CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Sharp Coronado Hospital and Hlthcr Ctr

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $285
Cash Discount Price: $339
vs. Medicare Baseline: 26.99x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Sharp Coronado Hospital and Hlthcr Ctr is $285. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $339. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 26.99x the Medicare baseline. Located in 250 Prospect Place, Coronado, CA.

Cash / Self-Pay

$339

Average discount available for prompt cash payment at this facility.

Insurance Median

$285

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: $339 (3210%)

Insurance Median: $285 (2699%)

Cash: $339 (3210% of Medicare)

Ins. Median: $285 (2699% 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 2699% of the Medicare baseline (a markup of 2599%). 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
Aetna	$6 - $339	57%
Humana	$6	57%
Kaiser	$63	597%
Allianz Global Assistance	$134	1269%
Blue Cross Blue Shield	$134 - $407	1269%
UnitedHealthcare	$134 - $249	1269%
Health Net	$154 - $362	1458%
Medi-Cal	$178 - $303	1686%
Community Health Group	$179 - $252	1695%
County Medical Services	$222 - $249	2102%
Blue Shield	$228 - $339	2159%
Epic Americas	$285 - $316	2699%
Molina	$288 - $303	2727%
California Health And Wellness	$303	2869%
Managed Health Network	$339	3210%
Medicare (plans)	$339	3210%
San Diego Pace	$362	3428%
Cigna	$407	3854%

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 $339.
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 Sharp Coronado Hospital and Hlthcr Ctr 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.