CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: HCA Florida Orange Park Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $13
Cash Discount Price: $3,142
vs. Medicare Baseline: 1.23x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at HCA Florida Orange Park Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,142. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.23x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.

Cash / Self-Pay

$3,142

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: $3,142 (29754%)

Insurance Median: $13 (123%)

Cash: $3,142 (29754% 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
Hospice Community	$8	76%
Hospice Haven	$10	95%
Humana	$10 - $1,288	95%
American Health Plan	$11	104%
Blue Cross Blue Shield	$11	104%
Careplus	$11	104%
Cigna	$11	104%
Devoted Health	$11	104%
Florida Complete Care	$11	104%
Ndms Definitive Care	$11	104%
Sunshine State	$11	104%
United	$11 - $1,414	104%
United Behavioral Health	$11	104%
Veterans Evaluation Services	$11	104%
Wellcare	$11	104%
Wellmed	$11	104%
Gold Kidney	$12	114%
Clay County Sheriffs Office	$13	123%
Longevity	$13	123%
Simply Healthcare	$13 - $484	123%
Oscar	$15	142%
Optimum Healthcare	$264	2500%
Corvel Corporation	$314	2973%
Prime Health	$321	3040%
Avmed	$377 - $880	3570%
Positive Healthcare	$691	6544%
Sunshine State Health Plan	$801	7585%
Molina Healthcare	$848	8030%
Aetna	$943	8930%
Medicare (plans)	$1,414	13390%
Plotkin Health	$1,571	14877%
Multiplan	$2,451 - $2,671	23210%
Evernorth	$2,514	23807%
Evolutions Healthcare	$2,514 - $2,671	23807%
Ppo Next	$2,671	25294%
Novanet	$2,828	26780%

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 $3,142.
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 HCA Florida Orange Park 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.