CMS Price Transparency Data
Blood test, comprehensive metabolic panel
Facility: Chapman Global Medical Center
Billing Code: 80053 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80053
- Insurance Median: $13
- Cash Discount Price: $58
- vs. Medicare Baseline: 1.23x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Chapman Global Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.23x the Medicare baseline. Located in 2601 E Chapman Ave, Orange, CA.
Cash / Self-Pay
$58
Average discount available for prompt cash payment at this facility.
Insurance Median
$13
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: $58 (549%)
Insurance Median: $13 (123%)
Cash: $58 (549% of Medicare)
Ins. Median: $13 (123% 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 |
|---|---|---|
| Monarch Health Plan | $9 - $15 | 85% |
| Scan/Altamed | $10 | 95% |
| Aetna | $11 - $35 | 104% |
| Altamed | $11 - $15 | 104% |
| Altamed Mcal Hmo (Ancillary) | $11 | 104% |
| Altamed Health Services | $11 | 104% |
| Apex Hospice | $11 | 104% |
| Astiva | $11 | 104% |
| Blue Shield Of California | $11 - $40 | 104% |
| Brand New Day | $11 - $13 | 104% |
| Caloptima | $11 - $15 | 104% |
| Central Health Plan | $11 | 104% |
| Champ | $11 | 104% |
| Champion Health Plan | $11 | 104% |
| Champus | $11 | 104% |
| Choice Physicians Network | $11 | 104% |
| Citizen Choice Health Plan | $11 | 104% |
| Clever Care | $11 | 104% |
| Coventry Health | $11 - $12 | 104% |
| Easy Choice | $11 | 104% |
| For Your Benefit | $11 | 104% |
| Health Net | $11 - $42 | 104% |
| Healthcare Partners | $11 | 104% |
| Healthcare Partners Hmo | $11 | 104% |
| Healthcare Partners Sr Hmo | $11 | 104% |
| Heritage Provider Network | $11 - $35 | 104% |
| Hollywood Presbyterian | $11 | 104% |
| Humana | $11 | 104% |
| Imperial Health Plan Of Ca | $11 | 104% |
| Innovative Integrated Health | $11 | 104% |
| Kaiser | $11 - $36 | 104% |
| Medcare Partners Health Plan | $11 | 104% |
| Medi-Cal | $11 | 104% |
| Medicare (plans) | $11 | 104% |
| Monarch Sr | $11 | 104% |
| Onecare | $11 | 104% |
| Onecare/Connect | $11 | 104% |
| Prime Health Services | $11 - $46 | 104% |
| Prospect Health Plan | $11 - $16 | 104% |
| Scan Health Plan | $11 | 104% |
| Self Pay | $11 | 104% |
| St Joseph | $11 | 104% |
| State Of California | $11 | 104% |
| UnitedHealthcare | $11 | 104% |
| Us Department Of Labor/Workers Comp | $11 | 104% |
| Us Federal Marshall/Department Of Immigration | $11 | 104% |
| Velocity National Provider Network Sr | $11 | 104% |
| Verda Health Plan | $11 | 104% |
| Veterans Administration | $11 | 104% |
| Victim Of Violent Crime | $11 | 104% |
| Victoria Hospice | $11 | 104% |
| Align Senior Care | $12 | 114% |
| Interplan | $12 - $44 | 114% |
| Multiplan | $12 | 114% |
| Three Rivers Wc | $12 | 114% |
| County Of Orange | $13 - $15 | 123% |
| Indemnity Workers Comp California Fee Schedule | $13 | 123% |
| Velocity National Provider Network Wc | $13 | 123% |
| Veterans Evaluation Services | $13 | 123% |
| Altamed Whole Child Model/Caloptima | $15 | 142% |
| Choc Health Alliance | $15 | 142% |
| Family Choice | $15 | 142% |
| Staywell/Island Home Ins | $15 | 142% |
| Ihhi | $17 | 161% |
| Three Rivers Network | $18 | 170% |
| Velocity National Provider Network Ppo | $18 | 170% |
| Cigna | $21 - $46 | 199% |
| Velocity National Provider Network Auto Med Ppo | $26 | 246% |
| First Health | $30 | 284% |
| Magellan | $35 | 331% |
| Magellan Behavioral Health | $35 | 331% |
| Multiplan/Master | $41 | 388% |
| Networks By Design | $41 | 388% |
| Healthsmart Preferred Network | $44 | 417% |
| Pnoa-Provider Network Of America | $46 | 436% |
| Prime Health Services/Network | $49 | 464% |
| Clinics | $58 | 549% |
| Lucet Bh Scan Sr | $58 | 549% |
| Managed Health Network | $58 | 549% |
| Opiate Detox Institute | $58 | 549% |
| Other Insurance | $58 | 549% |
| Other Non Contracted Insurance Plans | $58 | 549% |
| Private Pay | $58 | 549% |
| Silverado Hospice | $58 | 549% |
| Us Behavioral Health | $58 | 549% |
| Waismann Method Medical Group | $58 | 549% |
| West Coast Hospice Care | $58 | 549% |