CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: HCA Houston Healthcare Southeast

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $12
  • Cash Discount Price: $2,087
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at HCA Houston Healthcare Southeast is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,087. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.42x the Medicare baseline. Located in 4000 Spencer Hwy, Pasadena, TX.
Cash / Self-Pay
$2,087

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $2,087 (24669%)
Insurance Median: $12 (142%)
Cash: $2,087 (24669% of Medicare)
Ins. Median: $12 (142% 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
Amerigroup $8 - $10 95%
Blue Cross Blue Shield $8 - $731 95%
Chc Harris Health $8 95%
Cigna $8 - $1,670 95%
Devoted Health $8 95%
Humana $8 - $113 95%
Kelsey Seybold $8 95%
Oscar $8 - $24 95%
Renaissance Ipa Radiology $8 95%
Triwest Healthcare Alliance $8 95%
United $8 - $939 95%
Wellmed $8 95%
American Health Plan $9 106%
Christus (Usfhp) $9 106%
Integranet Amerigroup Ipa $9 106%
Molina $9 106%
Procare Advantage $9 106%
Provider Partners Health Plan Of Texas $9 106%
Shared Health $9 106%
Superior Health Plan $9 - $125 106%
Van Lang Ipa $9 106%
Wellcare $9 106%
Community Health Choice Mcd $10 118%
Kindred Hospital $10 118%
Texas Childrens Health Plans $10 - $367 118%
Texas Health Network $10 118%
Universal Healthcare Group $10 118%
Aetna $11 - $56 130%
Molina Healthcare $11 - $18 130%
Verda Health Plan $11 130%
Community Health Choice $12 142%
Superior $12 - $13 142%
Corvel Corporation $17 201%
Omni Healthcare $18 213%
Healthcare Highways $25 296%
Texas Workforce Commission $501 5922%
Evry Health $570 6738%
Imagine Health $731 8641%
Healthsmart Preferred Care $898 - $1,774 10615%
Averde Health $939 11099%
Fidelis Securecare Of Tx $939 11099%
Multiplan $1,044 - $1,879 12340%
Coventry National First Health $1,113 13156%
Physicians Cooperative Of Texas $1,148 13570%
Rockport Workers Comp $1,148 13570%
Beech Street $1,252 - $1,670 14799%
Independent Medical System $1,252 14799%
National Healthcare Solutions $1,252 14799%
Prime Health Services $1,252 14799%
Southwest Medical $1,252 14799%
Coastal Comp $1,357 16040%
Fiesta Mart, Inc $1,566 18511%
Physicians, Inc $1,774 20969%
Affiliated Ppo $1,879 22210%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Spencer Hwy, Pasadena, TX 77504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals