CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Medical Center Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $18
Cash Discount Price: $158
vs. Medicare Baseline: 2.13x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Medical Center Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $158. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 2.13x the Medicare baseline. Located in 500 W 4Th Street, Odessa, TX.

Cash / Self-Pay

$158

Average discount available for prompt cash payment at this facility.

Insurance Median

$18

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: $158 (1868%)

Insurance Median: $18 (213%)

Cash: $158 (1868% of Medicare)

Ins. Median: $18 (213% 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 213% of the Medicare baseline (a markup of 113%). 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
Geha	$4	47%
UnitedHealthcare	$4 - $12	47%
Ambetter / Centene	$7 - $9	83%
Amerigroup	$7	83%
Blue Cross Blue Shield	$7 - $106	83%
Community Health Choice	$7	83%
First Care Health Plan	$7	83%
Superior Health Plan	$7	83%
Aetna	$8 - $163	95%
Care Improvement Plus	$8	95%
Humana	$8	95%
Novitas Solutions	$8	95%
Triwest Va Ccn	$8	95%
Corvel Wc	$9	106%
Wellcare By Allwell	$9	106%
Group Resources	$10	118%
Medicaid / KanCare	$10	118%
Superior Chips	$10	118%
Workers Comp	$17	201%
Health Select	$23 - $106	272%
90 Degree Benefits	$28 - $119	331%
Caprock	$37 - $43	437%
Cigna	$40	473%
Healthsmart Preferred Care	$40 - $148	473%
State Comptroller	$124	1466%
Texas Mutual Wc	$163	1927%
Firstcare	$173	2045%

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 $158.
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 Medical Center 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.