CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Womans Hospital of Texas,The

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $11
  • Cash Discount Price: $1,892
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Womans Hospital of Texas,The is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,892. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.30x the Medicare baseline. Located in 7600 Fannin, Houston, TX.
Cash / Self-Pay
$1,892

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: $1,892 (22364%)
Insurance Median: $11 (130%)
Cash: $1,892 (22364% 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 - $662 95%
Cigna $8 - $45 95%
Devoted Health $8 95%
Humana $8 - $113 95%
Oscar $8 - $24 95%
Triwest Healthcare Alliance $8 95%
United $8 - $851 95%
Wellmed $8 95%
American Health Plan $9 106%
Christus (Usfhp) $9 106%
Integranet Amerigroup Ipa $9 106%
Kelsey Seybold $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 - $114 106%
Triwest Health Alliance $9 106%
Van Lang Ipa $9 106%
Wellcare $9 106%
Community Health Choice Mcd $10 118%
Texas Childrens Health Plans $10 - $494 118%
Texas Health Network $10 118%
Universal Healthcare Group $10 118%
Aetna $11 - $45 130%
Molina Healthcare $11 - $19 130%
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%
Evry Health $517 6111%
Imagine Health $662 7825%
Kelsey Care (Boon-Chapman) $662 7825%
Healthsmart Preferred Care $814 - $1,608 9622%
Averde Health $851 10059%
Fidelis Securecare Of Tx $851 10059%
Coventry National First Health $1,008 11915%
Physicians Cooperative Of Texas $1,041 12305%
Rockport Workers Comp $1,041 12305%
Independent Medical System $1,135 13416%
National Healthcare Solutions $1,135 13416%
Southwest Medical $1,135 13416%
Coastal Comp $1,230 14539%
Affiliated Ppo $1,419 16773%
Fiesta Mart, Inc $1,419 16773%
Multiplan $1,419 - $1,608 16773%
Physicians, Inc $1,608 19007%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7600 Fannin, Houston, TX 77054
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals