CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Lutheran Medical Center

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $127
Cash Discount Price: Unavailable
vs. Medicare Baseline: 12.03x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Lutheran Medical Center is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 12.03x the Medicare baseline. Located in 8300 W 38Th Ave, Wheat Ridge, CO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$127

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%)

Insurance Median: $127 (1203%)

Ins. Median: $127 (1203% 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 1203% of the Medicare baseline (a markup of 1103%). 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
Cigna	$7 - $319	66%
Aarp	$10	95%
UnitedHealthcare	$10 - $185	95%
Geha	$11 - $185	104%
Kaiser Snp	$11	104%
Select Health	$11	104%
Blue Cross Blue Shield	$19 - $268	180%
Denv Hlth Med Plan	$27	256%
Kaiser Perm Hmo	$59 - $135	559%
Kaiser Self Funded	$73 - $135	691%
Kaiser Perm Ppo/Pos	$75 - $139	710%
Allegiance	$80	758%
Aetna	$119 - $286	1127%
Preferred One	$127	1203%
Humana	$134	1269%
Cofinity	$230	2178%
First Health Network	$230	2178%
Private Hlthcare Sys	$240	2273%
Multiplan Inc	$268	2538%

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 $X.
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 Lutheran Medical Center 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.