Blood test, comprehensive metabolic panel
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 80053 (CPT)
- CPT Billing Code: 80053
- Insurance Median: $11
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.04x 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 |
|---|---|---|
| Va | $11 | 104% |
| Vc Hope | $11 | 104% |
| Via Christi Research | $11 | 104% |
| Blue Cross Blue Shield | $11 | 104% |
| Humana | $11 | 104% |
| Medicare (plans) | $11 | 104% |
| UnitedHealthcare | $11 - $30 | 104% |
| Saint Lukes Health Systems | $11 | 104% |
| Corizon | $13 | 123% |
| Smarthealth | $15 | 142% |
| Medicaid / KanCare | $18 | 170% |
| Mdsave | $30 | 284% |
| Aetna | $33 | 313% |
| Coventry City Of Wichita | $43 | 407% |
Consumer Guidance & Cost Commentary
For the comprehensive metabolic panel (CPT 80053) at Ascension Via Christi Hospitals Wichita, Inc., the facility's negotiated rate of $11.00 aligns precisely with the lowest and highest reported rates across all 14 payer plans, including Medicare, which sets the benchmark at $10.56. This indicates that the facility is charging the maximum allowable amount for this service under its contracts with major insurers like UnitedHealthcare and Humana, with no variation between the lowest and highest negotiated figures. While the facility is a voluntary non-profit in Wichita, Kansas, the data does not provide specific cash or self-pay rates, meaning patients cannot yet determine if paying out-of-pocket directly would result in a lower cost than the insurance negotiated amount.
Patients should be aware that while commercial insurance contracts often include administrative overhead that can inflate rates, this specific code shows a flat negotiated price across all plans. If you have a high-deductible plan, it is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can sometimes reduce the final bill significantly. Additionally, if you receive a bill from an out-of-network provider for this test at this facility, you may be protected under the No Surprises Act, which prevents balance billing for emergency or non-emergency services at in-network hospitals. Always request a detailed, itemized bill to verify that no unbundled charges or services not rendered are included before making any payment.