CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: HCA Houston Healthcare West

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $11
  • Cash Discount Price: $1,511
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at HCA Houston Healthcare West is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,511. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.30x the Medicare baseline. Located in 12141 Richmond Ave, Houston, TX.
Cash / Self-Pay
$1,511

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: $1,511 (17861%)
Insurance Median: $11 (130%)
Cash: $1,511 (17861% 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
Amerigroup $8 - $10 95%
Blue Cross Blue Shield $8 - $529 95%
Chc Harris Health $8 95%
Cigna $8 - $1,209 95%
Devoted Health $8 95%
Humana $8 - $113 95%
Kelsey Seybold $8 95%
Oscar $8 - $24 95%
Renaissance Ipa Radiology $8 95%
Triwest Healthcare Alliance $8 95%
United $8 - $680 95%
Wellmed $8 95%
Aetna $9 - $56 106%
American Health Plan $9 106%
Christus (Usfhp) $9 106%
Integranet Amerigroup Ipa $9 106%
Molina $9 106%
Procare Advantage $9 106%
Provider Partners Health Plan Of Texas $9 106%
Shared Health $9 106%
Superior Health Plan $9 - $91 106%
Triwest Health Alliance $9 106%
Van Lang Ipa $9 106%
Wellcare $9 106%
Community Health Choice Mcd $10 118%
Texas Childrens Health Plans $10 - $251 118%
Texas Health Network $10 118%
Universal Healthcare Group $10 118%
Molina Healthcare $11 - $18 130%
Verda Health Plan $11 130%
Community Health Choice $12 142%
Superior $12 - $13 142%
Corvel Corporation $17 201%
Omni Healthcare $18 213%
Healthcare Highways $25 296%
Texas Workforce Commission $363 4291%
Evry Health $412 4870%
Imagine Health $529 6253%
Healthsmart Preferred Care $650 - $1,284 7683%
Averde Health $680 8038%
Fidelis Securecare Of Tx $680 8038%
Coventry National First Health $805 9515%
Physicians Cooperative Of Texas $831 9823%
Rockport Workers Comp $831 9823%
Independent Medical System $907 10721%
National Healthcare Solutions $907 10721%
Southwest Medical $907 10721%
Triumph $907 10721%
Coastal Comp $982 11608%
Multiplan $1,133 - $1,284 13392%
Physicians, Inc $1,284 15177%
Affiliated Ppo $1,360 16076%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals