CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Jeff Davis Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $185
Cash Discount Price: $96
vs. Medicare Baseline: 17.52x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Jeff Davis Hospital is $185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 17.52x the Medicare baseline. Located in 163 South Tallahassee Street, Hazlehurst, GA.

Cash / Self-Pay

$96

Average discount available for prompt cash payment at this facility.

Insurance Median

$185

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: $96 (909%)

Insurance Median: $185 (1752%)

Cash: $96 (909% of Medicare)

Ins. Median: $185 (1752% 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 1752% of the Medicare baseline (a markup of 1652%). 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
Blue Cross Blue Shield	$11 - $150	104%
Care_Improvement_Plus	$11	104%
Humana	$11 - $255	104%
Medicare (plans)	$11	104%
Medicaid / KanCare	$14 - $60	133%
Peach_State	$39 - $60	369%
Wellcare	$39 - $60	369%
Coventry_Hmo	$138 - $210	1307%
Coventry_Pos	$138 - $210	1307%
Uhc_Hmo	$148 - $225	1402%
Uhc_Indemnity	$148 - $225	1402%
Uhc_Ppo	$148 - $225	1402%
Coventry_Ppo	$152 - $231	1439%
Beech_Street	$158 - $240	1496%
Care_Source	$158 - $240	1496%
Cigna	$158 - $240	1496%
One_Health_Ppo	$158 - $240	1496%
Choicecare	$167 - $255	1581%
Community_Care_Network	$167 - $255	1581%
Georgia_Hospital_Network	$167 - $255	1581%
Industry_Buying_Group	$167 - $255	1581%
Novanet	$167 - $255	1581%
Principal_Health_Care_Of_Georgia	$167 - $255	1581%
Three_Rivers_Provider_Network	$167 - $255	1581%
Usa_Managed_Care	$167 - $255	1581%
Memorial_Health_Partners	$177 - $270	1676%
Tricare	$183 - $279	1733%
Multiplan	$187 - $285	1771%

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 $96.
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 Jeff Davis 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.