CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Ascension Seton Hays

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $9
  • Cash Discount Price: $228
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Ascension Seton Hays is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $228. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.06x the Medicare baseline. Located in 6001 Kyle Pkwy, Kyle, TX.
Cash / Self-Pay
$228

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $228 (2695%)
Insurance Median: $9 (106%)
Cash: $228 (2695% of Medicare)
Ins. Median: $9 (106% 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
Ambetter / Centene $7 - $15 83%
Blue Cross Blue Shield $7 - $40 83%
Dell Chip/Chip Perinate $7 - $9 83%
Dell Star $7 - $9 83%
UnitedHealthcare $7 - $9 83%
Wellpoint Chip/Chip Perinate $7 - $9 83%
Wellpoint Star $7 - $9 83%
Wellpoint Star Kids $7 83%
Wellpoint Star Plus $7 - $9 83%
Aarp Mc Wellmed $8 95%
Addr Cancer Together $8 95%
Aetna $8 - $63 95%
Covid Hrsa $8 95%
Cshcn Cidc $8 95%
Devoted Health Mcr Replacement $8 95%
Humana $8 - $14 95%
Medicare (plans) $8 95%
Research Study $8 95%
Sendero Chap $8 95%
Smarthealth $8 95%
Superior Allwell $8 95%
Tricare $8 95%
Utmb $8 95%
Wellcare Med Advantage $8 95%
Connected Senior Care $9 106%
Pphp Mcr Advantage $9 106%
Tx Independence Hp $9 106%
Champva $10 - $11 118%
Occunet $12 142%
Sendero Idealcare $15 177%
Cigna $20 236%
Seton Performance Plus $20 236%
Covenant Health $46 544%
Superior Star $172 - $264 2033%
Superior Star Foster $172 - $264 2033%
Superior Star Kids $172 - $264 2033%
Superior Star Plus $172 - $264 2033%
Superior Chip/Chip Perinate $193 - $297 2281%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6001 Kyle Pkwy, Kyle, TX 78640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals