Lab Work Cost in Austin, TX

This page displays published hospital pricing data for laboratory services across the metro area. The facility fee covers collection supplies, laboratory equipment, technologist staff time, lab space utilization, and administrative costs for processing and reporting. Pricing includes the Complete Blood Count with Differential (HCPCS code 85025) and Comprehensive Metabolic Panel (HCPCS code 80053) along with associated facility charges. These prices are sourced from CMS-mandated hospital price transparency files that hospitals must publish annually.

Data last updated: Unknown

Scope note: These are hospital lab fees only. Independent labs (Quest Diagnostics, LabCorp, etc.) typically charge significantly less for routine blood work but are not covered by the CMS Hospital Price Transparency Rule, so they are not included in this data.

Comprehensive Metabolic Panel (CMP) (HCPCS 80053)

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Hospital	Gross Charge	Cash Price	Low Insured	High Insured
BSW Emergency Medical Cen	$330.75	$198.45	$11.09	$214.99	Schedule →
BSW Medical Center Austin	$330.75	$198.45	$10.03	$248.06	Schedule →
BSW Medical Center Buda	$330.75	$198.45	$10.03	$248.06	Schedule →
BSW Medical Center Lakewa	$330.75	$198.45	$10.03	$297.68	Schedule →
BSW Medical Center Marble	$247.66	$148.6	$9	$222.89	Schedule →
BSW Medical Center Pfluge	$330.75	$198.45	$10.03	$297.68	Schedule →
BSW Medical Center Round	$330.75	$198.45	$10.03	$297.68	Schedule →
BSW Medical Center Taylor	$330.75	$198.45	$9	$264.6	Schedule →

Complete Blood Count (CBC) with Differential (HCPCS 85025)

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Hospital	Gross Charge	Cash Price	Low Insured	High Insured
BSW Emergency Medical Cen	$103.87	$62.32	$8.16	$67.52	Schedule →
BSW Medical Center Austin	$103.87	$62.32	$7.38	$77.9	Schedule →
BSW Medical Center Buda	$103.87	$62.32	$7.38	$77.9	Schedule →
BSW Medical Center Lakewa	$103.87	$62.32	$7.38	$93.48	Schedule →
BSW Medical Center Marble	$138.6	$83.16	$7.38	$124.74	Schedule →
BSW Medical Center Pfluge	$103.87	$62.32	$7.38	$93.48	Schedule →
BSW Medical Center Round	$103.87	$62.32	$7.38	$93.48	Schedule →
BSW Medical Center Taylor	$103.87	$62.32	$9	$83.1	Schedule →

What These Prices Mean

Understanding the price columns: The gross charge represents the hospital's published list price before any discounts. Cash prices are 60% of gross charges across all facilities, meaning patients paying out-of-pocket receive a 40% discount. For the CBC test, gross charges are $103.87 at most locations and $138.60 at Marble Falls, resulting in cash prices of $62.32 and $83.16 respectively. The CMP shows larger dollar amounts with gross charges of $330.75 at most facilities and $247.66 at Marble Falls, creating cash prices of $198.45 and $148.60. Patients on high-deductible plans who have not met their deductible pay the negotiated insurance rate, not the cash price. Differences between lab codes: The CMP costs significantly more than the CBC because it requires more complex chemical analysis equipment and measures 14 different blood chemistry components compared to the CBC's cellular counting. At most facilities, the CMP costs $136.13 more in cash than the CBC ($198.45 vs $62.32).

Why Lab Work Prices Vary

Hospital pricing structures: Gross charges vary by location, with most BSW facilities charging $103.87 for CBC and $330.75 for CMP, while Marble Falls charges $138.60 for CBC and $247.66 for CMP. Despite the uniform 60% discount percentage across all locations, cash prices still differ due to varying starting gross charges. The CBC cash price range spans $20.84 ($83.16 minus $62.32), while CMP cash prices vary by $49.85 ($198.45 minus $148.60). Facility type and alternatives: These prices reflect hospital-based laboratory services, which typically cost more than independent laboratories or physician office labs not included in this dataset. Hospital labs often operate 24/7 and handle more urgent testing, contributing to higher facility costs. The cash price range across both tests spans from $62.32 to $198.45, with freestanding laboratory facilities potentially offering different pricing structures for routine testing.

Paying cash? Health insurance could lower your Lab Work cost.

Published cash prices on this page range from $62.32 to $198.45. Insurers on this page have negotiated rates starting from $10.03, many times lower than cash prices at the same hospitals. If you are uninsured, a marketplace health plan could reduce your out-of-pocket cost for this procedure.

Compare Health Insurance Plans → Get Free Plan Estimate →

Links go to Healthcare.gov, the official federal health insurance marketplace. We are not affiliated with Healthcare.gov or any insurance provider. This is not a recommendation for any specific plan.

Compare Insurer Rates for Lab Work in Austin

How much does each insurance company pay for lab work at Austin hospitals?

Insurer	Lowest Rate	At Hospital	Highest Rate	Hospitals
Baylor Scott & White Health Plan	$10.03	BSW Medical Center Austin	$141.56	7
Humana	$10.56	BSW Medical Center Austin	$231.53	7
Superior Health Plan	$10.56	BSW Medical Center Austin	$72.93	7
TriWest Healthcare Alliance	$10.56	BSW Medical Center Austin	$69.46	7
UnitedHealthcare	$11	BSW Medical Center Austin	$12.14	6
Aetna	$11.09	BSW Medical Center Lakeway	$136.21	7
Blue Cross Blue Shield of Texas	$11.09	BSW Medical Center Buda	$62.52	7
ProCare Advantage	$11.09	BSW Medical Center Austin	$72.93	7

Rates shown are the lowest and highest negotiated rates each insurer has published across Austin hospitals for this procedure. Your actual cost depends on your plan's deductible, copay, and coinsurance.

What Insurers Actually Pay

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Published negotiated rates for Comprehensive Metabolic Panel (CMP) (HCPCS 80053) at BSW Medical Center Round , outpatient facility fee:

Comprehensive Metabolic Panel (CMP) (80053), BSW Medical Center Round Payer Rates

Insurance Payer	Plan Type	Negotiated Rate
Baylor Scott & White Health Plan	Medicare Advantage	$10.03
Baylor Scott & White Health Plan	Medicare Advantage	$10.03
Humana	Medicare	$10.56
Humana	Medicare	$10.56
Superior Health Plan	Medicare HMO/Medicare PPO	$10.56
Superior Health Plan	Medicare HMO/Medicare PPO	$10.56
TriWest	Community Care Network	$10.56
TriWest	Community Care Network	$10.56
United Healthcare	Commercial	$11
United Healthcare	Commercial	$11
CORVEL	Worker's Compensation	$11.06
CORVEL	Worker's Compensation	$11.06
Prime Health Services	Worker's Compensation	$11.06
Prime Health Services	Worker's Compensation	$11.06
American Health Plan	Medicare Advantage	$11.09
American Health Plan	Medicare Advantage	$11.09
Blue Cross Blue Shield	Medicare Advantage	$11.09
Blue Cross Blue Shield	Medicare Advantage	$11.09
HealthSpring	Medicare Advantage	$11.09
HealthSpring	Medicare Advantage	$11.09
ProCare Advantage	Medicare Advantage	$11.09
ProCare Advantage	Medicare Advantage	$11.09
United Healthcare	Medicare Advantage	$12.14
United Healthcare	Medicare Advantage	$12.14
Baylor Scott & White Health Plan	BSW Premier - Small Group	$12.67
Baylor Scott & White Health Plan	BSW Premier - Small Group	$12.67
Injury Management Organization	Med Select Network	$13.12
Injury Management Organization	Med Select Network	$13.12
Baylor Scott & White Health Plan	BSW Premier - Individual	$13.25
Baylor Scott & White Health Plan	BSW Premier - Individual	$13.25
CareWorks fka Rockport	Worker's Compensation	$15.79
CareWorks fka Rockport	Worker's Compensation	$15.79
Sedgwick	Preferred Network	$15.79
Sedgwick	Preferred Network	$15.79
Baylor Scott & White Health Plan	BSW Plus - Small Group	$17.42
Baylor Scott & White Health Plan	BSW Plus - Small Group	$17.42
Blue Cross Blue Shield	Blue Premier	$51.22
Blue Cross Blue Shield	Blue Premier	$51.22
Blue Cross Blue Shield	High Performance Network	$51.22
Blue Cross Blue Shield	High Performance Network	$51.22
Blue Cross Blue Shield	My BlueHealth	$51.22
Blue Cross Blue Shield	My BlueHealth	$51.22
Blue Cross Blue Shield	Blue Advantage	$51.85
Blue Cross Blue Shield	Blue Advantage	$51.85
Blue Cross Blue Shield	Blue Essentials (HMO)	$59.35
Blue Cross Blue Shield	Blue Essentials (HMO)	$59.35
Blue Cross Blue Shield	BlueChoice (PPO)	$62.52
Blue Cross Blue Shield	BlueChoice (PPO)	$62.52
Superior Health Plan	Medicaid	$66.15
Superior Health Plan	Medicaid	$66.15
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	$120.33
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	$120.33
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	$141.56
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	$141.56
Cigna	Local Plus	$170.01
Cigna	Local Plus	$170.01
Aetna	Commercial	$181.91
Aetna	Commercial	$181.91
QuikTrip	Employee Benefit Plan	$181.91
QuikTrip	Employee Benefit Plan	$181.91
QuikTrip	Employee Benefit Plan	$181.91
QuikTrip	Employee Benefit Plan	$181.91
MidCoast	Commercial	$181.91
MidCoast	Commercial	$181.91
MidCoast	Commercial	$181.91
MidCoast	Commercial	$181.91
University of Mary Hardin-Baylor	Commercial	$191.84
University of Mary Hardin-Baylor	Commercial	$191.84
Independent Medical System	Commercial PPO	$198.45
Independent Medical System	Commercial PPO	$198.45
Independent Medical System	Commercial PPO	$198.45
Independent Medical System	Commercial PPO	$198.45
Cigna	HMO/PPO	$199.44
Cigna	HMO/PPO	$199.44
Curative	Commercial	$214.99
Curative	Commercial	$214.99
Curative	Commercial	$214.99
Curative	Commercial	$214.99
Humana	Commercial HMO	$214.99
Humana	Commercial HMO	$214.99
First Health	PPO	$231.53
First Health	PPO	$231.53
First Health	PPO	$231.53
First Health	PPO	$231.53
HealthSmart	Accel Network	$231.53
HealthSmart	Accel Network	$231.53
Humana	Commercial PPO	$231.53
Humana	Commercial PPO	$231.53
BlueBell Creameries	Self Insured	$248.06
BlueBell Creameries	Self Insured	$248.06
HealthSmart	Preferred Network	$248.06
HealthSmart	Preferred Network	$248.06
Private Health Care System	PHCS Network	$248.06
Private Health Care System	PHCS Network	$248.06
Three Rivers	Three Rivers Provider Network	$297.68
Three Rivers	Three Rivers Provider Network	$297.68
Three Rivers	Three Rivers Provider Network	$297.68
Three Rivers	Three Rivers Provider Network	$297.68

