CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Baptist Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $13
Cash Discount Price: $5
vs. Medicare Baseline: 1.23x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Baptist Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.23x the Medicare baseline. Located in 123 Baptist Way, Pensacola, FL.

Cash / Self-Pay

Average discount available for prompt cash payment at this facility.

Insurance Median

$13

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: $5 (47%)

Insurance Median: $13 (123%)

Cash: $5 (47% of Medicare)

Ins. Median: $13 (123% 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.

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
Pensacola	$2 - $36	19%
Hospice Regency	$4 - $72	38%
Aetna	$5 - $175	47%
Cha Health Plan	$5	47%
Fl Community Care Ltc	$5	47%
Humana	$5 - $11	47%
Mh Sunshine Mcaid	$5	47%
Staywell	$5	47%
Sunshine Health	$5	47%
UnitedHealthcare	$5 - $11	47%
Cigna	$6 - $240	57%
Hospice Emerald Coast	$6 - $120	57%
Simply Healthcare Healthy Kids	$6	57%
Escambia	$8 - $144	76%
Private Healthcare	$8 - $156	76%
Uwf Athletes	$8 - $156	76%
First Health	$9 - $167	85%
Choicecare	$10 - $180	95%
Mh Choicecare	$10 - $180	95%
Healthspring Of Fl Al	$11	104%
Hospice Covenant	$11	104%
Medicare (plans)	$11	104%
Mh Wellcare	$11	104%
Wellcare	$11	104%
Multiplan	$12 - $214	114%
Wc Corvel	$12 - $228	114%
Fl Blue	$16 - $426	152%
Bc Fl	$305	2888%

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 $5.
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 Baptist Hospital 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.