CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Bienville Medical Center

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $137
Cash Discount Price: $152
vs. Medicare Baseline: 12.97x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Bienville Medical Center is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 12.97x the Medicare baseline. Located in 1175 Pine Street, Arcadia, LA.

Cash / Self-Pay

$152

Average discount available for prompt cash payment at this facility.

Insurance Median

$137

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: $152 (1439%)

Insurance Median: $137 (1297%)

Cash: $152 (1439% of Medicare)

Ins. Median: $137 (1297% 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 1297% of the Medicare baseline (a markup of 1197%). 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
Aetna	$11 - $253	104%
Ambetter / Centene	$11 - $137	104%
Humana	$11 - $163	104%
Mcr American Hlth Adv	$11 - $137	104%
Medicaid / KanCare	$11 - $15	104%
Medicare (plans)	$11 - $137	104%
Misc Mgd Care	$11 - $253	104%
Mmc Blue Advantage	$11 - $137	104%
Mmc Misc	$11 - $137	104%
Mmd Amerihealth Caritas	$11 - $15	104%
Mmd Healthy Blue	$11 - $15	104%
Mmd La Hlth Conn	$11 - $15	104%
Mmd Misc	$11 - $15	104%
Peoples Health Mcr Adv	$11 - $137	104%
UnitedHealthcare	$11 - $137	104%
Va Health	$11 - $137	104%
Cashiering	$101 - $152	956%
Cigna	$126	1193%
Blue Cross Blue Shield	$152	1439%
Wc City Of Arcadia	$228	2159%
Wc House Of Raeford	$228	2159%
Wc Misc	$228	2159%
Wc Stonetrust	$228	2159%
Aarp	$253	2396%
Allegiance Health Managme	$253	2396%
Amfirst	$253	2396%
Apwu	$253	2396%
Liberty Mutual	$253	2396%
Misc Comm A-L	$253	2396%
Misc Comm M-Z	$253	2396%
Tricare	$253	2396%

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 $152.
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 Bienville Medical Center 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.