CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Baylor Scott and White Medical Center Lake Pointe

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $41
Cash Discount Price: $139
vs. Medicare Baseline: 4.85x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Baylor Scott and White Medical Center Lake Pointe is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $139. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 4.85x the Medicare baseline. Located in 6800 Scenic Dr, Rowlett, TX.

Cash / Self-Pay

$139

Average discount available for prompt cash payment at this facility.

Insurance Median

$41

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: $139 (1643%)

Insurance Median: $41 (485%)

Cash: $139 (1643% of Medicare)

Ins. Median: $41 (485% 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 485% of the Medicare baseline (a markup of 385%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Baylor Scott & White Health Plan	$8 - $134	95%
Humana	$8 - $162	95%
Triwest	$8	95%
American Health Plan	$9	106%
Blue Cross Blue Shield	$9 - $62	106%
Corvel	$9	106%
Healthspring	$9	106%
Molina	$9	106%
Prime Health Services	$9	106%
Procare Advantage	$9	106%
Superior Health Plan	$9 - $25	106%
Wellpoint (Fka Amerigroup)	$9 - $25	106%
UnitedHealthcare	$10 - $11	118%
Ambetter / Centene	$18	213%
Cigna	$114 - $134	1348%
Aetna	$127	1501%
Employers Health Network	$127	1501%
Quiktrip	$127	1501%
University Of Mary Hardin-Baylor	$134	1584%
Texas A&M Commerce	$139	1643%
Imagine Health	$145	1714%
Curative	$150	1773%
First Health	$162	1915%
Healthsmart	$162 - $173	1915%
Private Health Care System	$173	2045%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $139.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80048.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baylor Scott and White Medical Center Lake Pointe is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80048.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.