CMS Price Transparency Data
Blood test, comprehensive metabolic panel
Facility: Tidalhealth Nanticoke, Inc.
Billing Code: 80053 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$29
about 2.6× the $11 Medicare rate · typically $14–$31
modeled estimate · not a bill or quote
Medicare pays $11 Fair price $29 Cash price $135 Hospital's list price $135
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $107 | 1013% |
| Blue Cross Blue Shieldmajor | $28 | 265% |
| Aetnamajor | $12 | 114% |
| Cignamajor | $96 | 909% |
| AmeriHealth | $11 | 104% |
| + 2 smaller / regional plans | $31 |
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Other Procedures at Tidalhealth Nanticoke, Inc.
Compare: Blood test, comprehensive metabolic panel at other DE hospitals
- PAM Rehabilitation Hospital of Dover · Dover $10
- PAM Health Rehabilitation Hospital of Georgetown · Georgetown $10
- Christiana Hospital · Newark $12
- Nemours Children's Hospital, Delaware · Wilmington $15
- Bayhealth Medical Center, Kent Campus · Dover $16
- Bayhealth Hospital, Sussex Campus · Milford $16
Insurance negotiated median for the same procedure, sorted lowest first.