Blood test, comprehensive metabolic panel
Facility: Dupont Hospital LLC
Billing Code: 80053 (CPT)
- CPT Billing Code: 80053
- Insurance Median: $12
- Cash Discount Price: $8
- vs. Medicare Baseline: 1.14x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Amish Aid | $3 - $129 | 28% |
| Lutheran Preferred | $3 - $286 | 28% |
| Self Pay | $3 - $214 | 28% |
| Aetna | $4 - $213 | 38% |
| Cigna | $4 - $173 | 38% |
| Physicians Health Plan | $4 - $184 | 38% |
| Blue Cross Blue Shield | $5 - $17 | 47% |
| UnitedHealthcare | $5 - $230 | 47% |
| Encore Ppo | $6 - $238 | 57% |
| Lutheran Network | $6 - $238 | 57% |
| Medical Mutual Of Oh | $6 - $252 | 57% |
| Sagamore | $6 - $265 | 57% |
| Prime Health Services | $8 - $357 | 76% |
| Advantage Health Solutions | $9 - $395 | 85% |
| Encore Health Network | $9 - $428 | 85% |
| Frontpath | $9 - $381 | 85% |
| Tricare | $9 - $10 | 85% |
| Allied Benefit Systems | $10 - $428 | 95% |
| Department Of Veterans Affairs | $10 | 95% |
| Humana | $10 - $11 | 95% |
| Medicare (plans) | $10 | 95% |
| Multiplan | $10 - $428 | 95% |
| Node Mhs Mcr Adv | $10 | 95% |
| Caresource | $11 | 104% |
| In Dept Of Correction | $11 | 104% |
| Iu Health | $11 | 104% |
| Managed Health Services | $11 - $21 | 104% |
| Medicaid / KanCare | $11 | 104% |
| Node Devoted Health Mcr Adv | $11 | 104% |
| Node Non Par Hospice Agree | $11 | 104% |
| Node Pphp Mcr Adv | $11 | 104% |
| Node Va | $11 | 104% |
| Php Freedom Network | $11 - $20 | 104% |
| Veterans Eval Services | $11 | 104% |
| Us Department Of Labor | $13 | 123% |
| Lutheran Advanced Network | $16 | 152% |
| Lutheran Preferred Fixed 2 | $16 | 152% |
| Align In Work Comp | $17 | 161% |
| Encore Work Comp In | $19 | 180% |
| In Work Comp | $21 | 199% |
| Encore Kba Epo | $25 | 237% |
| Encore Kba Ppo | $32 | 303% |