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See a sample rate comparisonCPT 80048 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Basic Metabolic Pnl Total Ca, Basic Metabolic Panel (Calcium Total) This Panel Must Include The Following: Calcium Total (82310) Carbon Dioxide (Bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (Bun) (84520)
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Organ or Disease Oriented Panels |
| Common Place of Service | 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | $8.46 national lab fee schedule rate (2026) · View Medicare rates for 80048 |
| Medicaid Fee Schedule | $7.785 median of the 8 states in the free preview · View Medicaid rates for 80048 |
National average reimbursement for CPT 80048 by major payers:
$7.68
$5.95
$10.73
$12.64
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CPT 80048
5 of 25 sample ratesHigher to lower in this preview
Michael Peters
$46.43Published rateTodd Odegaard
Kremmling Memorial Hospital District
$4.96Published rateSai Anandi Ramaswami
$3.54Published rateDavid Ziegler
University Physicians Incorporated
$3.54Published rateCornerstone Health Community PC
$3.54Published rate
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See a sample payer proposalCPT 80048 vs. Other Organ or Disease Oriented Panels Codes
The CPT 80048 code is part of the Pathology and Laboratory Procedures services used for Organ or Disease Oriented Panels. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 80048 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 80047-CPT | Low | Basic Metablc Pnl Ionized Ca, Basic Metabolic Panel (Calcium Ionized) This Panel Must Include The Following: Calcium Ionized (82330) Carbon Dioxide (Bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (Bun) (84520) |
| 80048-CPT | Low | Basic Metabolic Pnl Total Ca, Basic Metabolic Panel (Calcium Total) This Panel Must Include The Following: Calcium Total (82310) Carbon Dioxide (Bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (Bun) (84520) |
| 80051-CPT | Low | Electrolyte Testing, An Electrolyte Panel Is A Blood Test That Measures Levels Of Sodium Potassium Chloride And Bicarbonate In The Blood. It Commonly Helps Monitor Medication Effects And Evaluate Kidney Function. |
| 80053-CPT | Low | Comprehen Metabolic Panel, Comprehensive Metabolic Panel This Panel Must Include The Following Albumin 82040 Bilirubin Total 82247 Calcium Total 82310 Carbon Dioxide Bicarbonate 82374 Chloride 82435 Creatinine 82565 Glucose 82947 Phosphatase Alkaline 84075 Potassium 84132 Protein Total 84155 Sodium 84295 Transferase Alanine Amino Alt Sgpt 84460 Transferase Aspartate Amino Ast Sgot 84450 Urea Nitrogen Bun 84520 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 80048. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 80048 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
To find out the cost of a medical procedure, you should first obtain the specific CPT (Current Procedural Terminology) code from your doctor or healthcare provider. Once you have the CPT code and your specific location, you can use online tools to look up pricing. For accurate fee schedule lookups tailored to your location and CPT code, it's recommended to use services like Payerprice. They offer a fee schedule lookup tool for users to search with CPT code and specific location. You should also contact your insurance provider directly to understand your out-of-pocket expenses, deductibles, and co-pays, as these will affect your final cost.
A CPT (Current Procedural Terminology) code is a standardized five-digit code used by healthcare providers to describe medical, surgical, and diagnostic services. These codes are essential for accurate billing and to facilitate communication about medical procedures between providers, patients, and insurance companies. When looking up the cost of a specific procedure, having its CPT code will allow you to get the most accurate pricing information, for example, by using a tool like Payerprice.
Healthcare costs can vary significantly due to a multitude of factors. These include the geographic location of the provider, the type of facility (e.g., hospital vs. independent clinic), the specific insurance plan you have, the negotiated rates between providers and insurers, the complexity of the procedure, and even differences in overhead costs. These variations make it challenging for consumers to predict costs, highlighting the importance of using tools like Payerprice to research pricing for specific CPT codes in your area.
Yes, there are ways to compare prices before receiving care. The most effective method is to obtain the CPT code for your anticipated procedure from your healthcare provider. With this code and your location, you can then utilize online price transparency tools. Payerprice, for instance, offers a fee schedule lookup tool where you can search by CPT code and location to get an estimate of costs. Additionally, contacting your insurance company directly can help you understand what your specific plan will cover and what your out-of-pocket responsibility will be.
Your deductible is the amount you must pay for covered healthcare services before your insurance plan starts to pay. For example, if your deductible is $1,000, you pay the first $1,000 of covered services yourself. Your out-of-pocket maximum is the most you have to pay for covered services in a plan year. After you reach this limit, your health plan pays 100% of the costs of covered benefits. The deductible contributes to the out-of-pocket maximum, but co-pays and co-insurance also contribute to the out-of-pocket maximum even after the deductible is met.