CMS Price Transparency Data
Blood test, comprehensive metabolic panel
Facility: Monterey Park Hospital
Billing Code: 80053 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80053
- Insurance Median: $15
- Cash Discount Price: $1,067
- vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Monterey Park Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,067. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.42x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$1,067
Average discount available for prompt cash payment at this facility.
Insurance Median
$15
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: $1,067 (10104%)
Insurance Median: $15 (142%)
Cash: $1,067 (10104% of Medicare)
Ins. Median: $15 (142% 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 |
|---|---|---|
| Altamed Health Services Corporation | $5 - $208 | 47% |
| Care 1St M Cal | $5 - $208 | 47% |
| Crown City Medical Group Inc | $5 - $208 | 47% |
| Family Health Alliance Medical Group | $5 - $500 | 47% |
| Garfield Medical Center | $5 - $208 | 47% |
| Physician Healthways | $5 - $521 | 47% |
| Universal Care M Cal/Advantage Health Network | $5 - $208 | 47% |
| Veterans Administration | $7 | 66% |
| Applecare Medical Group | $8 - $9 | 76% |
| Bella Vista Medical Group | $8 - $625 | 76% |
| La Care Health Plan | $8 - $1,146 | 76% |
| Access Ipa Ancillary | $9 - $10 | 85% |
| Accountable Ipa | $9 | 85% |
| Ahmc Healthcare Inc | $9 - $625 | 85% |
| Allied Physicians | $9 - $16 | 85% |
| Alta Med Health Services Corp | $9 - $521 | 85% |
| Altamed Health Network | $9 - $10 | 85% |
| Altamed Health Services | $9 | 85% |
| Assess Ipa | $9 | 85% |
| Associated Hispanic Physicians Ancillary | $9 - $10 | 85% |
| Bella Vista Medical Group Ancillary | $9 | 85% |
| Beverly Hospital | $9 - $12 | 85% |
| Blue Cross Blue Shield | $9 - $1,042 | 85% |
| Brand New Day | $9 - $13 | 85% |
| Care 1St Mcl/Gar Cap | $9 | 85% |
| Central Health Plan | $9 | 85% |
| Community Health Plan | $9 | 85% |
| Esperanza Medical Group Ipa | $9 - $500 | 85% |
| Health Net Medi Cal | $9 | 85% |
| Healthnet Inc | $9 | 85% |
| Healthy Way La | $9 | 85% |
| La Care | $9 - $11 | 85% |
| Medical Managed Care Program | $9 | 85% |
| Molina Healthcare | $9 | 85% |
| Other Non-Contracted Medi-Cal | $9 | 85% |
| Preferred Ipa | $9 - $13 | 85% |
| Preferred Ipa Of California | $9 | 85% |
| Senior Citizens Choice | $9 | 85% |
| Aetna | $10 - $1,516 | 95% |
| Aids Health Foundation | $10 - $11 | 95% |
| Alhambra Community Dialysis Unit Inc | $10 - $1,250 | 95% |
| Alignment Health Plan | $10 | 95% |
| Apa/Aco Inc | $10 | 95% |
| Avanti | $10 - $13 | 95% |
| Blue Shield Of California | $10 - $1,336 | 95% |
| Cms | $10 | 95% |
| Easy Choice Health Plan | $10 | 95% |
| Employee Health Systems Medical Group | $10 - $417 | 95% |
| First Health Senior | $10 | 95% |
| Foundation Health Plan | $10 | 95% |
| Global Care Medical Group Ipa | $10 - $937 | 95% |
| Health Net | $10 - $1,354 | 95% |
| Health Net Inc | $10 - $1,475 | 95% |
| Healthnet/Ehs Capitation | $10 - $417 | 95% |
| Humana | $10 | 95% |
| Medicare (plans) | $10 - $11 | 95% |
| Scan Health Plan | $10 | 95% |
| Secure Horizons | $10 | 95% |
| Ucla/Impact Cancer | $10 | 95% |
| UnitedHealthcare | $10 - $1,458 | 95% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $11 | 104% |
| Emanate Health | $11 - $13 | 104% |
| Hollywood Presbyterian Adv Med Mcal | $11 | 104% |
| Hollywood Presbyterian Medpoint Mcal | $11 | 104% |
| La Care Covered Direct | $11 | 104% |
| Maxi Med Inc/Ipa | $11 | 104% |
| Medi Cal | $11 | 104% |
| Molina Healthcare Medi-Connect | $11 | 104% |
| Pacific Independent Physician Association | $11 - $625 | 104% |
| Self-Pay | $11 | 104% |
| Cigna | $12 | 114% |
| Hispanic Physicians Ipa Medical Corporation | $12 - $521 | 114% |
| Interplan | $12 - $1,562 | 114% |
| Preferred Health Network | $12 - $1,666 | 114% |
| San Miguel Health Plan | $12 | 114% |
| Ahmc Health Epo | $13 | 123% |
| Asi Flex Ppo W/C | $13 | 123% |
| Athens Administrators | $13 | 123% |
| Indemnity W Comp Fee Schedule | $13 | 123% |
| Knox-Keene Act | $13 | 123% |
| Molina Healthcare Of California | $13 | 123% |
| Multiplan | $13 - $1,771 | 123% |
| Ahmc Reciprocity Agreement Senior/Commercial | $15 - $625 | 142% |
| Allied Physicians Ipa | $15 - $625 | 142% |
| Community Health Plan M Cal Joy Ipa | $15 - $625 | 142% |
| Tenet Reciprocity | $15 - $625 | 142% |
| Caloptima Direct | $16 | 152% |
| Healthcare Partners Affiliates Medical Group | $18 - $744 | 170% |
| Central Health Plan Of California | $20 - $833 | 189% |
| Molina Medical Centers | $20 - $812 | 189% |
| Pacificare | $21 - $42 | 199% |
| Care 1St Health Plan | $30 - $1,250 | 284% |
| Greater Los Angeles Dialysis Inc | $30 - $1,250 | 284% |
| Health Net Of California | $30 - $1,246 | 284% |
| One Health Plan | $30 - $1,250 | 284% |
| Choice Care Network | $32 - $1,354 | 303% |
| Healthnet | $32 - $1,354 | 303% |
| Universal Care | $35 - $1,250 | 331% |
| Corvel Corporation | $40 - $1,666 | 379% |
| Bce Emergis Corp | $42 - $1,771 | 398% |
| Commercial Non Contract | $50 - $2,083 | 473% |
| Mri/Ct Greater El Monte Hospital | $50 - $2,083 | 473% |
| Mri/Mra/Alhambra Hospital | $50 - $2,083 | 473% |
| Mri/Mra/Eladh | $50 - $2,083 | 473% |
| One Legacy | $50 - $2,083 | 473% |