CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Christus St Frances Cabrini Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $15
Cash Discount Price: $36
vs. Medicare Baseline: 1.42x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Christus St Frances Cabrini Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.42x the Medicare baseline. Located in 3330 Masonic Drive, Alexandria, LA.

Cash / Self-Pay

$36

Average discount available for prompt cash payment at this facility.

Insurance Median

$15

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: $36 (341%)

Insurance Median: $15 (142%)

Cash: $36 (341% of Medicare)

Ins. Median: $15 (142% 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.

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
Humana	$10 - $36	95%
Triwest	$10	95%
Aetna	$11 - $65	104%
Amerihealth Caritas Louisiana	$11	104%
Arcadian Health Plan	$11	104%
Blue Cross Blue Shield	$11 - $38	104%
Christus Health	$11 - $15	104%
Coventry	$11	104%
Dignity Health	$11	104%
Healthy Blue Louisiana	$11	104%
Louisiana Healthcare Connections	$11	104%
Peoples Health	$11	104%
UnitedHealthcare	$11	104%
Vantage Health Plan Inc.	$11 - $69	104%
Wellcare	$11	104%
Allyalign Health	$12	114%
Medicare (plans)	$12	114%
Active Med	$18	170%
Cigna	$64	606%
Lsu First Choice Verity	$69	653%
Gilsbar, Inc.	$83	786%
Healthcare Highways	$83	786%
Verity Healthnet	$83	786%
Healthsmart	$90 - $110	852%
Ppoplus Llc	$90	852%
Five Point Credit Union	$97	919%
Multiplan	$97	919%
Phcs	$97	919%
Health Management Network	$110	1042%
Provider Select	$110	1042%
First Health	$117	1108%
Verity Healthnet National	$117	1108%

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 $36.
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 Christus St Frances Cabrini 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.