CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: HCA Florida Osceola Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $17
  • Cash Discount Price: $1,273
  • vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at HCA Florida Osceola Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,273. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.61x the Medicare baseline. Located in 700 West Oak Street, Kissimmee, FL.
Cash / Self-Pay
$1,273

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: $1,273 (12055%)
Insurance Median: $17 (161%)
Cash: $1,273 (12055% 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
Avmed $3 - $1,254 28%
Freedom Health $3 - $181 28%
Optimum $3 - $181 28%
Simply $6 - $386 57%
Molina Healthcare $7 - $677 66%
Evolutions $9 - $577 85%
Humana $10 - $702 95%
Sunshine State Health Plan $10 - $639 95%
Aetna $11 - $752 104%
Align Senior Care $11 104%
American Health Plan $11 104%
Blue Cross Blue Shield $11 104%
Cigna $11 104%
Devoted Health $11 104%
Fl Health Care Plan $11 104%
Florida Complete Care $11 104%
Ndms Definitive Care $11 104%
Sunshine State $11 104%
United $11 - $1,128 104%
United Behavioral Health $11 104%
Wellcare $11 104%
Wellmed $11 104%
Careplus $12 114%
Centurion $12 114%
Clear Spring Health $12 114%
Gold Kidney Of Florida $12 114%
Ultimate Health Plan $12 114%
Longevity Health Plan $13 123%
Oscar $15 142%
Solis Health Plan $15 142%
Simply Healthcare $16 152%
Plotkin Health $19 - $1,254 180%
Prime Health Sheriff $19 - $1,254 180%
Multiplan $29 - $2,131 275%
Evernorth $31 - $2,006 294%
Ppo Next $33 - $2,131 313%
Novanet $35 - $2,257 331%
Beacon Health Options $38 - $2,507 360%
Corvel Corporation $314 2973%
Prime Health $321 3040%
Careworks (Rockport Community) $331 3134%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 West Oak Street, Kissimmee, FL 34741
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals