CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Medical Center of McKinney

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $13
  • Cash Discount Price: $2,307
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Medical Center of McKinney is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,307. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.54x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.
Cash / Self-Pay
$2,307

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: $2,307 (27270%)
Insurance Median: $13 (154%)
Cash: $2,307 (27270% 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
Amerigroup $8 - $10 95%
Blue Cross Blue Shield $8 - $1,024 95%
Devoted Health $8 95%
Humana $8 - $1,499 95%
Mutual Of Omaha $8 95%
Triwest Veterans $8 95%
United $8 - $431 95%
Wellmed $8 95%
Aetna $9 - $1,677 106%
American Health Plan Of Texas, Inc. $9 106%
Care N Care $9 106%
Cenpatico $9 106%
Cigna $9 - $1,845 106%
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 - $161 106%
Texas Independent Health Plan $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 - $1,845 189%
Corvel Corporation $17 201%
Molina Healthcare $22 260%
Oscar $22 260%
Healthcare Highways $565 - $780 6678%
Evry Health $595 7033%
Unicare $600 - $2,307 7092%
City Of Mckinney $807 9539%
Fidelis Securecare $1,038 12270%
National Choicecare $1,153 13629%
Pc Texas Partners $1,269 15000%
Physicians Coop Of Tx $1,269 15000%
Rockport Health Group $1,269 15000%
Averde Health, Inc $1,338 15816%
Magellan Bh $1,384 16359%
Value Options Behavioral Health $1,384 16359%
Coastal Comp Health Networks $1,615 19090%
Mega Life $1,615 19090%
Multiplan Phcs $1,615 19090%
Lewisville Isd/Dls Consulting $1,730 20449%
Compsych Corporation $1,845 21809%
Healthsmart Preferred Care $1,845 21809%
Galaxy Health Network $1,961 23180%
Independent Medical Systems $2,307 27270%
National Healthcare Solutions $2,307 27270%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4500 Medical Center Drive, McKinney, TX 75069
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals