CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Adventist Health White Memorial Montebello

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $12
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Adventist Health White Memorial Montebello is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.14x the Medicare baseline. Located in 309 W Beverly Blvd, Montebello, CA.
Cash / Self-Pay
$11

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $11 (104%)
Insurance Median: $12 (114%)
Cash: $11 (104% of Medicare)
Ins. Median: $12 (114% 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 - $210 104%
Alignment Health Plan-All Plans $11 104%
Altamed Mcare-All Other Plans $11 104%
Blue Shield Mcare Adv $11 104%
Brand New Day Mcare-All Other Plans $11 104%
Brandman Health Plan-All Plans $11 104%
Caremore-All Plans $11 104%
Clever Care Hp-All Plans $11 104%
Easy Choice Mcare Adv-All Plans $11 104%
Healthnet Med Adv $11 104%
Kaiser Mcare Adv $11 104%
Oscar-All Plans $11 104%
Scan Health-All Plans $11 104%
Altamed Mcal $12 114%
Bc Mcal $12 114%
Blue Shield Promise Mcal $12 114%
Brand New Day Mcal $12 114%
Healthnet Mcal $12 114%
Kaiser Mcal $12 114%
La Care Mcal $12 114%
Medi-Cal $12 114%
Molina Mcal - All Plans $12 114%
Blue Shield Epn Ifp $15 142%
Cigna $20 189%
Healthnet Salud $171 1619%
Blue Shield Epn Core $271 2566%
Blue Shield Comm - All Other Plans $281 2661%
Healthcare Partners-All Plans $281 2661%
Blue Cross Blue Shield $381 3608%
Healthnet Comm-All Other Plans $515 4877%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 309 W Beverly Blvd, Montebello, CA 90640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals