CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Baylor Scott & White Hospital Brenham

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $103
Cash Discount Price: $145
vs. Medicare Baseline: 12.17x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Baylor Scott & White Hospital Brenham is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $145. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 12.17x the Medicare baseline. Located in 700 Medical Parkway, Brenham, TX.

Cash / Self-Pay

$145

Average discount available for prompt cash payment at this facility.

Insurance Median

$103

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: $145 (1714%)

Insurance Median: $103 (1217%)

Cash: $145 (1714% of Medicare)

Ins. Median: $103 (1217% 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 1217% of the Medicare baseline (a markup of 1117%). 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
UnitedHealthcare	$9	106%
Baylor Scott & White Health Plan	$30 - $103	355%
Triwest	$31	366%
American Health Plan	$33	390%
Blue Cross Blue Shield	$33 - $50	390%
Corvel	$33	390%
Healthspring	$33	390%
Prime Health Services	$33	390%
Procare Advantage	$33	390%
Superior Health Plan	$33	390%
Careworks Fka Rockport	$39	461%
Injury Management Organization	$39	461%
Sedgwick	$39	461%
Cigna	$124 - $146	1466%
Aetna	$133	1572%
Midcoast	$133	1572%
Quiktrip	$133	1572%
University Of Mary Hardin-Baylor	$140	1655%
Independent Medical System	$145	1714%
Imagine Health	$151	1785%
Curative	$157	1856%
First Health	$169	1998%
Healthsmart	$169 - $181	1998%
Humana	$169 - $193	1998%
Private Health Care System	$181	2139%
Bluebell Creameries	$217	2565%

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 $145.
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 & White Hospital Brenham 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.