CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Perry County Memorial Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $54
Cash Discount Price: $146
vs. Medicare Baseline: 5.11x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Perry County Memorial Hospital is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 5.11x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$146

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

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: $146 (1383%)

Insurance Median: $54 (511%)

Cash: $146 (1383% of Medicare)

Ins. Median: $54 (511% 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 511% of the Medicare baseline (a markup of 411%). 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
Bc 130	$6 - $167	57%
Group Insurance	$6 - $209	57%
Nsa	$6 - $129	57%
Medicaid / KanCare	$11 - $209	104%
Medicare (plans)	$11 - $54	104%
Veterans Administration	$11 - $209	104%
Workers Compensation	$104	985%
Guarantor Liable	$146 - $209	1383%
Pcmh Insurnace	$163 - $209	1544%
Secondary Insurance	$167	1581%
UnitedHealthcare	$167	1581%
Operating Engineers	$178	1686%
Boilermakers Healthcare	$182	1723%
Cigna	$182	1723%
Great West	$182 - $209	1723%
Sagxxxx	$182	1723%
Champus	$209	1979%
Ngs American, Inc	$209	1979%
Patoka Valley	$209	1979%
Southwire	$209	1979%
Tricare	$209	1979%
Wausau Benefits	$209	1979%

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 $146.
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 Perry County 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.