CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Atrium Health Floyd Medical Center

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $298
Cash Discount Price: $546
vs. Medicare Baseline: 28.22x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Atrium Health Floyd Medical Center is $298. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $546. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 28.22x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.

Cash / Self-Pay

$546

Average discount available for prompt cash payment at this facility.

Insurance Median

$298

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: $546 (5170%)

Insurance Median: $298 (2822%)

Cash: $546 (5170% of Medicare)

Ins. Median: $298 (2822% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2822% of the Medicare baseline (a markup of 2722%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$11 - $743	104%
Blue Cross Blue Shield	$11 - $819	104%
Caresource	$11 - $186	104%
Cigna	$11 - $655	104%
Clover	$11	104%
Georgia Assurance	$11	104%
Humana	$11 - $710	104%
Occunet	$11	104%
UnitedHealthcare	$11 - $819	104%
Wellcare	$11	104%
Peach State Health Plan	$13	123%
Alliant Health Plans	$16 - $437	152%
Ambetter / Centene	$16	152%
Amerigroup	$185	1752%
Awc Networks	$213	2017%
Oscar Health Plan	$213 - $382	2017%
Beacon	$546	5170%
Evernorth	$546	5170%
Multiplan	$764	7235%
Beech Street	$852	8068%
Private Health Care Systems	$928	8788%

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 $546.
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 Atrium Health Floyd Medical Center 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.