CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Deaconess Henderson Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $11
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Deaconess Henderson Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.04x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $25 (237%)
Insurance Median: $11 (104%)
Cash: $25 (237% of Medicare)
Ins. Median: $11 (104% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $6 - $11 57%
UnitedHealthcare $6 - $13 57%
Humana $10 - $11 95%
Wellcare Il $10 - $11 95%
Aetna $11 - $19 104%
Alliance Coal $11 104%
Caresource In $11 104%
Center Care Narrow $11 104%
Center Care Open Access $11 104%
Encircle/Encore Combined $11 - $16 104%
Encircle/Encore Prime $11 - $16 104%
Iu Health Plans $11 - $19 104%
Medicaid / KanCare $11 104%
Medicare (plans) $11 104%
Mhs Mco $11 104%
Molina Healthcare Of Ky $11 104%
Molina Healthcare Of Ky - Exchange $11 104%
Mytru Advantage $11 104%
One Care $11 104%
Umwa $11 104%
Wellcare Ky $11 - $13 104%
Caresource In Marketplace $14 - $16 133%
Wellcare Ky Commercial Exchange $14 - $22 133%
Hopetrust $15 - $47 142%
Hstechnology $15 - $47 142%
Amish And Mennonite Of Western Ky $16 - $51 152%
Noncontracted $17 161%
First Health Network (Coventry) $19 180%
Healthlink $19 180%
Phcs/Multiplan $19 180%
Sagamore $19 180%
Ky Racing Health & Welfare Fund $23 - $27 218%
Self-Pay $23 - $27 218%
Claimdoc $25 - $47 237%
Cigna $40 - $47 379%
Coventry National Network $54 - $62 511%
Webster County Detention Center $54 - $62 511%
Henderson County Detention Center $60 - $70 568%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals