CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: HCA Florida Oak Hill Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $12
  • Cash Discount Price: $849
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at HCA Florida Oak Hill Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $849. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.14x the Medicare baseline. Located in 11375 Cortez Blvd, Brooksville, FL.
Cash / Self-Pay
$849

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: $849 (8040%)
Insurance Median: $12 (114%)
Cash: $849 (8040% 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 $1 - $79 9%
Access 2 Healthcare Physicians Freedom Health $2 - $120 19%
Access 2 Healthcare Physicians Optimum $2 - $120 19%
Avmed $2 - $418 19%
Freedom Health Care $2 - $130 19%
Optimum Healthcare $2 - $130 19%
Simply Healthcare $4 - $258 38%
United $4 - $753 38%
Molina $5 - $452 47%
Evolutions Healthcare Systems $6 - $1,539 57%
Sunshine State Health Plan $6 - $426 57%
Humana $7 - $468 66%
Aetna $8 - $502 76%
Caresource $10 95%
Align Senior Care $11 104%
American Health Plan $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 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%
Plotkin Health $12 - $836 114%
Prime Health Sheriff $12 - $836 114%
Oscar $14 133%
Multiplan $19 - $1,421 180%
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: 11375 Cortez Blvd, Brooksville, FL 34613
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals