Blood test, comprehensive metabolic panel
Facility: College Medical Center Phoenix
Billing Code: 80053 (CPT)
- CPT Billing Code: 80053
- Insurance Median: $475
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 44.98x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 4498% of the Medicare baseline (a markup of 4398%). 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.
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 | $475 | 4498% |
| Alignment Health- Ma | $475 | 4498% |
| Allwell Behavioral From Azch- Ma | $475 | 4498% |
| Ambetter / Centene | $475 | 4498% |
| Arizona Complete Care Plan- Mc | $475 | 4498% |
| Banner University Family Care- Mc | $475 | 4498% |
| Blue Cross Blue Shield | $475 | 4498% |
| Cigna | $475 | 4498% |
| Complete Care Plan- Rbha | $475 | 4498% |
| Devoted Health Inc. | $475 | 4498% |
| Evernorth Commercial | $475 | 4498% |
| Fed Emerg Svc- Mc | $475 | 4498% |
| Health Choice Generations- Ma | $475 | 4498% |
| Health Choice- Ex | $475 | 4498% |
| Health Choice- Mc | $475 | 4498% |
| Humana | $475 | 4498% |
| Magellan Behavioral Health | $475 | 4498% |
| Medicaid / KanCare | $475 | 4498% |
| Medicare (plans) | $475 | 4498% |
| Mercy Care Ahcccs- Mc | $475 | 4498% |
| Mercy Care Dcs Chip- Mc | $475 | 4498% |
| Mercy Care Mcr Advantage- Ma | $475 | 4498% |
| Mercy Maricopa- Rbha | $475 | 4498% |
| Misc Commercial Health Plan | $475 | 4498% |
| Molina Health Care- Mc | $475 | 4498% |
| Self Pay Ip Detox | $475 | 4498% |
| Self Pay Ip Psych | $475 | 4498% |
| Trbha | $475 | 4498% |
| Tricare | $475 | 4498% |
| Triwest Veterans Choice- Gov | $475 | 4498% |
| Ubh Commercial | $475 | 4498% |
| UnitedHealthcare | $475 | 4498% |
| University Phys Care Advantage- Ma | $475 | 4498% |
| Veterans Administration- Gov | $475 | 4498% |
| Wellcare By Allwell- Ma | $475 | 4498% |