CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: National Park Medical Center

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $12
  • Cash Discount Price: $651
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at National Park Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $651. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.14x the Medicare baseline. Located in 1910 Malvern Avenue, Hot Springs, AR.
Cash / Self-Pay
$651

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $651 (6165%)
Insurance Median: $12 (114%)
Cash: $651 (6165% of Medicare)
Ins. Median: $12 (114% 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.

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
Aetna $11 - $1,520 104%
Blue Cross Blue Shield $11 - $12 104%
Humana $11 104%
UnitedHealthcare $11 - $222 104%
Wellcare By Allwell $11 104%
Hmo Partners Dba Health Advantage $12 114%
Usable Hmo Inc $12 114%
Medicaid / KanCare $15 142%
Ambetter / Centene $20 189%
Arkansas Total Care $34 322%
Summit Community Care $34 322%
Qca Health Plan Inc $65 616%
Qualchoice Life And Health Insurance Company Inc $65 616%
Government Employees Health Association $244 2311%
Cigna $570 5398%
Meritain Health $1,520 14394%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1910 Malvern Avenue, Hot Springs, AR 71901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals