - $42 83%
Aetna $8 - $46 95%
Ambetter / Centene $8 95%
Procare $8 95%
Humana $9 106%
Rockwall County $11 - $96 130%
Cigna $12 - $101 142%
Quiktrip $12 - $86 142%
Galaxy Health Network $14 - $121 165%
Multiplan $14 - $119 165%
Healthsmart $15 - $114 177%
Healthfirst $16 - $77 189%
Maestro Health/Fort Worth Firefighters $19 - $73 225%
Coventry $20 - $96 236%
Phcs $30 - $111 355%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6201 Harry Hines Blvd, Dallas, TX 75390
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals