Blood test, comprehensive metabolic panel
Facility: Menorah Medical Center
Billing Code: 80053 (CPT)
- CPT Billing Code: 80053
- Insurance Median: $20
- Cash Discount Price: $1,218
- vs. Medicare Baseline: 1.89x 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 |
|---|---|---|
| Cigna | $5 - $974 | 47% |
| Blue Cross Blue Shield | $10 - $548 | 95% |
| United | $10 - $548 | 95% |
| Coventry | $10 - $489 | 95% |
| Aetna | $10 - $621 | 95% |
| Home State Health Plan | $10 | 95% |
| Healthyblue | $11 | 104% |
| Unicare | $11 | 104% |
| Pyramid Life | $11 | 104% |
| Humana | $11 - $26 | 104% |
| Wellcare | $11 | 104% |
| Medicaid / KanCare | $11 | 104% |
| Celtic | $11 | 104% |
| Triwest Health Alliance | $11 | 104% |
| Amerigroup | $11 | 104% |
| Devoted Health | $11 | 104% |
| Oscar | $16 | 152% |
| Multiplan | $19 - $901 | 180% |
| Corvel Corporation | $22 - $791 | 208% |
| Oha Network | $23 - $609 | 218% |
| Ambetter / Centene | $226 | 2140% |
| Nhc Advantage | $231 | 2188% |
| Wppa Providrs Care Network | $244 | 2311% |
| Universal Healthcare | $426 | 4034% |
| Coventry Kc Mo | $499 | 4725% |
| College Park Family Care Center | $524 | 4962% |
| Cco, Inc. | $913 | 8646% |
| Focus Healthcare Mgmt, Inc | $913 | 8646% |
Consumer Guidance & Cost Commentary
For this comprehensive metabolic panel at Menorah Medical Center in Overland Park, KS, the cash price is $1,218.00, which matches the facility's cash median. This rate is significantly higher than the state average, with the Medicare benchmark serving as a critical baseline for comparison. While commercial insurance contracts often result in negotiated rates that can exceed cash prices due to administrative overhead and multi-layered pricing structures, patients with high-deductible plans may find paying the cash price directly more cost-effective if their insurer's allowed amount surpasses the cash rate. It is essential to verify your specific plan's deductible status and allowed amounts before scheduling, as assuming that in-network coverage automatically provides the lowest price can lead to unexpected costs.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, it is still prudent to request a full itemized CPT-coded bill before paying any invoice to identify potential errors or unbundled charges. Additionally, many facilities offer prompt-pay discounts for upfront payment, which can reduce the total cost by 20% to 50% by bypassing costly claims processing and administrative fees. Before finalizing payment, contact the hospital directly to confirm availability of self-pay or prompt-pay discounts and ensure that any consent forms signed do not inadvertently waive your rights to dispute out-of-network ancillary services.