CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Titus Regional Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $22
Cash Discount Price: $27
vs. Medicare Baseline: 2.60x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Titus Regional Medical Center is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 2.60x the Medicare baseline. Located in 2001 N Jefferson, Mount Pleasant, TX.

Cash / Self-Pay

$27

Average discount available for prompt cash payment at this facility.

Insurance Median

$22

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: $27 (319%)

Insurance Median: $22 (260%)

Cash: $27 (319% of Medicare)

Ins. Median: $22 (260% 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 260% of the Medicare baseline (a markup of 160%). 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
Healthcare Highways	$4 - $18	47%
Aetna	$6 - $45	71%
Christus Health Plan	$8 - $21	95%
Humana	$8 - $32	95%
Superior	$8 - $23	95%
Tricare	$8 - $21	95%
Triwest	$8 - $21	95%
UnitedHealthcare	$8 - $40	95%
Texas Mutual	$9 - $22	106%
Blue Cross Blue Shield	$19 - $45	225%
Curative	$23 - $27	272%
Healthsmart	$32 - $35	378%
Cigna	$36 - $40	426%
Claritev	$36 - $40	426%
Galaxy Health	$43 - $48	508%

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 $27.
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 Titus Regional Medical Center 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.