Blood test, comprehensive metabolic panel
Facility: Ascension Via Christi Rehabilitation Hospital 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% |
| Medicare (plans) | $11 | 104% |
| Blue Cross Blue Shield | $11 | 104% |
| UnitedHealthcare | $11 - $30 | 104% |
| Humana | $11 | 104% |
| Vc Hope | $11 | 104% |
| Smarthealth | $15 | 142% |
| Cigna | $16 | 152% |
| Medicaid / KanCare | $18 | 170% |
| Aetna | $33 - $37 | 313% |
| Coventry City Of Wichita | $43 | 407% |
Consumer Guidance & Cost Commentary
For the comprehensive metabolic panel (CPT 80053) at Ascension Via Christi Rehabilitation Hospital in Wichita, Kansas, the facility's negotiated rate of $11.00 aligns exactly with the state average for this service. This rate is consistent across most major payers, including Medicare, which reimburses $10.56, and several commercial plans such as UnitedHealthcare and Blue Cross Blue Shield. While some insurers like Aetna and Coventry City Of Wichita have slightly higher negotiated ranges ($33–$37 and $43, respectively), the majority of plans cluster around the $11 mark. For patients with high-deductible plans, this suggests that paying cash or utilizing a prompt-pay discount could potentially be more cost-effective than relying on insurance, as the administrative overhead often embedded in negotiated rates can inflate the final bill.
It is important to note that the facility's rate of $11.00 is significantly lower than the highest negotiated rates observed in the data, such as those from Aetna and Coventry, which exceed $30. This disparity highlights how insurance contracts vary by plan and network tier. Patients should verify their specific plan's allowed amount before scheduling, as assuming in-network status guarantees the lowest price can lead to unexpected costs if their deductible has not been met. To minimize expenses, we recommend requesting a formal itemized bill prior to payment to ensure no unbundled codes or services not rendered are included, and asking explicitly about prompt-pay discounts that could reduce the balance by 20% to 50% if paid upfront.