CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: CHI St Lukes Lakeside Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $16
Cash Discount Price: $380
vs. Medicare Baseline: 1.89x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at CHI St Lukes Lakeside Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $380. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.89x the Medicare baseline. Located in 17400 St Lukes Way, The Woodlands, TX.

Cash / Self-Pay

$380

Average discount available for prompt cash payment at this facility.

Insurance Median

$16

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: $380 (4492%)

Insurance Median: $16 (189%)

Cash: $380 (4492% of Medicare)

Ins. Median: $16 (189% 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.

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
Renaissance	$6	71%
Blue Cross Blue Shield	$7 - $43	83%
UnitedHealthcare	$7 - $897	83%
Wellpoint	$7 - $13	83%
Cigna	$8 - $760	95%
Humana	$8 - $706	95%
Kelsey	$8	95%
Selectcare	$8	95%
Aetna	$9 - $738	106%
Amerivantage	$9	106%
Devoted	$9	106%
Kindred	$9	106%
Scanhealth	$9	106%
Tchp	$10 - $13	118%
United	$10 - $510	118%
Chc	$11 - $597	130%
Kelseycare	$11	130%
Ambetter / Centene	$13	154%
Community Health Choice	$13	154%
Harris Health	$13	154%
Bright Health	$14	165%
Nx Health	$28	331%
Tchpchip	$380 - $478	4492%
Texastruechoice	$597	7057%
Coventry	$706	8345%
First Health	$706	8345%
Healthsmart	$760	8983%
Interlink	$760	8983%
Multiplan	$814	9622%
USA Health Network	$923	10910%
Mhealth Network	$1,086	12837%

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 $380.
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 CHI St Lukes Lakeside Hospital 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.