CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $5
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.47x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Baptist Health Medical Center - Jacksonville is $5. 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 0.47x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $5 (47%)
Ins. Median: $5 (47% 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 $5 - $11 47%
Amerigroup Of Georgia $5 47%
Amerihealth Caritas $5 47%
Caresource Of Georgia $5 47%
Daniel Memorial $5 47%
Florida Community Care $5 - $11 47%
Humana $5 47%
Molina Healthcare Of Florida $5 47%
Peach State Health Plan $5 47%
Simply Healthcare Plans $5 47%
Simply Healthcare Plans - Cha $5 47%
Sunshine State Health Plan $5 47%
United Community Plan $5 47%
Vivida Health $5 47%
Community Hospice Of Northeast Florida $11 104%
Devoted $11 104%
Pace $11 104%
Tomorrow'S Rainbow $11 104%
UnitedHealthcare $11 104%
Va Ccn $11 104%
Upmc $12 114%
Corvel $21 199%
Coventry Workers Comp $21 199%
Non-Contracted $21 199%
Ambetter / Centene $25 237%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals