CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Clinch Memorial Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $88
Cash Discount Price: $51
vs. Medicare Baseline: 8.33x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Clinch Memorial Hospital is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 8.33x the Medicare baseline. Located in 1050 Valdosta Highway, Homerville, GA.

Cash / Self-Pay

$51

Average discount available for prompt cash payment at this facility.

Insurance Median

$88

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: $51 (483%)

Insurance Median: $88 (833%)

Cash: $51 (483% of Medicare)

Ins. Median: $88 (833% 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 833% of the Medicare baseline (a markup of 733%). 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	$59 - $129	559%
UnitedHealthcare	$61 - $107	578%
Cigna	$63 - $109	597%
Blue Cross Blue Shield	$64 - $111	606%
Novanet	$67 - $116	634%
Alliant	$70 - $129	663%
Caresource	$70 - $129	663%
Devoted	$70 - $129	663%
Eon Health	$70 - $129	663%
Humana	$70 - $129	663%
Peach State Health Plan	$70 - $129	663%
Amerigroup	$74 - $129	701%
Clover	$74 - $129	701%
Wellcare	$74 - $129	701%

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 $51.
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 Clinch Memorial 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.