CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: HCA Healthone Presbyterian St Luke's

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $29
Cash Discount Price: $2,117
vs. Medicare Baseline: 2.75x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at HCA Healthone Presbyterian St Luke's is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,117. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 2.75x the Medicare baseline. Located in 1719 E 19Th Ave, Denver, CO.

Cash / Self-Pay

$2,117

Average discount available for prompt cash payment at this facility.

Insurance Median

$29

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: $2,117 (20047%)

Insurance Median: $29 (275%)

Cash: $2,117 (20047% of Medicare)

Ins. Median: $29 (275% 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 275% of the Medicare baseline (a markup of 175%). 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 - $1,355	66%
UnitedHealthcare	$9	85%
Humana	$10 - $11	95%
Aetna	$11 - $1,118	104%
Blue Cross Blue Shield	$11 - $1,567	104%
Bright Health	$11 - $635	104%
Delaware Life Insurance	$11	104%
Devoted Health	$11	104%
Innovage Pace	$11	104%
Kaiser	$11 - $550	104%
Kaiser National Transplant	$11 - $1,016	104%
Mutual Of Omaha	$11	104%
Rocky Mountain Health	$11	104%
Rocky Mountain Health Plan	$11	104%
Total Longterm Care	$11	104%
Triwest Health Alliance	$11	104%
United	$11 - $953	104%
Wellcare	$11	104%
Pinnacol Workers Comp	$29	275%
Multiplan	$30 - $1,905	284%
Vail Health	$322	3049%
Emerging Therapy Solutions	$1,016 - $1,355	9621%
Colorado Program For Children With Special Needs	$1,080	10227%
Western Plains Community Health	$1,376	13030%
Northcare	$1,482	14034%
Physician Health Partners	$1,482	14034%
Medical Development International	$1,694	16042%
Prime Health	$1,905	18040%

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 $2,117.
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 HCA Healthone Presbyterian St Luke's 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.