Blood test, comprehensive metabolic panel
Facility: Via Christi Hospital Wichita St Teresa, 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 |
|---|---|---|
| Blue Cross Blue Shield | $11 | 104% |
| UnitedHealthcare | $11 - $30 | 104% |
| Vc Hope | $11 | 104% |
| Saint Lukes Health Systems | $11 | 104% |
| Va | $11 | 104% |
| Humana | $11 | 104% |
| Medicare (plans) | $11 | 104% |
| Via Christi Research | $11 | 104% |
| Corizon | $13 | 123% |
| Smarthealth | $15 | 142% |
| Medicaid / KanCare | $18 | 170% |
| Aetna | $33 | 313% |
| Coventry City Of Wichita | $43 | 407% |
Consumer Guidance & Cost Commentary
For the comprehensive metabolic panel (CPT 80053) at Via Christi Hospital Wichita St Teresa, the facility's negotiated rate is $11.00, which aligns exactly with the lowest and highest negotiated amounts reported across 13 payers in this dataset. This rate is consistent with the Medicare benchmark of $10.56, indicating no markup above the federal baseline for this specific service. While the facility is a voluntary non-profit church-owned acute care hospital in Wichita, KS, and holds a 4-star rating, the data does not provide specific cash or median paid amounts to compare directly against state or county averages. However, because cash prices are often lower than insurance negotiated rates, patients with high-deductible plans or those without insurance may find it beneficial to pay cash upfront. It is important to verify "self-pay" or "prompt-pay" discounts with the hospital before scheduling, as these upfront payments can bypass administrative fees and reduce the final cost.
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, unexpected charges can still occur if ancillary services like lab tests are billed separately. If a patient receives an itemized bill that includes charges for services not rendered or unbundled components, they should request a formal written audit dispute rather than accepting a summary bill. Since over 80% of hospital bills contain errors, asking for a line-by-line CPT-coded statement is the most effective way to identify and correct mistakes. Additionally, patients should avoid signing consent waivers that waive their rights regarding out-of-network costs for mandatory services, as these forms can inadvertently lead to surprise bills.