CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Bayou Bend Health System

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $41
Cash Discount Price: $43
vs. Medicare Baseline: 3.88x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Bayou Bend Health System is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 3.88x the Medicare baseline. Located in 1097 Northwest Blvd, Franklin, LA.

Cash / Self-Pay

$43

Average discount available for prompt cash payment at this facility.

Insurance Median

$41

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: $43 (407%)

Insurance Median: $41 (388%)

Cash: $43 (407% of Medicare)

Ins. Median: $41 (388% 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 388% of the Medicare baseline (a markup of 288%). 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
UnitedHealthcare	$10 - $116	95%
Blue Cross Blue Shield	$14 - $163	133%
Tricare	$22 - $104	208%
Aetna	$24 - $157	227%
Dignity Mcr Adv Ip/Op Only-All Plans	$24 - $116	227%
Humana	$24 - $150	227%
Sterling Hp Mcr Adv Ip/Op Only-All Plans	$24 - $116	227%
Verity Healthnet Mcr Adv Ip/Op Only	$24 - $116	227%
Wellcare Mcr Allwell Ip/Op Only-All Plans	$24 - $116	227%
Ambetter / Centene	$28 - $133	265%
Amerihealth Caritas Mcaid Ip/Op Only-All Plans	$34 - $163	322%
Cigna	$34 - $162	322%
La Health Mcaid Ip/Op Only	$34 - $163	322%
Verity Healthnet Mcaid Ip/Op Only	$34 - $163	322%
Diocese Of Lafaytte Ip/Op Only-All Plans	$36 - $173	341%
Gilsbar 360 Ip/Op Only-All Plans	$36 - $173	341%
Verity Healthnet Ip/Op Only-All Other Plans	$36 - $173	341%
Ccn/First Health Ip/Op Only-All Plans	$38 - $185	360%
Integrated Hp Multiplan Ip/Op Only-All Plans	$38 - $185	360%
Ppo Plus / Zelis Ip/Op Only-All Plans	$38 - $185	360%
Geha Ppo Ip/Op Only-All Plans	$41 - $196	388%
Usa Mco Ip/Op Only-All Plans	$41 - $196	388%
Galaxy Ip/Op Only-All Plans	$43 - $208	407%

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 $43.
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 Bayou Bend Health System 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.