CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Deaconess Hospital Inc

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $11
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Deaconess Hospital Inc is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.04x the Medicare baseline. Located in 600 Mary St, Evansville, IN.
Cash / Self-Pay
$25

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: $25 (237%)
Insurance Median: $11 (104%)
Cash: $25 (237% 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 $5 - $11 47%
Humana $6 - $19 57%
United Behavioral Health $6 57%
UnitedHealthcare $6 - $15 57%
Mhnet $8 76%
Aetna $10 - $19 95%
Medicaid / KanCare $10 - $11 95%
Meridiancomplete (Il) $10 - $11 95%
Meridianhealth (Il) $10 95%
Triwest Vapc3 $10 - $11 95%
Youthcare (Meridian Il) $10 95%
Youthcare (Wellcare Il) $10 95%
Alliance Coal $11 104%
Ambetter / Centene $11 - $16 104%
Caresource In $11 104%
Center Care Narrow Select $11 104%
Center Care Open Access $11 104%
Deaconess Onecare $11 - $14 104%
Encircle/Encore Combined $11 - $16 104%
Encircle/Encore Elite+ $11 - $16 104%
Encircle/Encore Prime $11 - $16 104%
Iu Health Network $11 - $14 104%
Medicare (plans) $11 104%
Meridiancare (Il) $11 104%
Molina (Il) Mmai $11 104%
Molina Il $11 104%
Mytru Advantage $11 104%
Patoka Valley Health Care (80/20 Plan) $11 104%
Patoka Valley Health Care (90/10 Plan) $11 104%
Wellcare (Il) Mmai $11 104%
Caresource In Marketplace $14 - $16 133%
Allied National $15 - $25 142%
Claimdoc $15 - $25 142%
Healthscope $15 - $25 142%
Hopetrust $15 - $16 142%
Hstechnology $15 - $16 142%
Naphcare $17 161%
Noncontracted $17 161%
Cigna $19 180%
Claritev (Formerly Phcs Multiplan) $19 180%
First Health $19 180%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $19 180%
Ky Racing Health & Welfare Fund $23 - $27 218%
Self-Pay $23 - $27 218%
Chamber Care $40 - $47 379%
Parkview Signature Care $46 - $53 436%
Healthlink $50 - $66 473%
National Rural Electric $59 - $69 559%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Mary St, Evansville, IN 47747
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals