CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Baptist Beaumont Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $73
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 8.63x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Baptist Beaumont Hospital is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 8.63x the Medicare baseline. Located in 3080 College Street, Beaumont, TX.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$73

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: $68 (804%)
Insurance Median: $73 (863%)
Cash: $68 (804% of Medicare)
Ins. Median: $73 (863% 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 863% of the Medicare baseline (a markup of 763%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $8 - $31 95%
Ameri-Plus Ppo-All Plans $8 95%
Blue Cross Blue Shield $8 - $25 95%
Cigna $8 - $393 95%
Superior Health Plan Mcr Adv $8 95%
Texan Plus-All Plans $8 95%
Superior Health Plan Comm - All Other Plans $10 118%
Texas Exchange Plans - All Plans $10 118%
Correctcare - All Plans $13 154%
Naphcare Inc - All Plans $13 154%
Texas School Health Benefits - All Plans $13 154%
Preferred Care Services - All Plans $14 165%
Americhoice - All Plans $15 - $90 177%
Amerigroup - All Plans $15 - $90 177%
Community Health Choice - All Plans $15 - $90 177%
Medicaid / KanCare $15 - $118 177%
Tchp Chips - All Plans $15 - $90 177%
Beacon Health - All Plans $17 - $104 201%
Brookshire Brothers - All Plans $19 225%
Imagine Healthcare (Smartcare) - All Plans $33 390%
Signature Health - All Plans $46 - $283 544%
Central Healthcare Services - All Plans $73 - $452 863%
Humana $73 - $547 863%
Mhhnp-All Plans $73 - $452 863%
Pponext - All Plans $95 - $588 1123%
Multiplan - All Plans $102 - $634 1206%
Phcs - All Plans $102 - $634 1206%
First Health - All Plans $110 - $679 1300%
Healthsmart - All Plans $110 - $679 1300%
Managed Healthcare Inc - All Plans $110 - $679 1300%
Blue Bell - All Plans $117 - $724 1383%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3080 College Street, Beaumont, TX 77701
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals