CMS Price Transparency Data
Blood test, comprehensive metabolic panel
Facility: Boundary Community Hospital
Billing Code: 80053 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$37
about 3.4× the $11 Medicare rate · typically $12–$63
modeled estimate · not a bill or quote
Medicare pays $11 Fair price $37 Cash price $46 Hospital's list price $58
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $32 - $49 | 303% |
| Blue Cross Blue Shieldmajor | $6 | 57% |
| Aetnamajor | $38 | 360% |
| Cignamajor | $84 | 795% |
| Molina | $11 - $35 | 104% |
| PacificSource | $56 | 530% |
| + 2 smaller / regional plans | $55 - $57 |
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Other Procedures at Boundary Community Hospital
Compare: Blood test, comprehensive metabolic panel at other ID hospitals
- West Valley Medical Center · Caldwell $11
- Eastern Idaho Regional Medical Center · Idaho Falls $11
- Madison Memorial Hospital · Rexburg $11
- Kootenai Health · Coeur D'Alene $11
- Treasure Valley Hospital · Boise $11
- Mountain View Hospital · Idaho Falls $11
- Northwest Specialty Hospital · Post Falls $11
- St Luke's Nampa Medical Center · Nampa $11
Insurance negotiated median for the same procedure, sorted lowest first.