CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $247
Cash Discount Price: $265
vs. Medicare Baseline: 23.39x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Medical West, An Affiliate of UAB Health System is $247. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $265. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 23.39x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$265

Average discount available for prompt cash payment at this facility.

Insurance Median

$247

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%)

Cash / Self-Pay: $265 (2509%)

Insurance Median: $247 (2339%)

Cash: $265 (2509% of Medicare)

Ins. Median: $247 (2339% 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 2339% of the Medicare baseline (a markup of 2239%). 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
Blue Cross Blue Shield	$10	95%
Aetna	$11 - $247	104%
Cigna	$11 - $255	104%
Cooper Green	$11	104%
Humana	$11 - $300	104%
Jefferson County Sheriff	$11	104%
Triwest	$11	104%
United Mine Workers	$11	104%
UnitedHealthcare	$11 - $12	104%
Viva	$12 - $176	114%
Ambetter / Centene	$15	142%
Phcs	$212 - $247	2008%
Beech Street	$219 - $247	2074%
One Health Plan	$229	2169%
Geha	$247	2339%
Healthchoice	$247	2339%
Alamed	$276	2614%
Construction Claims Management	$286	2708%
Multiplan	$289	2737%
Corvel	$292 - $318	2765%
Novanet	$295	2794%
Department Of Labor	$307	2907%
Heritage Summit Health	$307	2907%
Pnoa	$318	3011%
Three Rivers	$318	3011%

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 $265.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80053.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medical West, An Affiliate of UAB Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80053.
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.