CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: University of Alabama Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $228
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 21.59x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at University of Alabama Hospital is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 21.59x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$228

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$10.56

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $10.56 (100%)
Insurance Median: $228 (2159%)
Ins. Median: $228 (2159% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $10.56 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 2159% of the Medicare baseline (a markup of 2059%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Humana $10 - $388 95%
Viva $10 - $11 95%
Birmingham Fc $11 104%
Blue Cross Blue Shield $11 104%
Cigna $11 - $306 104%
Cooper Green $11 104%
Davita Villagehealth $11 104%
Jefferson County Sheriff $11 104%
Triwest $11 104%
UnitedHealthcare $11 - $248 104%
Ambetter / Centene $15 142%
University Of Alabama $92 - $228 871%
Aetna $112 - $278 1061%
Coventry $119 - $368 1127%
North Alabama Managed Care $119 - $296 1127%
Comp One $132 - $328 1250%
Alamed $137 - $342 1297%
Construction Claims Management $137 - $341 1297%
Corvel $146 - $365 1383%
Evolutions $146 - $410 1383%
Healthcare Alliance $146 - $365 1383%
Novanet $146 - $410 1383%
Prime Health Services $146 - $410 1383%
Select Value Care $146 - $365 1383%
Starcare $146 - $365 1383%
Tethys $146 - $365 1383%
Multiplan $150 - $374 1420%
Department Of Labor $156 - $388 1477%
Geha $156 - $388 1477%
Gulf Health Plans $156 - $388 1477%
Heritage Summit Health $156 - $388 1477%
Mississippi Physicians $156 - $388 1477%
Phifer $156 - $388 1477%
Preferred Health Partnership $156 - $388 1477%
Southern Nuclear $156 - $388 1477%
Vantage Health Plan $156 - $388 1477%
Galaxy Health Network $165 - $410 1563%
National Provider Network $165 - $410 1563%
North Mississippi Health Link $165 - $410 1563%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals