CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Uofl Health - Shelbyville Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $69
Cash Discount Price: $144
vs. Medicare Baseline: 6.53x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Uofl Health - Shelbyville Hospital is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $144. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 6.53x the Medicare baseline. Located in 727 Hospital Drive, Shelbyville, KY.

Cash / Self-Pay

$144

Average discount available for prompt cash payment at this facility.

Insurance Median

$69

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$10.56

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $10.56 (100%)

Cash / Self-Pay: $144 (1364%)

Insurance Median: $69 (653%)

Cash: $144 (1364% of Medicare)

Ins. Median: $69 (653% of 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 653% of the Medicare baseline (a markup of 553%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

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	$7 - $164	66%
Aetna	$10 - $64	95%
Humana	$10 - $64	95%
Communicare	$11	104%
Devoted	$11	104%
Essence Health	$11	104%
Passport	$11 - $190	104%
Senior Care Communty Of Ky	$11	104%
Signature	$11 - $190	104%
UnitedHealthcare	$11 - $181	104%
Va Ccn	$11	104%
Wellcare	$11 - $61	104%
Velocity	$13 - $372	123%
Key Benefit Administrators	$14	133%
Cigna	$17	161%
Prime Group Health	$135 - $323	1278%
Encore	$228	2159%
Multiplan	$251 - $342	2377%
Omca	$361	3419%
Corvel	$380	3598%
Cshn	$380	3598%
Health Smart	$380	3598%
National Comp Care	$380	3598%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $144.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80053.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Uofl Health - Shelbyville Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80053.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.