CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Harlingen Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $10
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Harlingen Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.18x the Medicare baseline. Located in 5501 South Expressway 77, Harlingen, TX.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $8 (95%)
Insurance Median: $10 (118%)
Cash: $8 (95% of Medicare)
Ins. Median: $10 (118% 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
Medicaid / KanCare $7 - $15 83%
Superior Health Plan $7 - $14 83%
Aetna $8 95%
Blue Cross Blue Shield $8 - $27 95%
Careworks Worker Compensation Fka Rockport Community Network $8 95%
Cigna $8 - $14 95%
Humana $8 95%
Medicare (plans) $8 95%
Molina $8 - $15 95%
San Benito Medical Associates $8 95%
Texas Bluebonnett Health Plan $8 - $14 95%
Tricare $8 95%
UnitedHealthcare $8 - $10 95%
Veterans Evaluation Services $8 95%
Wellmed $8 95%
Workers Compensation $8 95%
Imperial Insurance Company $9 106%
Provider Partners Health Plan $9 106%
Asserta Health $11 130%
Friday Health Plan $11 130%
Magic Valley Electric Cooperative $11 130%
Superior Health Commercial Exchange $11 130%
Employer Direct Healthcare $12 142%
Corporate Remedies Worker Compensation $13 154%
Naphcare $13 154%
Baker Benefits Administrators $17 201%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5501 South Expressway 77, Harlingen, TX 78550
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals