CMS Price Transparency Data
Blood test, comprehensive metabolic panel
Facility: Adventist Health White Memorial
Billing Code: 80053 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80053
- Insurance Median: $14
- Cash Discount Price: $208
- vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Adventist Health White Memorial is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $208. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.33x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$208
Average discount available for prompt cash payment at this facility.
Insurance Median
$14
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: $208 (1970%)
Insurance Median: $14 (133%)
Cash: $208 (1970% of Medicare)
Ins. Median: $14 (133% 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
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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 Shield Epn | $3 - $289 | 28% |
| Bc Medi-Cal | $4 | 38% |
| Blue Shield - All Other Plans | $4 - $337 | 38% |
| Blue Shield Mcr Adv | $4 - $364 | 38% |
| Kaiser- All Plans | $5 - $498 | 47% |
| Pacific Ipa - All Other Plans | $5 - $462 | 47% |
| UnitedHealthcare | $5 - $608 | 47% |
| Caremore Mcare - All Plans | $6 - $608 | 57% |
| Hcpamg - All Plans | $6 - $609 | 57% |
| Healthnet - All Other Plans | $6 - $549 | 57% |
| Healthnet Comm Care | $6 - $567 | 57% |
| Western Growers/Pinnacle - All Plans | $6 - $620 | 57% |
| First Heatlh Ppo - All Plans | $7 - $705 | 66% |
| Healthcare Inc - All Other Plans | $7 - $668 | 66% |
| La Care Mcr Adv - All Plans | $7 - $668 | 66% |
| Phcs Ppo - All Plans | $8 - $790 | 76% |
| Scan Health Mcare - All Plans | $8 - $790 | 76% |
| Access Group | $9 | 85% |
| Ahp - All Other Plans | $9 | 85% |
| Lasalle Mg Commercial - All Other Plans | $9 | 85% |
| Ahf - All Plans | $10 - $911 | 95% |
| Beech Street - All Plans | $10 - $911 | 95% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $10 | 95% |
| Corvel Corp - All Plans | $10 - $972 | 95% |
| Interplan Ppo - All Plans | $10 - $911 | 95% |
| Access Senior - All Other Plans | $11 | 104% |
| Ahp Senior | $11 | 104% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $11 | 104% |
| Altamed Connect | $11 | 104% |
| Avanti Mcr Adv - All Other Plans | $11 | 104% |
| Blue Cross Blue Shield | $11 - $118 | 104% |
| Brand New Day Mcare - All Plans | $11 | 104% |
| Bs Va Mcare | $11 | 104% |
| Care First Mcare - All Other Plans | $11 | 104% |
| Clever Care - All Plans | $11 | 104% |
| Fcs Ipa Mcr Advan Op/Profee Only | $11 | 104% |
| Fcs Ipa Op/Profee Only - All Other Plans | $11 | 104% |
| Fpn Ppo - All Plans | $11 - $1,094 | 104% |
| Healthmannet - All Plans | $11 - $1,033 | 104% |
| Humana | $11 | 104% |
| Lasalle Mg Senior | $11 | 104% |
| Medicare (plans) | $11 | 104% |
| Molina Mcare | $11 | 104% |
| Multiplan Ppo - All Plans | $11 - $1,008 | 104% |
| Next Inc Ppo - All Plans | $11 - $1,033 | 104% |
| Pacific Alliance Mcare - All Other Plans | $11 | 104% |
| Preferred Senior | $11 | 104% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $11 | 104% |
| Tricare | $11 | 104% |
| Trpn - All Plans | $11 - $1,033 | 104% |
| Access Medi-Cal | $12 | 114% |
| Ahp Medi-Cal | $12 | 114% |
| Alta Los Angeles Mcal 1/1/19 | $12 | 114% |
| Avanti Mcal | $12 | 114% |
| Bella Vista Medi-Cal Op/Profee Only | $12 | 114% |
| Bright Health - All Plans | $12 | 114% |
| Healthcare Inc Medi-Cal | $12 | 114% |
| Lasalle Mg Medi-Cal | $12 | 114% |
| Medi-Cal | $12 | 114% |
| Molina Medi-Cal | $12 | 114% |
| Pacific Alliance Medi-Cal | $12 | 114% |
| Pacific Ipa Medi-Cal | $12 | 114% |
| Preferred Ipa La Care Mcal Cap | $12 | 114% |
| Preferred Medi-Cal | $12 | 114% |
| Altamed Medi-Cal - All Other Plans | $13 - $14 | 123% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $13 | 123% |
| Assoc Hispanic Physcns Mcal | $13 - $17 | 123% |
| Blue Shield Medi-Cal | $13 - $30 | 123% |
| Care First Medi-Cal | $13 - $42 | 123% |
| Fcs Ipa Medi-Cal Op/Profee Only | $13 - $15 | 123% |
| Healthnet Mcal | $13 - $14 | 123% |
| Preferred Commercial - All Other Plans | $13 | 123% |
| Preferred Healthy | $13 - $15 | 123% |
| Intergrated Medical - All Plans | $14 | 133% |
| Molina Benefit Exchange - All Other Plans | $14 | 133% |
| Php-Prospect Health Plan Cap - All Plans | $16 | 152% |
| Ah Employee Health Plan - All Plans | $19 | 180% |
| Healthnet Mcr Adv | $19 - $1,859 | 180% |
| Centivo - All Plans | $24 | 227% |
| Cigna | $44 | 417% |
| Aetna | $56 | 530% |