CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Page Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $78
Cash Discount Price: $77
vs. Medicare Baseline: 7.39x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Page Hospital is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 7.39x the Medicare baseline. Located in 501 North Navajo Drive, Page, AZ.

Cash / Self-Pay

$77

Average discount available for prompt cash payment at this facility.

Insurance Median

$78

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: $77 (729%)

Insurance Median: $78 (739%)

Cash: $77 (729% of Medicare)

Ins. Median: $78 (739% 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 739% of the Medicare baseline (a markup of 639%). 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
Arizona Physicians Ipa	$11 - $73	104%
Banner University Health Plan	$11 - $73	104%
Health Choice Arizona, Inc.	$11 - $88	104%
Health Net	$11 - $107	104%
Humana	$11 - $46	104%
Mercy Care	$11 - $73	104%
Plotkin Health	$62	587%
Aetna	$68 - $124	644%
Banner Health	$73	691%
Blue Cross Blue Shield	$73 - $108	691%
Care 1St	$73	691%
Cigna	$73 - $126	691%
Gila River Health Care Corporation	$73	691%
Kaiser Foundation Health Plan	$73	691%
Triwest Healthcare Alliance Corp - Va Ccn	$73	691%
UnitedHealthcare	$73 - $75	691%
Upmc Health Plan	$73	691%
Wellpoint	$73	691%
Carelon	$76	720%
Arizona Priority Care	$80	758%
Devoted Health Services	$80	758%
Gold Kidney Health Plan	$80	758%
Quiktrip Corporation	$96	909%
Coconino County Sheriff'S Department	$100	947%
Oscar Health Plan	$120	1136%
Provider Network Of America	$123	1165%
Arizona Medical Network	$130	1231%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi)	$130	1231%

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 $77.
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 Page Hospital 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.