CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $119
Cash Discount Price: $90
vs. Medicare Baseline: 11.27x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Cameron Memorial Community Hospital Inc is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 11.27x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.

Cash / Self-Pay

$90

Average discount available for prompt cash payment at this facility.

Insurance Median

$119

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: $90 (852%)

Insurance Median: $119 (1127%)

Cash: $90 (852% of Medicare)

Ins. Median: $119 (1127% 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 1127% of the Medicare baseline (a markup of 1027%). 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
Blue Cross Blue Shield	$11 - $69	104%
Caresource Indiana Of In	$11 - $55	104%
Managed Health Services	$11	104%
Mdwise	$11	104%
Aetna	$48 - $130	455%
Humana	$48 - $130	455%
UnitedHealthcare	$48 - $119	455%
Plain Church Group Ministry	$59	559%
Centivo	$82	777%
Lucent	$82	777%
Phcs	$113	1070%
Php	$114	1080%
Sagamore Health Network	$116	1098%
Signature Care	$125 - $132	1184%
Three Rivers Preferred	$128	1212%
Cigna	$130	1231%
Coventry	$132	1250%
Lutheran Preferred	$135	1278%
Frontpath	$138	1307%
Encore	$139	1316%
Corvel	$140	1326%

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 $90.
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 Cameron Memorial Community Hospital Inc 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.