CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: HCA Florida Trinity Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $12
  • Cash Discount Price: $2,481
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at HCA Florida Trinity Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,481. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.14x the Medicare baseline. Located in 9330 Sr 54, Trinity, FL.
Cash / Self-Pay
$2,481

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $2,481 (23494%)
Insurance Median: $12 (114%)
Cash: $2,481 (23494% of Medicare)
Ins. Median: $12 (114% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $2 - $232 19%
Access 2 Healthcare Physicians Freedom Health $3 - $355 28%
Access 2 Healthcare Physicians Optimum $3 - $355 28%
Avmed $3 - $1,232 28%
Freedom Health Care $3 - $384 28%
Optimum Healthcare $3 - $384 28%
Simply Healthcare $5 - $759 47%
United $6 - $2,217 57%
Molina $7 - $1,330 66%
Evolutions Healthcare Systems $8 - $4,533 76%
Sunshine State Health Plan $9 - $1,256 85%
Caresource $10 95%
Humana $10 - $1,380 95%
Aetna $11 - $1,478 104%
Align Senior Care $11 104%
American Health Plan $11 104%
Baycare Health Plans $11 104%
Blue Cross Blue Shield $11 104%
Cigna $11 104%
Devoted Health $11 104%
Florida Complete Care $11 104%
Hernando-Pasco Hospice $11 104%
Ndms Definitive Care $11 104%
Secur $11 104%
Sunshine State $11 104%
Ultimate Health Plan $11 104%
United Behavioral Health $11 104%
United Va Ccn $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%
Pasco Sheriff'S Office $12 114%
Longevity Health Plan $13 123%
Oscar $14 133%
Solis Health Plan $15 142%
Beacon Health Options $18 - $2,464 170%
Plotkin Health $18 - $2,464 170%
Prime Health Sheriff $18 - $2,464 170%
Multiplan $26 - $4,188 246%
Evernorth $28 - $3,942 265%
Corvel Corporation $319 3021%
Rockport Healthcare Group $319 3021%
Prime Health $325 3078%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9330 Sr 54, Trinity, FL 34655
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals