Blood test, comprehensive metabolic panel
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 80053 (CPT)
- CPT Billing Code: 80053
- Insurance Median: $422
- Cash Discount Price: $563
- vs. Medicare Baseline: 39.96x 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 3996% of the Medicare baseline (a markup of 3896%). 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 | $338 | 3201% |
| Americas Choice Provider Network | $394 | 3731% |
| Velocity | $422 | 3996% |
| Usa Managed Care Organization | $422 | 3996% |
| Provider Network Of America | $422 | 3996% |
| Quiktrip Corporation | $422 | 3996% |
| Multiplan-Phcs | $450 | 4261% |
| Prime Health Services | $479 | 4536% |
| Medincrease | $507 | 4801% |
Consumer Guidance & Cost Commentary
For the comprehensive metabolic panel (CPT 80053) at the Rehabilitation Hospital Of Overland Park, the cash price is $563.00, which matches the facility's median paid amount. This cash rate is significantly higher than the state of Kansas average, represented by a 40% variance above the Medicare benchmark. While commercial insurance plans like Blue Cross Blue Shield and Velocity negotiate fixed rates of $338 and $422 respectively, these negotiated amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying cash directly can be more cost-effective, provided the patient secures a self-pay or prompt-pay discount before services are rendered.
To ensure you are receiving the most accurate pricing, it is critical to request an itemized billing audit rather than accepting a summary bill that obscures individual line items. Hospitals may inflate their chargemaster lists, making the $563.00 gross charge appear higher than it actually is when compared to the true cost baseline of Medicare. Additionally, while the facility's negotiated rates average $422.00, patients should verify their specific plan's deductible status before assuming the insurance payment will cover the full cost. If you choose to pay out-of-network or encounter unexpected charges, you have the right to dispute balance billing under federal protections, but the most effective strategy remains comparing your specific plan's allowed amount against the facility's cash and Medicare rates to determine the true financial impact.