CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Banner Boswell Medical Center

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $16
  • Cash Discount Price: $119
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Banner Boswell Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.52x the Medicare baseline. Located in 13632 N 99Th Ave, Sun City, AZ.
Cash / Self-Pay
$119

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $119 (1127%)
Insurance Median: $16 (152%)
Cash: $119 (1127% of Medicare)
Ins. Median: $16 (152% 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 - $416 104%
Arizona Physicians Ipa $11 104%
Banner Health $11 104%
Banner University Health Plan $11 104%
Blue Cross Blue Shield $11 - $37 104%
Care 1St $11 104%
Carelon $11 104%
Cigna $11 - $21 104%
Devoted Health Services $11 104%
Gila River Health Care Corporation $11 104%
Health Choice Arizona, Inc. $11 - $16 104%
Health Net $11 - $16 104%
Humana $11 104%
Kaiser Foundation Health Plan $11 104%
Mercy Care $11 104%
Triwest Healthcare Alliance Corp - Va Ccn $11 104%
UnitedHealthcare $11 - $24 104%
Upmc Health Plan $11 104%
Wellpoint $11 104%
Arizona Priority Care $12 114%
Gold Kidney Health Plan $12 114%
Oscar Health Plan $17 161%
Hospice Of The Valley $276 2614%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $355 3362%
Plotkin Health $355 3362%
Quiktrip Corporation $426 4034%
Provider Network Of America $592 5606%
Arizona Medical Network $631 5975%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13632 N 99Th Ave, Sun City, AZ 85351
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals