Blood test, comprehensive metabolic panel
Facility: Goodland Regional Medical Center
Billing Code: 80053 (CPT)
- CPT Billing Code: 80053
- Insurance Median: $112
- Cash Discount Price: $112
- vs. Medicare Baseline: 10.61x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1061% of the Medicare baseline (a markup of 961%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 | $23 | 218% |
| Wppa | $105 - $112 | 994% |
| UnitedHealthcare | $112 | 1061% |
Consumer Guidance & Cost Commentary
For the comprehensive metabolic panel at Goodland Regional Medical Center, the cash median price of $112.00 is notably lower than the facility's negotiated rates of $112.00 and the gross charge of $124.00. While the facility is a Critical Access Hospital in Goodland, KS, with a government-local ownership structure, patients should be aware that commercial insurance plans like Wppa and UnitedHealthcare negotiate rates that align closely with the cash price in this instance. Because the negotiated amounts match the cash median, there is no financial advantage to using insurance for this specific service, and patients with high-deductible plans may find paying the cash price directly more predictable and potentially lower than their out-of-pocket insurance costs.
To ensure you are receiving the most accurate pricing, always request an itemized bill that lists specific CPT codes rather than accepting a summary invoice that obscures individual charges. This audit helps identify any unbundled services or errors that could inflate your total. Additionally, since the facility offers a prompt-pay discount for upfront payment, you should contact the billing department before scheduling to confirm if a self-pay classification is available, which could further reduce the $112.00 cash median. Finally, remember that Medicare serves as the benchmark for fair pricing; while the facility's rates are competitive here, comparing them to the Medicare amount of $10.56 helps establish the baseline for what constitutes a reasonable charge in this region.