CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Medical City North Hills

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $13
  • Cash Discount Price: $1,334
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Medical City North Hills is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,334. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.54x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$1,334

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $1,334 (15768%)
Insurance Median: $13 (154%)
Cash: $1,334 (15768% of Medicare)
Ins. Median: $13 (154% 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
Cook Childrens Health Plan $5 59%
Amerigroup $8 - $10 95%
Blue Cross Blue Shield $8 - $592 95%
Devoted Health $8 95%
Humana $8 - $94 95%
Mutual Of Omaha $8 95%
Triwest Veterans $8 95%
United $8 - $287 95%
Wellmed $8 95%
Aetna $9 - $970 106%
American Health Plan Of Texas, Inc. $9 106%
Care N Care $9 106%
Cenpatico $9 106%
Cigna $9 - $1,067 106%
Imperial Insurance Company $9 106%
Integranet $9 106%
Molina $9 - $11 106%
Procare Advantge $9 106%
Provider Partners Health Plan $9 106%
Superior Health Plan $9 - $93 106%
Texas Independent Health Plan $9 106%
Triwest Health Alliance $9 106%
Wellcare $9 106%
Parkland Community Health Plan $10 118%
Universal Healthcare Group $10 118%
Verda Health Plan $11 130%
Bravo Health $13 154%
Superior $15 - $19 177%
Usa Managed Care $16 - $1,067 189%
Corvel Corporation $17 201%
Molina Healthcare $22 260%
Oscar $22 260%
Unicare $280 - $1,334 3310%
Healthcare Highways $327 - $451 3865%
Evry Health $344 4066%
City Of Mckinney $600 7092%
Fidelis Securecare $600 7092%
National Choicecare $667 7884%
Pc Texas Partners $734 8676%
Physicians Coop Of Tx $734 8676%
Rockport Health Group $734 8676%
Averde Health, Inc $774 9149%
Magellan Behavior Health $800 9456%
Coastal Comp Health Networks $934 11040%
Mega Life $934 11040%
Multiplan Phcs $934 11040%
Healthsmart Preferred Care $1,000 11820%
Lewisville Isd/Dls Consulting $1,000 11820%
Usc Health Services $1,067 12612%
Galaxy Health Network $1,134 13404%
Independent Medical Systems $1,334 15768%
National Healthcare Solutions $1,334 15768%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4401 Booth Calloway Road, North Richland Hills, TX 76180
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals