CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: HCA Florida Highlands Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $17
  • Cash Discount Price: $424
  • vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at HCA Florida Highlands Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $424. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.61x the Medicare baseline. Located in 3600 S Highlands Ave, Sebring, FL.
Cash / Self-Pay
$424

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $424 (4015%)
Insurance Median: $17 (161%)
Cash: $424 (4015% of Medicare)
Ins. Median: $17 (161% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Aetna $11 - $127 104%
American Health Plan $11 104%
Blue Cross Blue Shield $11 104%
Cigna $11 104%
Devoted Health $11 104%
Florida Complete Care $11 104%
Humana $11 - $170 104%
Ndms Definitive Care $11 104%
Prominence Healthfirst $11 104%
Sunshine State $11 - $12 104%
United $11 - $191 104%
Wellmed $11 104%
Centurion $12 114%
Amerihealth Caritas $13 123%
Longevity Health Plan $13 123%
Oscar $20 189%
Simply Healthcare $24 227%
Freedom Health $36 341%
Avmed $55 - $212 521%
Molina $81 767%
Office Of Sheiff Highland Co $148 1402%
United Ppo $187 1771%
Prime Health $294 2784%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3600 S Highlands Ave, Sebring, FL 33870
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals