CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: University of Illinois Hospital and Clinics

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $11
  • Cash Discount Price: $193
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at University of Illinois Hospital and Clinics is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $193. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.04x the Medicare baseline. Located in 1740 West Taylor St Suite 1400, Chicago, IL.
Cash / Self-Pay
$193

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $193 (1828%)
Insurance Median: $11 (104%)
Cash: $193 (1828% of Medicare)
Ins. Median: $11 (104% 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
Blue Cross Blue Shield $4 - $12 38%
Caterpillar $4 38%
Humboldt Park Health Partners $4 38%
Physicians Health Association Of Il $4 38%
Resurrection Phys Provider Group $4 38%
Cigna $5 47%
United $6 - $8 57%
Aetna $9 - $14 85%
Coventry $9 - $11 85%
Clear Springs Health $11 104%
Health Alliance $11 104%
Longevity Health Plan $11 104%
Medicare (plans) $11 104%
Meridian $11 - $12 104%
Molina $11 - $12 104%
UnitedHealthcare $11 104%
Wellcare $11 104%
Zing Health $11 104%
County Care Health Plan $12 114%
Youthcare Healthchoice $12 114%
Equian $62 587%
Multiplan $62 587%
Zelis $62 587%
Integrated Health Plan $68 644%
Healthlink $76 720%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1740 West Taylor St Suite 1400, Chicago, IL 60612
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals