CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Surgical Specialty Center of Baton Rouge

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $14
Cash Discount Price: $93
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Surgical Specialty Center of Baton Rouge is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.33x the Medicare baseline. Located in 8080 Bluebonnet Blvd, Baton Rouge, LA.

Cash / Self-Pay

$93

Average discount available for prompt cash payment at this facility.

Insurance Median

$14

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: $93 (881%)

Insurance Median: $14 (133%)

Cash: $93 (881% of Medicare)

Ins. Median: $14 (133% 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
Uhc_Commcoffee	$6	57%
Humana	$10 - $16	95%
Aetna	$11	104%
Amerihealth	$11	104%
Blue Cross Blue Shield	$11 - $13	104%
Cigna	$11	104%
Healthy_Blue	$11	104%
Lhc	$11	104%
Medadv-Peoples	$11	104%
Medicaid / KanCare	$11	104%
Medicare (plans)	$11	104%
United	$11	104%
UnitedHealthcare	$11	104%
United_Caid	$11	104%
Va	$11	104%
Wellcare	$11	104%
Verity	$12	114%
Lucent	$15	142%
Ambetter / Centene	$20	189%
Workcomp_Saints	$24	227%
Lsufirst	$28	265%
Gilsbar	$61	578%
Multiplan-Pos	$74	701%
Multiplan-Ppo	$74	701%
Ppoplus	$76	720%
Stjude	$81	767%
Bayou-Med	$87	824%
Dma	$87	824%
Lsu	$87	824%
Southern-Univ	$87	824%
Womans_Hosp	$87	824%
Reny	$93	881%
Ehn	$99	938%
Workcomp_3R	$100	947%
Three_Rivers	$105	994%
Workcomp_Strat	$105	994%
Geha	$109	1032%
Workcomp_Fp	$112	1061%
Usa_Mco	$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 $93.
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 Surgical Specialty Center of Baton Rouge 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.