Blood test, comprehensive metabolic panel
Facility: University Of Kansas Hospital
Billing Code: 80053 (CPT)
- CPT Billing Code: 80053
- Insurance Median: $39
- Cash Discount Price: $10
- vs. Medicare Baseline: 3.69x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 369% of the Medicare baseline (a markup of 269%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Larned State Hospital [503200090] | $14 - $143 | 133% |
| Health Plan Inc [503999941] | $23 - $228 | 218% |
| Alt Carelon Behavioral Health [503200905] | $24 - $242 | 227% |
| Accarent Health [503999034] | $24 - $242 | 227% |
| Inter-Americas Insurance [503999032] | $29 - $294 | 275% |
| Alt Wppa [5032000964] | $29 - $294 | 275% |
| Geha [503200036] | $29 - $294 | 275% |
| Cerner [503200038] | $29 - $294 | 275% |
| Healthlink [503200007] | $29 - $358 | 275% |
| Allied National [503999937] | $29 - $291 | 275% |
| Php [503200005] | $29 - $358 | 275% |
| Med-Pay [503200040] | $29 - $294 | 275% |
| Cigna | $30 - $388 | 284% |
| First Health [5032000110] | $32 - $320 | 303% |
| Aha-Healthcare Preferred [503200050] | $32 - $320 | 303% |
| Blue Cross Blue Shield | $33 - $372 | 313% |
| Ascension Living Hope [503201517] | $34 - $340 | 322% |
| Correct Care Solutions [50311253] | $34 - $340 | 322% |
| Coeur Plan Services [503301517] | $34 - $340 | 322% |
| Consolidated Billing [50311256] | $34 - $340 | 322% |
| Orscheln Industries [503201608] | $36 - $364 | 341% |
| Empire Plan/Nyship [503200705] | $37 - $372 | 350% |
| Alt Lucent Health Solutions [503202603] | $37 - $372 | 350% |
| Alt Lineco [5032000976] | $37 - $372 | 350% |
| Century Health Solutions [503200054] | $38 - $388 | 360% |
| Point Comfort Underwriters [503200018] | $38 - $388 | 360% |
| Quiktrip [5032000412] | $38 - $388 | 360% |
| Meritain Health [503200039] | $40 - $407 | 379% |
| Wppa [503200056] | $40 - $407 | 379% |
| Three Rivers Provider Network [503999029] | $43 - $436 | 407% |
| Usa Managed Care [503999030] | $43 - $436 | 407% |
| Plan Care America [503999026] | $43 - $436 | 407% |
| Sanford Health Plan [503999027] | $43 - $436 | 407% |
| Employers Health Network [503999025] | $43 - $436 | 407% |
| Workers Comp [503999901] | $46 - $461 | 436% |
Consumer Guidance & Cost Commentary
For the comprehensive metabolic panel (CPT 80053) at University Of Kansas Hospital, the cash price is $10.00, which is significantly lower than the median negotiated rate of $39.00 and the gross charge of $49.00. While the facility's negotiated rates range from $14 to $461 across 35 payers, the cash price offers a substantial alternative for patients without insurance or those with high-deductible plans. It is important to note that cash-pay can sometimes be cheaper than insurance reimbursement if the negotiated rate exceeds the cash price, as seen here where the cash rate is less than half of the lowest negotiated amount. Patients should explicitly ask the hospital for "self-pay" or "prompt-pay" discounts before scheduling, as billing systems may default to insurance processing once a card is on file, potentially voiding any upfront fee reductions.
This facility's pricing is evaluated against the Medicare benchmark of $10.56, with the cash price of $10.00 being slightly lower, while the median negotiated rate of $31.00 is approximately 2.9 times the Medicare amount. Although the facility is located in Kansas City, KS, and operates as an Acute Care Hospital, the data provided does not include specific state or county average figures for comparison. To ensure you are receiving the most accurate pricing, you should request a full itemized bill before paying, as summary bills often obscure individual code costs. If you receive a balance bill for services rendered at this in-network facility, you may be entitled to protections under the No Surprises Act, which bans balance billing for emergency care and non-emergency services from