Key finding: Insurance rates vary dramatically, with CMP payments ranging from $10.03 for Medicare Advantage plans to $297.68 for some commercial networks.

How to Use This Information

✓ These are facility fees only. The physician's fee is billed separately.
✓ Contact your insurer or the hospital billing department for your specific out-of-pocket cost.
✓ Many hospitals offer financial assistance programs for patients who qualify.

Our methodology · Medical Disclaimer

What Patients Ask About Lab Work Costs

How much does a lab work cost without insurance in Austin?

Without insurance, lab work cash prices in Austin vary by test type and hospital location. The Complete Blood Count with Differential costs $62.32 at most BSW facilities and $83.16 at BSW Medical Center Marble Falls. The Comprehensive Metabolic Panel costs $198.45 at most locations and $148.60 at Marble Falls. Overall, cash prices range from $62.32 to $198.45 depending on which tests are ordered and where they are performed. These facility fees cover the laboratory processing and do not include separate physician fees for reviewing results or the office visit where the doctor orders the tests.

Why is the gross charge so much higher than the cash price?

The gross charge represents the hospital's published list price, but almost no one pays this amount. All facilities in this dataset apply a consistent 60% cash price ratio, meaning cash-paying patients receive a 40% discount from gross charges. For example, the CBC gross charge of $103.87 becomes a $62.32 cash price, while the CMP drops from $330.75 to $198.45. These gross charges, also called chargemaster prices, serve as the starting point for calculating various discounted rates for different payment methods. Even with identical discount percentages, facilities with higher gross charges still result in higher final cash prices, as seen with Marble Falls having different pricing despite the same 60% ratio.

Does insurance cover a lab work?

Insurance coverage for lab work depends on your specific plan and whether the tests are approved by your insurer. Insurance negotiated rates vary significantly, ranging from $10.03 to $297.68 for the Comprehensive Metabolic Panel and $11.00 to $124.74 for the Complete Blood Count. Some insurers may require prior authorization for certain lab panels, particularly in non-emergency situations. Patients with high-deductible health plans who have not met their annual deductible will pay the negotiated insurance rate rather than the higher gross charge, though this amount can still vary widely depending on which insurance network their hospital participates in.

Are there additional fees beyond the lab work facility charge?

Beyond the laboratory facility charges shown here, patients typically incur fees for the physician office visit where the lab work is ordered and results are reviewed. The ordering physician's evaluation and interpretation of results is billed separately from the laboratory processing fees. If lab work is drawn during an emergency department visit, separate ER facility fees apply in addition to the laboratory charges. Blood collection fees may also be itemized separately from the actual test processing at some facilities. These additional professional and facility fees are billed separately and are not included in the laboratory facility charges listed in this pricing data.

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Data Sources

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Heads up: source files are large

Hospital CMS transparency files typically range from tens of megabytes to several hundred megabytes. Clicking a link below will open the file in a new tab and may trigger a large download, which can consume mobile data or slow down older devices. These files are intended for data processing, not casual viewing.

Ascension Seton Cedar Park

File updated: Unknown · Accessed by us: 2026-04-13

We are not affiliated with Ascension Seton Cedar Park. Published prices may not reflect your actual cost. Disclaimer