Blood test, comprehensive metabolic panel
Facility: West Carroll Memorial Hospital
Billing Code: 80053 (CPT)
- CPT Billing Code: 80053
- Insurance Median: $11
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.04x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Highmark Blue Shield | $3 | 28% |
| Alternative Insurance Resources, Inc. | $9 | 85% |
| Golden Rule Insurance Company | $9 | 85% |
| Hmo Of Louisiana | $9 | 85% |
| Intermountain Health Nevada | $9 | 85% |
| Loomis Co | $9 | 85% |
| Mutual Of Omaha Companies Claims Department | $9 | 85% |
| Omaha Insurance Company | $9 | 85% |
| Pan-American Life Insurance Company | $9 | 85% |
| United Of Omaha Life Insurance Company | $9 | 85% |
| UnitedHealthcare | $9 - $31 | 85% |
| Aetna | $11 - $84 | 104% |
| Amerihealth Caritas Louisiana | $11 | 104% |
| Healthy Blue | $11 | 104% |
| Humana | $11 | 104% |
| Louisiana Healthcare Connections | $11 | 104% |
| Medicaid / KanCare | $11 - $15 | 104% |
| Tricare | $30 | 284% |
| Blue Advantage | $31 | 294% |
| Wellcare By Allwell | $31 | 294% |
| Medicare (plans) | $36 | 341% |
| Ambetter / Centene | $76 | 720% |
| Cigna | $79 | 748% |
| Insurance Systems Inc | $84 | 795% |
| Novitas Solutions | $99 | 938% |