CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: University Of Kansas Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $39
  • Cash Discount Price: $10
  • vs. Medicare Baseline: 3.69x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at University Of Kansas Hospital is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 3.69x the Medicare baseline. Located in 4000 Cambridge Street, Kansas City, KS.
Cash / Self-Pay
$10

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $10 (95%)
Insurance Median: $39 (369%)
Cash: $10 (95% of Medicare)
Ins. Median: $39 (369% 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 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.

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
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

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Cambridge Street, Kansas City, KS 66160
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals