CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Massac Memorial Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $32
Cash Discount Price: $47
vs. Medicare Baseline: 3.03x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Massac Memorial Hospital is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 3.03x the Medicare baseline. Located in 28 Chick Street, Po Box 850, Metropolis, IL.

Cash / Self-Pay

$47

Average discount available for prompt cash payment at this facility.

Insurance Median

$32

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: $47 (445%)

Insurance Median: $32 (303%)

Cash: $47 (445% of Medicare)

Ins. Median: $32 (303% 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 303% of the Medicare baseline (a markup of 203%). 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	$16 - $79	152%
Blue Cross Blue Shield	$16 - $92	152%
Medicaid / KanCare	$16	152%
Molina Ky Mcaid	$16	152%
Chesi Op Only-All Plans	$20 - $51	189%
Health Alliance Mcare Adv	$20 - $51	189%
Humana	$20 - $51	189%
Health Alliance Exchange	$24 - $62	227%
Health Alliance-All Other Plans	$24 - $62	227%
Prime Health Services-All Plans	$24 - $62	227%
Healthlink Hmo	$27 - $70	256%
Cigna	$30 - $79	284%
Healthlink Ppo-All Other Plans	$30 - $79	284%
UnitedHealthcare	$31 - $81	294%
Multiplan-All Plans	$33 - $86	313%

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 $47.
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 Massac 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.