CMS Price Transparency Data
Blood test, comprehensive metabolic panel
Facility: Adventist Health Clearlake
Billing Code: 80053 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$28
about 2.5× the $11 Medicare rate · typically $13–$87
modeled estimate · not a bill or quote
Medicare pays $11 Fair price $28 Cash price $78 Hospital's list price $217
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $1 - $269 | 9% |
| Blue Cross Blue Shieldmajor | $3 - $248 | 28% |
| Aetnamajor | $9 - $241 | 85% |
| Cignamajor | $11 - $291 | 104% |
| Humanamajor | $11 - $275 | 104% |
| Kaiser Permanentemajor | $3 - $291 | 28% |
| Health Net | $10 - $265 | 95% |
| + 6 smaller / regional plans | $5 - $275 |
Government programs also on file: Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Adventist Health Clearlake
Compare: Blood test, comprehensive metabolic panel at other CA hospitals
- Resnick Neuropsychiatric Hospital at UCLA · Los Angeles $6
- Kern Medical Center · Bakersfield $7
- Kaiser Foundation Hospital - Panorama City · Panorama City $8
- Kaiser Foundation Hospital - Los Angeles · Los Angeles $8
- Kaiser Foundation Hospital - Downey · Downey $8
- Kaiser Foundation Hospital Fontana/Ontario · Fontana $8
- Kaiser Foundation Hospital - South Bay · Harbor City $8
- Kaiser Foundation Hospital - San Diego · San Diego $8
Insurance negotiated median for the same procedure, sorted lowest first.