CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: The Medical Center of Southeast Texas

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $11
  • Cash Discount Price: $934
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at The Medical Center of Southeast Texas is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $934. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.30x the Medicare baseline. Located in 2555 Jimmy Johnson Blvd, Port Arthur, TX.
Cash / Self-Pay
$934

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $934 (11040%)
Insurance Median: $11 (130%)
Cash: $934 (11040% of Medicare)
Ins. Median: $11 (130% 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
UnitedHealthcare $5 - $11 59%
Community Health Choice Uhrip $7 83%
Medicaid / KanCare $7 - $10 83%
Medsolutions $7 83%
Texas Childrens Health Plan $7 - $10 83%
Amerigroup $8 - $74 95%
Blue Cross Blue Shield $8 - $386 95%
Caresact $8 95%
Employer Direct Healthcare $8 - $11 95%
Healthspring $8 95%
Hospice $8 95%
Humana $8 - $21 95%
Medicare (plans) $8 95%
Molina Healthcare $8 - $11 95%
Provider Partners Health Plan $8 95%
Rice Land Hospice $8 95%
Selectcare $8 95%
Superior Healthplan $8 - $10 95%
Texas Medical Management Partners $8 - $11 95%
Tihp (Texas Independence Health Plan) $8 95%
Triwest $8 95%
Cccn Pro Advantage $9 106%
Cigna $9 - $654 106%
League Medical Concepts $9 106%
Tricare $9 106%
Wellcare Of Texas $9 106%
Wellpath $9 106%
Community Health Choice $10 118%
Harbor Hospice $10 118%
Beacon Health $11 130%
Corporate Remedies $12 142%
Elap Services $16 189%
Texas Workers Compensation $17 201%
Self Pay Emergent $140 1655%
Dept Of Assistive And Rehabilitative Services $467 5520%
Aetna $542 - $617 6407%
Iasis Employees $561 6631%
Magellan Behavioral Health $561 6631%
First Health $654 7730%
Galaxy Health Network $654 7730%
Private Healthcare Systems $654 7730%
Texas Municipal League $654 7730%
Healthsmart $701 8286%
Multiplan $747 8830%
Commercial Non-Contracted $934 11040%
Heart To Heart Hospice $934 11040%
Lifesynch $934 11040%
Mhnet $934 11040%
Self Pay - Mcd Pending 100 Percent $934 11040%
Single Case Agreement $934 11040%
United Behavioral Health $934 11040%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals