CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: HCA Florida Putnam Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $11
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at HCA Florida Putnam Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.04x the Medicare baseline. Located in 611 Zeagler Dr, Palatka, FL.
Cash / Self-Pay
$48

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $48 (455%)
Insurance Median: $11 (104%)
Cash: $48 (455% of Medicare)
Ins. Median: $11 (104% 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 $6 - $24 57%
Simply $7 66%
Humana $8 - $11 76%
Molina Healthcare $9 - $15 85%
Aetna $11 - $14 104%
Align Senior Care $11 104%
American Health Plan $11 104%
Blue Cross Blue Shield $11 104%
Cigna $11 104%
Evolutions $11 104%
Fl Health Care Plan $11 104%
Florida Complete Care $11 104%
Ndms Definitive Care $11 104%
Sunshine State $11 104%
United $11 - $21 104%
Wellcare $11 104%
Wellmed $11 104%
Centurion $12 114%
Clear Spring Health $12 114%
Gold Kidney Of Florida $12 114%
Putnam County Sheriffs $12 114%
Sunshine State Health Plan $12 114%
Ultimate Health Plan $12 114%
Longevity Health Plan $13 123%
Oscar $13 123%
Simply Healthcare $13 123%
Plotkin Health $24 227%
Prime Health Sheriff $24 227%
Multiplan $37 - $40 350%
Corvel Corporation $295 2794%
Prime Health $302 2860%
Careworks (Rockport Community) $311 2945%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 Zeagler Dr, Palatka, FL 32177
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals