CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Sky Ridge Medical Center

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $27
Cash Discount Price: $1,636
vs. Medicare Baseline: 2.56x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Sky Ridge Medical Center is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,636. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 2.56x the Medicare baseline. Located in 10101 Ridgegate Pkwy, Lone Tree, CO.

Cash / Self-Pay

$1,636

Average discount available for prompt cash payment at this facility.

Insurance Median

$27

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: $1,636 (15492%)

Insurance Median: $27 (256%)

Cash: $1,636 (15492% of Medicare)

Ins. Median: $27 (256% 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 256% of the Medicare baseline (a markup of 156%). 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	$6 - $1,047	57%
Humana	$10	95%
Aetna	$11 - $864	104%
Blue Cross Blue Shield	$11 - $1,210	104%
Bright Health	$11 - $491	104%
Delaware Life Insurance	$11	104%
Devoted Health	$11	104%
Innovage Pace	$11	104%
Kaiser	$11 - $581	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 - $736	104%
Wellcare	$11	104%
Pinnacol Workers Comp	$29	275%
Multiplan	$30 - $1,472	284%
Vail Health	$249	2358%
Western Plains Community Health	$1,063	10066%
Northcare	$1,145	10843%
Physician Health Partners	$1,145	10843%
Medical Development International	$1,309	12396%
Prime Health	$1,472	13939%

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 $1,636.
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 Sky Ridge 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.