Blood test, comprehensive metabolic panel
Facility: Labette Health
Billing Code: 80053 (CPT)
- CPT Billing Code: 80053
- Insurance Median: $12
- Cash Discount Price: $92
- 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 |
|---|---|---|
| Montgomery County | $10 - $77 | 95% |
| Humana | $11 | 104% |
| Medicaid / KanCare | $11 | 104% |
| Wellcare | $11 | 104% |
| Multiplan | $11 - $198 | 104% |
| Blue Cross Blue Shield | $11 - $23 | 104% |
| Healthy Blue | $11 | 104% |
| UnitedHealthcare | $11 - $203 | 104% |
| Ambetter / Centene | $12 | 114% |
| Uhccp | $13 | 123% |
| Choicecare (First Health Network) | $210 | 1989% |
| Health Partners Of Kansas, Inc | $210 | 1989% |
Consumer Guidance & Cost Commentary
For this comprehensive metabolic panel test at Labette Health in Parsons, KS, the facility's cash price of $92.00 is notably lower than the state average of $131.00, offering a potential savings for patients paying out-of-pocket. While the facility's negotiated rates with insurance plans range from $11 to $210, these amounts often exceed the cash price due to administrative costs and contract structures. If your insurance deductible has not yet been met, you may face higher out-of-pocket costs than paying cash directly, as the negotiated rates can sometimes be significantly higher than the cash-pay rate. It is advisable to contact the hospital directly to confirm their "self-pay" or "prompt-pay" discount options before scheduling, as paying in full upfront can sometimes reduce the final amount owed.
When evaluating this charge, it is important to compare the facility's pricing against the Medicare benchmark rather than the hospital's gross chargemaster list. The Medicare amount for this service is $10.56, and the facility's cash rate represents a markup of 1.1 times the Medicare rate, which aligns with fair pricing standards. Commercial negotiated rates typically average between 200% and 300% of the Medicare rate, so relying on the hospital's list price can be misleading. To ensure you are receiving the best possible rate, request an itemized bill to verify that no unbundled codes or services not rendered are included, and always check your specific plan's deductible status before assuming the insurance negotiated rate will be the lowest option available.