Blood test, comprehensive metabolic panel
Facility: Kansas Surgery & Recovery Center
Billing Code: 80053 (CPT)
- CPT Billing Code: 80053
- Insurance Median: $11
- Cash Discount Price: $20
- 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 |
|---|---|---|
| UnitedHealthcare | $4 - $11 | 38% |
| Aetna | $10 - $20 | 95% |
| Blue Cross Blue Shield | $10 - $15 | 95% |
| Triwest | $11 | 104% |
| Cigna | $18 | 170% |
Consumer Guidance & Cost Commentary
For the comprehensive metabolic panel (CPT 80053) at Kansas Surgery & Recovery Center in Wichita, KS, the cash price is $20.00, which matches the facility's cash median. This rate is significantly lower than the state average for this service, as the negotiated rates paid by major payers like UnitedHealthcare, Aetna, and Blue Cross Blue Shield range from $10 to $20, with the median negotiated amount across all payers sitting at $11.00. Because the cash price is equal to the highest negotiated rates observed, patients with high-deductible plans may find paying out-of-pocket upfront to be the most cost-effective option, potentially avoiding the administrative overhead and higher administrative markups embedded in insurance billing cycles.
While the facility is an acute care hospital with a voluntary non-profit ownership structure, patients should be aware that commercial insurance rates often include administrative costs that can inflate the final bill. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is crucial to confirm that all ancillary services, such as specific lab components, are covered under the facility's network agreements to prevent unexpected charges. To maximize savings, patients should explicitly request a "self-pay" classification and inquire about prompt-pay discounts before scheduling, as these upfront payment incentives can reduce the total cost by 20% to 50% compared to the standard cash price.