CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Marshall Browning Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $112
Cash Discount Price: $231
vs. Medicare Baseline: 10.61x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Marshall Browning Hospital is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $231. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 10.61x the Medicare baseline. Located in 900 North Washington Street, Du Quoin, IL.

Cash / Self-Pay

$231

Average discount available for prompt cash payment at this facility.

Insurance Median

$112

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: $231 (2188%)

Insurance Median: $112 (1061%)

Cash: $231 (2188% of Medicare)

Ins. Median: $112 (1061% 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 1061% of the Medicare baseline (a markup of 961%). 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	$17 - $261	161%
Blue Cross Blue Shield	$17 - $302	161%
Meridian Hp Mcaid - All Plans	$17	161%
Molina Mcaid - All Plans	$17	161%
Health Alliance Mcr Adv	$112	1061%
Humana	$112	1061%
UnitedHealthcare	$112 - $287	1061%
Wellcare Mcr Adv - All Plans	$112	1061%
Healthlink Hmo - All Other Plans	$231	2188%
Healthlink Ppo	$231	2188%
Cigna	$246	2330%
Health Alliance - All Other Plans	$280	2652%
Multiplan/Phcs - All Plans	$297	2813%
Zelis - All Plans	$297	2813%
Hope Trust - All Plans	$393	3722%

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 $231.
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 Marshall Browning 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.