CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: De Tar Hospital Navarro

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $13
  • Cash Discount Price: $444
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at De Tar Hospital Navarro is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $444. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.54x the Medicare baseline. Located in 506 E San Antonio St, Victoria, TX.
Cash / Self-Pay
$444

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: $444 (5248%)
Insurance Median: $13 (154%)
Cash: $444 (5248% 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
Blue Cross Blue Shield $8 - $364 95%
Humana $8 95%
Medicare (plans) $8 95%
Node Hospice Non Par Agree $8 95%
Node Triwest $8 95%
Node Va $8 95%
UnitedHealthcare $8 - $497 95%
Veterans Eval Services $8 95%
Aetna $9 - $994 106%
American Health Mcr Adv $9 106%
Department Of Veterans Affairs $9 106%
Node Amerigroup Mcr Adv $9 106%
Node Procare Mcr Adv $9 106%
Provider Partners Health Plan $9 106%
Superior $9 - $23 106%
Tricare $9 106%
Industrial Rehab $10 118%
Medicaid / KanCare $10 - $32 118%
Scott & White $10 118%
Node Us Dept Of Labor $11 130%
Node Brookshire Brothers $15 177%
Node Brookshire Brothers Work Comp Tx $16 189%
Work Comp $17 201%
Elap $19 225%
Amerigroup $23 272%
Sane $250 2955%
Dars $401 4740%
Tx Workforce Commission $401 4740%
Cigna $415 - $749 4905%
Healthsmart $959 - $1,220 11336%
Multiplan $1,133 - $1,394 13392%
First Health $1,185 14007%
Medcorp Southwest Inc $1,220 14421%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 E San Antonio St, Victoria, TX 77901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals