CMS Price Transparency Data
Blood test, comprehensive metabolic panel
Facility: Avoyelles Hospital
Billing Code: 80053 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80053
- Insurance Median: $158
- Cash Discount Price: $79
- vs. Medicare Baseline: 14.96x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Avoyelles Hospital is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 14.96x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$79
Average discount available for prompt cash payment at this facility.
Insurance Median
$158
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: $79 (748%)
Insurance Median: $158 (1496%)
Cash: $79 (748% of Medicare)
Ins. Median: $158 (1496% 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 1496% of the Medicare baseline (a markup of 1396%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 - $149 | 95% |
| Aetna | $11 - $148 | 104% |
| Bankers Life | $11 | 104% |
| Champva | $11 | 104% |
| Cigna | $11 - $148 | 104% |
| Correct Cr Int Hlt | $11 - $55 | 104% |
| Mcd Amerihealth Caritas | $11 - $55 | 104% |
| Mcd Healthy Blue | $11 - $55 | 104% |
| Mcd La Hc Conn | $11 - $55 | 104% |
| Mcr Lagniappe | $11 | 104% |
| Medeico Ins Co | $11 | 104% |
| Medicaid / KanCare | $11 - $55 | 104% |
| Medicare (plans) | $11 | 104% |
| Mmc Allwell | $11 | 104% |
| Mmc Blue Advantage | $11 | 104% |
| Mmc Healthy Blue Dual Adv | $11 | 104% |
| Mmc Mcr Hmo Miscellaneous | $11 | 104% |
| Mmc Priority Hlth Pffs | $11 | 104% |
| Mmc Vantage Hlth | $11 | 104% |
| Mmc Wellcare | $11 | 104% |
| Mutual Of Omaha | $11 | 104% |
| Neba Inc | $11 | 104% |
| Philadelphia American Lif | $11 | 104% |
| Sentinel Security Life | $11 | 104% |
| Trustmark Health Benefits | $11 - $262 | 104% |
| Tunica Biloxi | $11 - $262 | 104% |
| United Amer Ins | $11 | 104% |
| UnitedHealthcare | $11 - $55 | 104% |
| Veterans Evaluation Serv | $11 | 104% |
| Wps Vacca | $11 | 104% |
| Mcd Ms | $12 - $60 | 114% |
| All Savers | $13 | 123% |
| Geha | $13 | 123% |
| United Hlth One | $13 | 123% |
| Gulf South Zelis | $14 | 133% |
| Amer Contl Ins | $16 - $148 | 152% |
| Coventry | $16 - $148 | 152% |
| First Choice Health | $16 - $148 | 152% |
| Meritan Health | $16 - $262 | 152% |
| Blue Cross Blue Shield | $17 | 161% |
| Ofc Of Grp Bene | $17 | 161% |
| Student Assurances | $79 - $262 | 748% |
| Ppo Plus Llc | $158 | 1496% |
| Zelis Healthcare Bpa | $158 | 1496% |
| Gilsbar | $165 | 1563% |
| Amerind | $236 | 2235% |
| Applied Underwriters | $236 | 2235% |
| Sedgwick | $236 | 2235% |
| Us Dept Of Labor | $236 | 2235% |
| Wc Clms Admin Svcs | $236 | 2235% |
| Wc Clms Mgmnt Walmart | $236 | 2235% |
| Wc Esis | $236 | 2235% |
| Wc Fara | $236 | 2235% |
| Wc Gallagher Bassett | $236 | 2235% |
| Wc Guide One | $236 | 2235% |
| Wc Hartford Med | $236 | 2235% |
| Wc Luba | $236 | 2235% |
| Wc Lwcc | $236 | 2235% |
| Wc Paragon Casino Resort | $236 | 2235% |
| Wc Risk Mgmnt | $236 | 2235% |
| Wc Stone Trust | $236 | 2235% |
| Wc Summit Consulting Hold | $236 | 2235% |
| Wc Travelers Ins | $236 | 2235% |
| Wc Trs Workers Comp Claim | $236 | 2235% |
| Wc Us Dol | $236 | 2235% |
| Wc Zurich | $236 | 2235% |
| Aarp | $262 | 2481% |
| Admin Concepts | $262 | 2481% |
| All Saints Hospice | $262 | 2481% |
| All State | $262 | 2481% |
| Allegiance Health Hospice | $262 | 2481% |
| Allied Natl | $262 | 2481% |
| Amfirst | $262 | 2481% |
| Avoy Parish School Board | $262 | 2481% |
| Avoyelles Parish Sheriff | $262 | 2481% |
| Bollinger | $262 | 2481% |
| Ccmsi | $262 | 2481% |
| Central States | $262 | 2481% |
| Christus Health Plan | $262 | 2481% |
| Compassionate Care Hospic | $262 | 2481% |
| Core Source | $262 | 2481% |
| Coushatta Hlth Dept | $262 | 2481% |
| Ebms | $262 | 2481% |
| Federated Ins | $262 | 2481% |
| Feedom Life | $262 | 2481% |
| Fidelity Standard Life Co | $262 | 2481% |
| Fox Everette | $262 | 2481% |
| Guarantee Trust | $262 | 2481% |
| Heart Of Hospice | $262 | 2481% |
| Hos Christus Hospice | $262 | 2481% |
| Hos Guardian Hospice Care | $262 | 2481% |
| Hos Harbor Hospice Alex | $262 | 2481% |
| Hos La Hospice Palliative | $262 | 2481% |
| Hos Passages Hospice N. | $262 | 2481% |
| Hos St Joseph Hospice | $262 | 2481% |
| Hospice Miscellaneous | $262 | 2481% |
| Ins Mgmnt Admin | $262 | 2481% |
| Ins Tpa | $262 | 2481% |
| Liberty Health Share | $262 | 2481% |
| Lumico | $262 | 2481% |
| Manhattan Life Ins | $262 | 2481% |
| Medi Share | $262 | 2481% |
| Misc Comm | $262 | 2481% |
| Nalc | $262 | 2481% |
| New Era Life | $262 | 2481% |
| North American | $262 | 2481% |
| Phcs | $262 | 2481% |
| Physicians Mutual | $262 | 2481% |
| Pipeline Ind Bene | $262 | 2481% |
| Progressive Auto | $262 | 2481% |
| Reliance Standard Life | $262 | 2481% |
| Rural Carriers | $262 | 2481% |
| Shelter Ins Co | $262 | 2481% |
| Sierre Health And Life | $262 | 2481% |
| State Farm | $262 | 2481% |
| State Mutual | $262 | 2481% |
| Sterling Investors | $262 | 2481% |
| The Health Plan | $262 | 2481% |
| Tribal Hlth Partners | $262 | 2481% |
| Tricare | $262 | 2481% |
| Uct | $262 | 2481% |
| Unified Life | $262 | 2481% |
| Usaa Life Ins | $262 | 2481% |
| Web-Tpa | $262 | 2481% |
| Woodmen Of The World | $262 | 2481% |